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Genetic variations of HLA-DRB1 and susceptibility to Kawasaki disease in Taiwanese children.

Abstract
Although some previous studies have reported that genetic and immunologic factors play important roles in the pathogenesis of Kawasaki disease (KD), the etiologic factors of this enigmatic pediatric disease are still poorly understood. The purpose of this study was to investigate whether polymorphisms of the human leukocyte antigen DRB1 (HLA-DRB1) gene are associated with KD and the development of coronary artery lesions (CAL) in Taiwanese children. Genomic DNA was extracted from whole blood samples from 145 children with KD and 331 healthy controls. The HLA-DRB1 gene was genotyped by polymerase chain reaction (PCR) and sequence-based typing assays. We found that the distribution of HLA-DRB1 allele families and alleles in children with KD did not differ from that in healthy controls. Stratified analysis did not demonstrate any association between particular HLA-DRB1 allele families or alleles and the development of CAL in children with KD. These findings suggest that susceptibility to KD and CAL is not associated with the HLA-DRB1 gene in a Taiwanese population. If immunogenetic determinants are involved in this disease and its complications in Taiwanese children, they must involve genes other than HLA-DRB1.
AuthorsFu-Yuan Huang, Tzu-Yang Chang, Ming-Ren Chen, Chyong-Hsin Hsu, Hung-Chang Lee, Shuan-Pei Lin, Hsin-An Kao, Nan-Chang Chiu, Hsin Chi, Tiffany Yi-Chen Liu, Hsin-Fu Liu, Ching-Wen Dang, Chen-Chung Chu, Marie Lin, Tseng-Chen Sung, Yann-Jinn Lee
JournalHuman immunology (Hum Immunol) Vol. 68 Issue 1 Pg. 69-74 (Jan 2007) ISSN: 0198-8859 [Print] United States
PMID17207714 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • HLA-DR Antigens
  • HLA-DRB1 Chains
Topics
  • Child
  • Child, Preschool
  • Coronary Artery Disease (genetics)
  • Genetic Predisposition to Disease
  • Genetic Variation
  • HLA-DR Antigens (genetics)
  • HLA-DRB1 Chains
  • Humans
  • Infant
  • Mucocutaneous Lymph Node Syndrome (genetics)
  • Taiwan

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