HLA-DR17 explained
HLA-DR17 (DR17) is an HLA-DR serotype that recognizes the DRB1*0301 and *0304 gene products. DR17 is found at high frequency in Western Europe (such as Western Ireland, N. Spain, Sardinia). DR17 is part of the broader antigen group HLA-DR3 and is very similar to the group HLA-DR18.
Serology
DR17 and DR3 recognition of some DRB1*03 alleles[1] DRB1* | DR17 | DR3 | DR18 | Sample |
allele | % | % | % | size (N) |
0301 | 64 | 33 | 0 | 9698 |
0304 | 20 | 60 | | 5 |
|
DR17 recognizes the DRB1*0301, *0304 alleles.
Disease associations
By serotype
DR17 is associated with non-chronic sarcoidosis,[2] [3] infantile spasm/epilepsy,[4] rabies vaccine-induced autoimmune encephalomyelitis[5] and cardiovascular hypertrophy in subjects with arterial hypertension[6] People with DR17 show a tendency toward benzylpenicilloyl allergies.[7]
By allele
DRB1*0301: diabetes mellitus type 1,[8] myositis,[9] early onset Graves disease,[10] type 1 autoimmune hepatitis,[11] inflammatory inclusion body myositis.[12] In autoimmune hepatitis,DRB1*0301 correlates with more severe and difficult to treat disease.[13]
By haplotype
DRB1*0301:DQA1*05:DQB1*0201 is associated with diabetes mellitus type 1,[14] ovarian cancer,[15] non-thymomic myasthenia gravis,[16] idiopathic inflammatory myopathies,[17] non-cancer associated Lambert-Eaton myasthenic syndrome[18] and sarcoidosis [19]
By phenotype
The DRB1*0301/DRB1*1501 heterozygote is linked to primary Sjögren's syndrome[20]
Genetic Linkage
DR17 Haplotypes
|
Serotypes | DRA | DRB1 | DRB3 | |
---|
DR17 |
|
| 0101 | |
|
| 0201 | |
Serotypes | DQA1 | DQB1 | DRB1 | |
---|
DR17(3)-DQ2(2.5) |
|
|
| |
Serotypes | HLA-A | HLA C | HLA B | DRB1 |
---|
A1-Cw7-B8-DR17(3) |
|
|
|
|
A2-Cw7-B8-DR17(3) |
|
|
|
|
A30-Cw5-B18-DR17(3) |
|
|
|
|
|
HLA-DR17 is genetically linked to DR52 and HLA-DQ2 serotypes. These serotypesare the result of gene products from the HLA-DRB3* and HLA DQA1*0501 and HLA DQB1*0201 alleles.DRB1*0301 is frequently within by the "Super-B8" or ancestral HLA haplotype:
A
: Cw
: B
: DRB1
: DQA1
: DQB1
This haplotype is known as "Super B8", "European ancestral haplotype", or "AH8.1"
Notes and References
- http://www.ebi.ac.uk/imgt/hla/allele.html derived from IMGT/HLA
- Berlin M, Fogdell-Hahn A, Olerup O, Eklund A, Grunewald J . HLA-DR predicts the prognosis in Scandinavian patients with pulmonary sarcoidosis. . Am J Respir Crit Care Med . 156 . 5 . 1601–5 . 1997 . 9372682 . 10.1164/ajrccm.156.5.9704069.
- Planck A, Katchar K, Eklund A, Gripenbäck S, Grunewald J . T-lymphocyte activity in HLA-DR17 positive patients with active and clinically recovered sarcoidosis. . Sarcoidosis Vasc Diffuse Lung Dis . 20 . 2 . 110–7 . 2003 . 12870720.
- Suastegui R, De La Rosa G, Carranza J, Gonzalez-Astiazaran A, Gorodezky C . Contribution of the MHC class II antigens to the etiology of infantile spasm in Mexican Mestizos. . Epilepsia . 42 . 2 . 210–5 . 2001 . 11240591 . 10.1046/j.1528-1157.2001.22700.x. free .
- Piyasirisilp S, Schmeckpeper B, Chandanayingyong D, Hemachudha T, Griffin D . Association of HLA and T-cell receptor gene polymorphisms with Semple rabies vaccine-induced autoimmune encephalomyelitis. . Ann Neurol . 45 . 5 . 595–600 . 1999 . 10319881 . 10.1002/1531-8249(199905)45:5<595::AID-ANA7>3.0.CO;2-M. 28870098 .
- Diamantopoulos E, Andreadis E, Vassilopoulos C, Vlachonikolis I, Tarassi K, Chatzis N, Giannakopoulos N, Papasteriades C . Association of specific HLA phenotypes with left ventricular mass and carotid intima-media thickness in hypertensives. . Am J Hypertens . 14 . 7 Pt 1 . 632–6 . 2001 . 11465646 . 10.1016/S0895-7061(01)01283-3. free .
- Yang J, Qiao HL, Zhang YW, Jia LJ, Tian X, Gao N . HLA-DRB genotype and specific IgE responses in patients with allergies to penicillins . Chin. Med. J. . 119 . 6 . 458–66 . 2006 . 16584643 . 10.1097/00029330-200603020-00005. free .
- Shawkatova I, Michalkova D, Barak L, Fazekasova H, Kuba D, Buc M . HLA class II allele frequencies in type 1A diabetes mellitus Slovak patients. . Bratisl Lek Listy . 107 . 3 . 76–9 . 2006 . 16796128.
- O'Hanlon T, Carrick D, Targoff I, Arnett F, Reveille J, Carrington M, Gao X, Oddis C, Morel P, Malley J, Malley K, Shamim E, Rider L, Chanock S, Foster C, Bunch T, Blackshear P, Plotz P, Love L, Miller F . Immunogenetic risk and protective factors for the idiopathic inflammatory myopathies: distinct HLA-A, -B, -Cw, -DRB1, and -DQA1 allelic profiles distinguish European American patients with different myositis autoantibodies. . Medicine (Baltimore) . 85 . 2 . 111–27 . 2006 . 16609350 . 10.1097/01.md.0000217525.82287.eb. 25224623 .
- Lavard L, Madsen H, Perrild H, Jacobsen B, Svejgaard A . HLA class II associations in juvenile Graves' disease: indication of a strong protective role of the DRB1*0701,DQA1*0201 haplotype. . Tissue Antigens . 50 . 6 . 639–41 . 1997 . 9458117 . 10.1111/j.1399-0039.1997.tb02922.x.
- Czaja A, Strettell M, Thomson L, Santrach P, Moore S, Donaldson P, Williams R . Associations between alleles of the major histocompatibility complex and type 1 autoimmune hepatitis. . Hepatology . 25 . 2 . 317–23 . 1997 . 9021941 . 10.1002/hep.510250211. 42248704 .
- Sivakumar K, Semino-Mora C, Dalakas M . An inflammatory, familial, inclusion body myositis with autoimmune features and a phenotype identical to sporadic inclusion body myositis. Studies in three families . Brain . 120 . 4. 653–61 . 1997. 9153127 . 10.1093/brain/120.4.653.
- Montano Loza AJ, Czaja AJ . Current therapy for autoimmune hepatitis . Nature Clinical Practice Gastroenterology & Hepatology . 4 . 4 . 202–14 . 2007 . 17404588 . 10.1038/ncpgasthep0768. 24280843 .
- Deja G, Jarosz-Chobot P, Polańska J, Siekiera U, Małecka-Tendera E . Is the Association Between TNF-α-308 A Allele and DMT1 Independent of HLA-DRB1, DQB1 Alleles? . Mediators Inflamm . 2006 . 4 . 1–7 . 2006 . 17047287 . 10.1155/MI/2006/19724 . 1618952. free .
- Kübler K, Arndt P, Wardelmann E, Krebs D, Kuhn W, van der Ven K . HLA-class II haplotype associations with ovarian cancer . Int J Cancer . 119 . 12 . 2980–5 . 2006 . 17016821 . 10.1002/ijc.22266. free .
- Machens A, Löliger C, Pichlmeier U, Emskötter T, Busch C, Izbicki J . Correlation of thymic pathology with HLA in myasthenia gravis . Clinical Immunology . 91 . 3 . 296–301 . 1999 . 10370374 . 10.1006/clim.1999.4710.
- Shamim E, Rider L, Miller F . Update on the genetics of the idiopathic inflammatory myopathies . Curr Opin Rheumatol . 12 . 6 . 482–91 . 2000 . 11092196 . 10.1097/00002281-200011000-00002.
- Parsons K, Kwok W, Gaur L, Nepom G . Increased frequency of HLA class II alleles DRB1*0301 and DQB1*0201 in Lambert-Eaton myasthenic syndrome without associated cancer . Hum Immunol . 61 . 8 . 828–33 . 2000 . 10980394 . 10.1016/S0198-8859(00)00135-X.
- Grubić R, Žunec T, Peroš-Golubičić J, etal . HLA class I and class II frequencies in patients with sarcoidosis from Croatia: role of HLA-B8, −DRB1*0301, and −DQB1*0201 haplotype in clinical variations of the disease . Tissue Antigens . 70 . 4 . 301–6 . 2007 . 10.1111/j.1399-0039.2007.00904.x . 17767551.
- Jean S, Quelvennec E, Alizadeh M, Guggenbuhl P, Birebent B, Perdriger A, Grosbois B, Pawlotsky P, Semana G . DRB1*15 and DRB1*03 extended haplotype interaction in primary Sjögren's syndrome genetic susceptibility . Clin Exp Rheumatol . 16 . 6 . 725–8 . 1998. 9844767.