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Mult Scler J Exp Transl Clin. 2019 Dec 09;5(4):2055217319894615. doi: 10.1177/2055217319894615. eCollection 2019.

Is multiple sclerosis progression associated with the HLA-DR15 haplotype?.

Multiple sclerosis journal - experimental, translational and clinical

Klarissa Hanja Stürner, Inessa Siembab, Gerhard Schön, Jan-Patrick Stellmann, Nika Heidari, Boris Fehse, Christoph Heesen, Thomas H Eiermann, Roland Martin, Thomas Mc Binder

Affiliations

  1. Institute for Neuroimmunology and Clinical MS Research, University Medical Center Hamburg-Eppendorf, Germany.
  2. Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Germany.
  3. Research Department Cell and Gene Therapy, University Medical Center Hamburg-Eppendorf, Germany.
  4. HLA Laboratory, University Medical Center Hamburg-Eppendorf, Germany.

PMID: 31839982 PMCID: PMC6902395 DOI: 10.1177/2055217319894615

Abstract

BACKGROUND: The prevalence of multiple sclerosis is associated with the major histocompatibility complex class II DR15 haplotype HLA-DRB1*15:01∼HLA-DRB5*01:01.

OBJECTIVE: To assess whether multiple sclerosis progression is associated with the main susceptibility haplotype HLA-DRB1*15:01∼HLA-DRB5*01:01.

METHODS: Patients (

RESULTS: After follow-up of the consecutive cohort 349 patients were classified as having clinical isolated syndrome and 881 patients as having multiple sclerosis. The susceptibility allele HLA-DRB1*15:01 was more frequent in clinical isolated syndrome (odds ratio 1.56) and multiple sclerosis (odds ratio 3.17) compared to controls. HLA- DRB1*15:01 was the only enriched HLA-DRB1 allele in multiple sclerosis patients. Comparison of clinical characteristics between HLA-DRB1*15:01∼HLA-DRB5*01:01 negative and positive patients with multiple sclerosis showed that baseline EDSS score, disease duration and frequency of the category secondary progressive multiple sclerosis with relapse were increased in the HLA-DRB1*15:01∼HLA-DRB5*01:01 positive group.

CONCLUSION: The study confirmed HLA-DRB1*15:01 and HLA-DRB5*01:01 as the main susceptibility alleles and showed weak indirect evidence for a role in progression of the disease.

© The Author(s) 2019.

Keywords: EDSS; HLA-DRB1*15:01; HLA-DRB5*01:01; Multiple sclerosis; progression

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