Vasculitis & polymyalgia rheumatica

Human leucocyte antigens and Japanese patients with polymyalgia rheumatica: the protective effect of DRB1*09:01

RMD OpenPublished Case-control genetic association study

Authors' conclusion

This study is the first to demonstrate predisposing associations of DRB1*04:05, SE, and DQB1*04:01, and protective associations of DRB1*09:01 and DQB1*03:03 with PMR in Japanese patients.

Study context

Population
Japanese patients with polymyalgia rheumatica (PMR) and controls
Participants
270 vs 413
Comparison
Japanese PMR patients vs controls
  • PMRn = 270
  • Controlsn = 413reference
Outcome
Associations of HLA DRB1 and DQB1 allele carrier and genotype frequencies with PMR
Methodological detailsHuman leucocyte antigen (HLA) DRB1 and DQB1 genotyping, haplotype and logistic regression analyses
  • HLA DRB1 and DQB1 genotyping
  • Haplotype and logistic regression analyses

Main finding

As reported in the abstract

HLA allele associations with PMR
Odds ratio (95% CI)P value
DRB1*04:05predisposition
1.85(1.31–2.62)
P = 0.0006, Pc=0.0193
DRB1*09:01protection
0.40(0.26–0.61)
P = 1.46×10-5, Pc=0.0004
Shared epitope (SE)predisposition
2.11(1.54–2.88)
P = 3.07×10-6
DQB1*03:03protection
0.52(0.35–0.77)
P = 0.0010, Pc=0.0140
DQB1*04:01predisposition
1.82(1.28–2.58)
P = 0.0009, Pc=0.0140

Observational data: associations, not effects.

Original publication

Human leucocyte antigens and Japanese patients with polymyalgia rheumatica: the protective effect of DRB1*09:01. RMD Open. Published 22 January 2024. doi:10.1136/rmdopen-2023-003897

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