Immunogenetic Factors of Predisposition to Blood Malignancies in Russian Population.

Ekaterina Khamaganova, Svetlana Aleschenko, Ludmila Murashova, Yulia Zaretskaya
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Abstract

HLA class II loci (DRB1, DQB1) have been investigated in patients with different blood tumors: acute myelogenous leukemia, acute lymphoblastic leukemia, chronic myelogenous leukemia and Hodgkin's disease. The purpose was to determine the general (common) markers of predisposition (or resistance) in HLA class II loci to malignant changing of hemopoiesis in Russian population, and to verify the individual associations between HLA and disease for each examined neoplasm. It has been found that: 1). DRB1*11 is general (common) factor of predisposition to all investigated blood neoplasms. 2). In HLA class II loci there are factors of predisposition to one-third of neoplasms such as DRB1*12 DQB1*0503, 0301 for acute lymphoblastic leukemia, DRB1*14, DQB1*0503, 0601 for chronic myelogenous leukemia, DQB1*0503 and 0301 for Hodgkin's disease. Our findings support the hypothesis that there are structures associated with HLA system, which predispose to malignant change of hemopoiesis in general, and other HLA structures, which "turn" the change into concrete nosological form. Both factors are linked with HLA class II loci.

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俄罗斯人群血液恶性肿瘤易感性的免疫遗传因素。
HLAⅱ类基因座(DRB1, DQB1)在不同的血液肿瘤患者中进行了研究:急性髓性白血病、急性淋巴细胞白血病、慢性髓性白血病和霍奇金病。目的是确定俄罗斯人群中HLAⅱ类基因座对造血恶性变化的易感性(或抗性)的一般(共同)标记,并验证HLA与每一种被检查肿瘤的疾病之间的个体关联。研究发现:1)DRB1*11是所有研究的血液肿瘤的一般(共同)易感性因素。2). HLAⅱ类基因座中存在三分之一的肿瘤易感因子,如急性淋巴细胞白血病的DRB1*12、DQB1*0503、0301,慢性骨髓性白血病的DRB1*14、DQB1*0503、0601,霍奇金病的DQB1*0503、0301。我们的研究结果支持了这样的假设,即存在与HLA系统相关的结构,这些结构通常易导致造血功能的恶性变化,而其他HLA结构则将这种变化“转化”为具体的疾病形式。这两个因素都与HLA II类位点有关。
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