Lupus & antiphospholipid syndrome

Genetic dissection of HLA-DRB1*15:01 and XL9 region variants in Japanese patients with systemic lupus erythematosus: primary role for HLA-DRB1*15:01

RMD OpenPublished Case-control genetic association study

Authors' conclusion

In the Japanese population, HLA-DRB1*15:01 was found to be primarily associated with SLE, and to account for the apparent association of XL9 region.

Study context

Population
Japanese patients with systemic lupus erythematosus (SLE) and controls
Participants
442 vs 779
Comparison
Japanese SLE patients vs controls: XL9 region variants and HLA-DRB1 alleles
  • SLEn = 442
  • Controlsn = 779reference
Outcome
Association of XL9 variants (rs2105898, rs9271593, rs9271375, rs9271378) and HLA-DRB1 alleles with SLE, with conditional analyses
Methodological detailsconditional association analysis, XL9 variants genotyped by TaqMan SNP Genotyping Assay and direct sequencing; HLA-DRB1 alleles by PCR-reverse sequence-specific oligonucleotide probes
  • Conditional association analysis
  • XL9 variants genotyped by TaqMan SNP Genotyping Assay and direct sequencing; HLA-DRB1 alleles by PCR-reverse sequence-specific oligonucleotide probes

Main finding

As reported in the abstract

Association with SLE: XL9 variants vs DRB1*15:01
  • Associations of rs2105898T and rs9271593C replicated in the Japanese population
  • XL9 associations no longer significant when conditioned on DRB1*15:01
  • DRB1*15:01 association remained significant after conditioning on XL9 variants

Observational data: associations, not effects.

Original publication

Genetic dissection of HLA-DRB1*15:01 and XL9 region variants in Japanese patients with systemic lupus erythematosus: primary role for HLA-DRB1*15:01. RMD Open. Published 31 May 2023. doi:10.1136/rmdopen-2023-003214

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