Kidney transplantation is the best treatment option for the patients with
end-stage renal disease.
Viral infections and genetic factors such as HLA-II
antigens may affect the kidney transplant outcome. The compatibility of
HLA-DRB1 molecules in the survival of kidney transplant is important. Also, the correlation between these molecules and
viral infections is significant. The current study investigates the allele frequency of
HLA-DRB1 in 41 recipient kidney transplant and 203 normal healthy controls by polymerase chain reaction using sequence specific primers. Moreover the relation between
HLA-DRB1 allelic groups and
hepatitis B,
hepatitis C and cytomegalovirus
viral infections was also studied. However statistical analysis of the allele frequencies didn't show any significant association between
HLA-DRB1 allelic group distributions or sharing and susceptibility to acute kidney transplant rejection (P > 0.05). Comparing the allele frequencies between
HLA-DRB1*14 and DRB1*04 allelic showed a significant difference in controls and patients (P = 0.03 and P = 0.05 respectively). The results of the present study also showed a significant association between possession of
HLA-DRB1*07 allele in kidney transplant recipients and hepatitis C virus
infection (P = 0.009). In conclusion however the results of the present study did not showed relation between
HLA-DRB1 allele's frequencies or sharing and
kidney transplantation outcome, the results indicated that
HLA-DRB1 alleles may susceptible individuals to renal disease or play a role in susceptibility to
viral infection in kidney transplant patients.