首页|HLA-DQA1*0501、HLA-DQB1*02基因多态性与抗Ro/SSA抗体阳性pSS易感性的关系分析

HLA-DQA1*0501、HLA-DQB1*02基因多态性与抗Ro/SSA抗体阳性pSS易感性的关系分析

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目的 基于数据库相关数据分析人类白细胞抗原(HLA)-DQA1*0501和HLA-DQB1*02基因多态性与抗Ro/SSA抗体阳性的原发性干燥综合征(pSS)易感性的关系。方法 使用计算机检索相关数据库,筛选并收集pSS患者、抗Ro/SSA抗体阳性的pSS患者、抗Ro/SSA抗体阴性的pSS患者以及健康对照人群的HLA-DQA1*0501、HLA-DQB1*02 基因多态性资料。使用STATA 16。0(USA)统计软件分析抗Ro/SSA抗体阳性的pSS患者中HLA-DQA1*0501和HLA-DQB1*02基因多态性与pSS发生的关系。结果 纳入文献5篇,涉及420例pSS患者、250例抗Ro/SSA抗体阳性pSS患者、120例抗Ro/SSA抗体阴性的pSS患者和733例健康对照者。在pSS患者中,HLA-DQA1*0501和HLA-DQB1*02基因阳性分别为159、246例;在健康对照者中,HLA-DQA1*0501和HLA-DQB1*02基因阳性分别为196、282例;在抗SSA抗体阳性pSS患者中,HLA-DQA1*0501和HLA-DQB1*02基因阳性分别为129、158例;在抗SSA抗体阴性pSS患者中,HLA-DQA1*0501和HLA-DQB1*02基因阳性分别为30、46例。HLA-DQA1*0501和HLA-DQB1*02基因多态性与pSS的易感性有关(I2 分别为62。99%、40。75%,合计OR值分别为2。60、2。43,95%CI分别为1。49~4。55、1。88~3。14,P 均<0。05)。HLA-DQA1*0501和HLA-DQB1*02基因多态性也与抗Ro/SSA抗体阳性pSS的易感性有关(I2 分别为0。00%、9。41%,合计OR值分别为3。85、2。61,95%CI分别为1。81~8。21、1。52~4。48,P 均<0。05)。结论 HLA-DQA1*0501和HLA-DQB1*02基因多态性与抗Ro/SSA抗体阳性的pSS患者的易感性相关。具有HLA-DQA1*0501和HLA-DQB1*02基因阳性的抗Ro/SSA抗体阳性患者更容易患pSS。
Association of HLA-DQA1*0501 and HLA-DQB1*02 gene polymorphisms with susceptibility to anti-Ro/SSA antibody-positive pSS
Objective To investigate the correlation between human leukocyte antigen(HLA)-DQA1*0501 and HLA-DQB1*02 gene polymorphisms and susceptibility to primary Sjögren's syndrome(pSS)in anti-Ro/SSA antibody-pos-itive individuals using database-related data.Methods The study screened and collected the data of HLA-DQA1*0501 and HLA-DQB1*02 gene polymorphisms in patients with pSS who were positive or negative for anti-Ro/SSA antibodies,as well as in healthy controls,using a computerized search of relevant databases.The associations between HLA-DQA1*0501 and HLA-DQB1*02 gene polymorphisms and the occurrence of pSS in anti-Ro/SSA antibody-positive patients was ana-lyzed using STATA 16.0(USA)statistical software.Results The study included five papers involving 420 patients with pSS,including 250 patients who tested positive for anti-Ro/SSA antibodies,120 patients who tested negative for anti-Ro/SSA antibodies,and 733 healthy controls.Of the pSS patients,159 and 246 cases tested positive for the HLA-DQA1*0501 and HLA-DQB1*02 genes,respectively.Among the healthy controls,196 and 282 cases tested positive for the HLA-DQA1*0501 and HLA-DQB1*02 genes,respectively.Among the pSS patients positive for anti-SSA antibodies,129 and 158 cases were positive for the HLA-DQA1*0501 and HLA-DQB1*02 genes,respectively.In the anti-SSA antibody-nega-tive pSS patients,30 and 46 cases were positive for the HLA-DQA1*0501 and HLA-DQB1*02 genes,respectively.The study found that HLA-DQA1*0501 and HLA-DQB1*02 gene polymorphisms were associated with susceptibility to pSS(I2= 62.99%and 40.75%,combined OR=2.60 and 2.43,95%CI=1.49-4.55 and 1.88-3.14,respectively;all P<0.05).The HLA-DQA1*0501 and HLA-DQB1*02 gene polymorphisms were also associated with susceptibility to anti-Ro/SSA an-tibody-positive pSS(I2=0.00%and 9.41%,combined OR=3.85 and 2.61,95%CI=1.81-8.21 and 1.52-4.48,respec-tively;all P<0.05).Conclusions HLA-DQA1*0501 and HLA-DQB1*02 gene polymorphisms are associated with sus-ceptibility to pSS in individuals who test positive for anti-Ro/SSA antibodies.Specifically,patients with anti-Ro/SSA anti-bodies and the HLA-DQA1*0501 and HLA-DQB1*02 genes are at higher risk of developing pSS.

human leukocyte antigenHLA-DQA1*0501 geneHLA-DQB1*02 geneanti-Ro/SSA autoantibod-iesprimary Sjögren's syndrome

郑安昊、胡乃文、许婧、袁烨、张淑敏、陈文斌、白艳艳、孙红胜

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山东大学齐鲁医学院,济南 250012

山东大学附属省立医院风湿免疫科

山东第一医科大学研究生院

人类白细胞抗原 HLA-DQA1*0501基因 HLA-DQB1*02基因 抗Ro/SSA自身抗体 原发性干燥综合征

国家自然科学基金资助项目

82070819

2024

山东医药
山东卫生报刊社

山东医药

CSTPCD
影响因子:1.225
ISSN:1002-266X
年,卷(期):2024.64(6)
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