Vasculitis & polymyalgia rheumatica

HLA-B gene methylation and expression in Behçet's syndrome: a potential role of epigenetics in the pathogenesis

Clin Exp RheumatolPublished Mechanistic study

Authors' conclusion

This study indicates epigenetic involvement associated with the HLA-B51 locus in BS, both in familial and sporadic cases.

Study context

Population
Familial and sporadic Behçet's syndrome (BS) cases, their relatives and healthy controlsHLA-B51 genotyping cohort
Participants
15 / 17 / 26 / 46 / 41
Comparison
BS cases vs relatives and healthy controls
  • Index familial BSn = 15
  • Affected relativesn = 17
  • Unaffected relativesn = 26
  • Sporadic BSn = 46
  • Healthy controlsn = 41reference
Outcome
HLA-B51 expression and HLA-B promoter methylation
Methodological detailscase–control, familial and sporadic cases
  • Case–control
  • Familial and sporadic cases

Main finding

As reported in the abstract

HLA-B51 expression in HLA-B51+ BS cases vs unaffected relatives
2.2-fold higher (p=0.0149)
HLA-B51 expression in HLA-B51+ BS cases vs healthy controls
1.3-fold higher (p=0.0188)
HLA-B51 expression in sporadic BS vs healthy controls
2.7-fold higher (p=0.0487)
HLA-B promoter methylation, HLA-B51+ familial BS vs unaffected relatives
0.4-fold, p=0.01
HLA-B promoter methylation, HLA-B51+ familial BS vs affected relatives
0.36-fold, p=0.0219
HLA-B promoter methylation, HLA-B51+ familial BS vs healthy controls
0.34-fold, p=0.0371
HLA-B promoter methylation, HLA-B51+ sporadic BS vs healthy controls (slightly lower)
0.71-fold, p=0.2347
Inverse correlation of HLA-B promoter methylation and HLA-B51 expression in HLA-B51+ sporadic BS
p=0.0164

Further findings

OutcomeValues
HLA-B51 carrier ratioIndex familial BS 13/15 · Affected relatives 13/17 · Unaffected relatives 22/26 · Healthy controls 8/25 · Sporadic BS 35/47

Original publication

HLA-B gene methylation and expression in Behçet's syndrome: a potential role of epigenetics in the pathogenesis. Clin Exp Rheumatol. Published 2 August 2023. doi:10.55563/clinexprheumatol/1sf43v

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