In order to investigate the role of immunogenetic factors in the pathogenesis of
uveitis in
leprosy,
HLA antigens were analyzed between the leprotics with and without
uveitis. Sixty-five Japanese
leprosy patients comprised 32 with
uveitis and 33 without
uveitis. Controls consisted of 138 healthy subjects. A lymphocyte cytotoxicity test was used for typing
HLA-A, -B, -C, -DR and -DQ
antigens.
HLA-DR2 genotyping was performed by the polymerase chain reaction-single strand conformation polymorphism (PCR-SSCP) and PCR-restriction fragment length polymorphism (RFLP) methods. The frequency of
HLA-DR2 antigen was significantly increased in the patients with
uveitis as compared with the control subjects (Pc < 0.0005), whereas
HLA-DR53 antigen was significantly decreased (Pc < 0.05). At the genomic level the frequency of
HLA-DRB1*1501 was significantly increased in the patients with
uveitis and without
uveitis as compared with that in the controls. The association with DRB1*1501 was even stronger in patients with
uveitis (odds ratio = 7.1, Pc < 0.000005) than in the patients without
uveitis (odds ratio = 4.1, Pc < 0.005). Our results suggest that
HLA-DRB1*1501 contribute to the susceptibility to
uveitis in the Japanese with
leprosy.