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IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-09-12 DOI: 10.1111/iji.12630
<p><b><span>Alison Cleaton</span></b>, <i>Emma Burrows, Kimberley Robinson, Michael Richardson, Deborah Pritchard, Tracey Rees</i></p><p><i>Welsh Blood Service, Ely Valley Road, Talbot Green, UK</i></p><p>Regular HLA antibody testing is undertaken for patients awaiting renal transplantation, using LABScreen™ HLA antibody assays. During the COVID-19 pandemic, we observed unexplained changes to some HLA antibody profiles. Investigation revealed that several patients had COVID-19 prior to the changes, therefore, a review of all patients on the transplant waiting list with known COVID-19 infection was undertaken. Sixty-six out of two hundred thirty-seven patients on the transplant waiting list had COVID-19 (March 2020–July 2022). The HLA antibody results from samples prior to and following COVID-19 infection were analysed for changes in existing HLA antibody levels (increased Luminex Median Fluorescent Intensity (MFI) values), or expanded antibody profiles (increased cRF). Fifty-two (78.8%) patients had no detectable change in cRF or MFI; five (7.6%) had changes in MFI (but no change in cRF); nine (13.6%) had changes in MFI and cRF. Two out of nine patients had no recorded prior sensitisation event; four had a previous transplant, four blood transfusions, four pregnancy; and three multiple sensitising events. All nine patients had sustained cRF changes in subsequent samples (follow up to December 2022). Three out of nine patients were consequently identified as having altered immunosuppression due to the COVID-19 infection; these patients had a 20%–76% rise in cRF and now all have a cRF 98%–100%. While the majority of patients awaiting kidney, transplantation had no change to their HLA antibody profile following COVID-19 infection, nine patients had an increase in cRF, which has not been transient. Reduction or withdrawal of immunosuppression to aid recovery from COVID-19 was identified as the cause for three patients.</p><p><b><span>Adrienne Seitz</span></b>, <i>Clive Carter, Brendan Clark, Richard Baker</i></p><p><i>Leeds Teaching Hospitals NHS Trust, Leeds, UK</i></p><p>The level of pre-transplant immune risk is assessed through measuring serum IgG HLA antibodies which can be produced by long lived plasma cells and memory B-cells. Memory B-cells can circulate without producing antibodies, therefore their contribution to the antibody pool may not be fully appreciated. We describe an in vitro method for improving the assessment of pretransplant risk through the non-specific stimulation of peripheral memory B-cells. Peripheral blood mononuclear cells from three unsensitised volunteers and six sensitised patients were cultured for 9 days with the toll-like receptor agonist R848 and interleukin-2. Cell culture supernatant was tested for IgG HLA antibodies using single antigen beads. This was compared with a matched serum sample. Resting Day-0 and stimulated Day-9 B-cell phenotypes were assessed using flow cytometry, confirming the switch to antibody se
Alison Cleaton、Emma Burrows、Kimberley Robinson、Michael Richardson、Deborah Pritchard、Tracey ReesWelsh血液服务中心、Ely Valley Road、Talbot Green、UK使用LABScreen对等待肾移植的患者进行定期HLA抗体检测™ HLA抗体测定。在新冠肺炎大流行期间,我们观察到一些HLA抗体谱发生了无法解释的变化。调查显示,几名患者在变化前患有新冠肺炎,因此,对移植等待名单上所有已知感染新冠肺炎的患者进行了审查。移植等待名单上的237名患者中有六十六名患有新冠肺炎(2020年3月至2022年7月)。分析新冠肺炎感染前后样本的HLA抗体结果,以了解现有HLA抗体水平的变化(增加的Luminex中值荧光强度(MFI)值)或扩大的抗体谱(增加的cRF)。52名(78.8%)患者的cRF或MFI没有可检测的变化;5例(7.6%)MFI发生变化(但cRF无变化);9例(13.6%)MFI和cRF发生变化。九分之二的患者之前没有记录过致敏事件;其中4人曾做过移植手术,4次输血,4次怀孕;以及三个多重致敏事件。所有9名患者在随后的样本中均出现持续的cRF变化(随访至2022年12月)。九分之三的患者因此被确定为因新冠肺炎感染而免疫抑制改变;这些患者的cRF增加了20%-76%,现在所有患者的cRF98%-100%。尽管大多数等待肾脏移植的患者在新冠肺炎感染后HLA抗体谱没有变化,但有9名患者的cRF增加,这并不是暂时的。减少或停止免疫抑制以帮助从新冠肺炎中恢复被确定为三名患者的原因。Adrienne Seitz,Clive Carter,Brendan Clark,Richard BakerLeeds教学医院NHS Trust,Leeds,UK通过测量血清IgG HLA抗体来评估移植前的免疫风险水平,该抗体可由长寿浆细胞和记忆B细胞产生。记忆B细胞可以在不产生抗体的情况下循环,因此它们对抗体库的贡献可能没有得到充分的重视。我们描述了一种通过非特异性刺激外周记忆B细胞来改善移植前风险评估的体外方法。用toll样受体激动剂R848和白细胞介素-2培养来自三名未致敏志愿者和六名致敏患者的外周血单核细胞9天。使用单个抗原珠测试细胞培养上清液中的IgG HLA抗体。将其与匹配的血清样本进行比较。使用流式细胞术评估静息的第0天和刺激的第9天B细胞表型,确认转换为分泌抗体(CD24-CD38hi)、类别转换记忆(CD27+IgD-)和血浆(CD38+CD138+)细胞。在细胞上清液中发现HLA I和II类抗体,65%存在于匹配的血清样品中。当上清液显示出额外的HLA抗体时,这些抗体可能归因于先前的移植,或者已经存在于患者的历史血清档案中。我们展示了一种可以使用大多数H&amp;I实验室。当评估活体供体对时,这种测定可能是有用的,其中供体可能重复与妊娠相关的错配,以及在去除“其他不可接受的抗原”之前的再移植物中。最后,在新型围移植药物的背景下,它可以与除名策略一起考虑。Sophie Chambers,Robert Whittle,John Goodwin,Tim KeyNHS Blood and Transplant,Barnsley,UK HLA-B外显子II 76–83位氨基酸(aa)和HLA-a亚群的差异主要是高免疫原性公共表位Bw4和Bw6的原因。Bw4特异性抗体在同种免疫的Bw6纯合子中常见,而Bw6特异性抗体则在Bw4纯合子中出现。由于Bw4复合物中存在变异,先前已经报道,在具有Bw4特异性抗体的一定比例的Bw6纯合个体中,反应性可以局限于HLA Bw4亚型表位。我们报告了三名具有Bw4表型的个体,他们证明了Luminex单抗原珠确定的Bw4表位的同种抗体与他们自己的不同。对于携带B13的肾脏患者L,对除B13以外的所有Bw4阳性珠都存在反应性。反应性与氨基酸在82L+145R/83R+145R位置定义的表位249一致。携带A*24:02的血小板难治性患者G表现出对除A24以外的所有Bw4珠的反应性,与144Q定义的表位423一致。对于携带B*27:05的异基因HSCT患者F,除B*27:005外,所有Bw4珠都存在反应性,反应性由aa 77N+81A+82L定义。 Saima Azhar Salim,Louise Walsh,Geraldine Donnelly,David Keegan,Joseph Kelly,Mary KeoganH&amp;爱尔兰都柏林博蒙特医院I实验室在移植前组织相容性检查期间进行流式细胞术交叉配型(FXM)。假阳性结果可能会阻止潜在的接受者接受合适的移植。许多实验室使用使用双激光流式细胞仪建立的三色FXM测定法,其中包括藻红蛋白(PE)、异硫氰酸荧光素(FITC)和周青素叶绿素蛋白(PerCP)。PE和FITC之间存在显著的光谱重叠,可能导致高背景荧光和可能的假阳性B细胞FXM。本研究旨在确定最佳荧光染料组合,以最大限度地减少光谱重叠,并最大限度地与现有方法保持一致,目前已有临床验证的截止值。选用荧光染料亮紫(BV421)和别藻蓝蛋白(APC)分别标记CD3+T细胞和CD19+B细胞。用荧光染料CD3BV421、CD19APC和抗人IgG-FITC进行34个FXM(共63个T细胞样品和61个B细胞FXM样品)。用荧光染料CD3PerCP、CD19APC和抗人IgG FITC进行14个FXM(总共35个T细胞和B细胞FXM样品)。在Becton Dickenson(BD)FACSLyric上进行FXM测定™ 以及与标准FXM测定相比较的结果。与标准FXM相比,对于CD3BV421-CD19APC FXM,观察到样品T细胞比率和B细胞比率的统计学显著差异(p<0.005)。我们的初步数据表明,CD3PerCP-CD19APC的T细胞和B细胞比率没有显著差异(p>0.05)。数据表明,用CD19APC取代CD19PE可以最大限度地减少光谱重叠,降低FXM结果假阳性的风险,而不会显著改变T细胞和B细胞比率。Ana Bultitude1、Anthony Poles2、Sue Jordan1、AntAnthony Calvert2、Deborah Sage11NHS血液与移植,英国Tooting;2NHS血液与移植,菲尔顿,UKHNA-3是一种双等位基因抗原,-3a/-3b,95%的英国人群编码至少一个HNA-3a等位基因。HNA-3在多种细胞类型上表达,包括淋巴细胞和肾内皮细胞。因此,可以在纯合个体中产生针对非自身变体的HNA-3特异性抗体与肾移植后的排斥反应有关。在此,我们报告了一例肾移植受者显示出阻止移植的抗HNA-3a抗体的病例。2022年8月,患者获得了一个2,1不匹配等级的无私肾脏,产生了阴性的虚拟交叉配型结果。然而,最终的湿实验室流式细胞仪交叉配型(FCXM)结果显示,无法解释的强阳性T和B细胞结果为阴性。该患者自首次转诊以来没有移植史,也没有可检测的HLA抗体。对患者和供体进行HNA基因分型,分别测定HNA-3b3b和HNA-3a3a基因型。对患
{"title":"Oral Abstracts","authors":"","doi":"10.1111/iji.12630","DOIUrl":"https://doi.org/10.1111/iji.12630","url":null,"abstract":"&lt;p&gt;&lt;b&gt;&lt;span&gt;Alison Cleaton&lt;/span&gt;&lt;/b&gt;, &lt;i&gt;Emma Burrows, Kimberley Robinson, Michael Richardson, Deborah Pritchard, Tracey Rees&lt;/i&gt;&lt;/p&gt;&lt;p&gt;&lt;i&gt;Welsh Blood Service, Ely Valley Road, Talbot Green, UK&lt;/i&gt;&lt;/p&gt;&lt;p&gt;Regular HLA antibody testing is undertaken for patients awaiting renal transplantation, using LABScreen™ HLA antibody assays. During the COVID-19 pandemic, we observed unexplained changes to some HLA antibody profiles. Investigation revealed that several patients had COVID-19 prior to the changes, therefore, a review of all patients on the transplant waiting list with known COVID-19 infection was undertaken. Sixty-six out of two hundred thirty-seven patients on the transplant waiting list had COVID-19 (March 2020–July 2022). The HLA antibody results from samples prior to and following COVID-19 infection were analysed for changes in existing HLA antibody levels (increased Luminex Median Fluorescent Intensity (MFI) values), or expanded antibody profiles (increased cRF). Fifty-two (78.8%) patients had no detectable change in cRF or MFI; five (7.6%) had changes in MFI (but no change in cRF); nine (13.6%) had changes in MFI and cRF. Two out of nine patients had no recorded prior sensitisation event; four had a previous transplant, four blood transfusions, four pregnancy; and three multiple sensitising events. All nine patients had sustained cRF changes in subsequent samples (follow up to December 2022). Three out of nine patients were consequently identified as having altered immunosuppression due to the COVID-19 infection; these patients had a 20%–76% rise in cRF and now all have a cRF 98%–100%. While the majority of patients awaiting kidney, transplantation had no change to their HLA antibody profile following COVID-19 infection, nine patients had an increase in cRF, which has not been transient. Reduction or withdrawal of immunosuppression to aid recovery from COVID-19 was identified as the cause for three patients.&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;span&gt;Adrienne Seitz&lt;/span&gt;&lt;/b&gt;, &lt;i&gt;Clive Carter, Brendan Clark, Richard Baker&lt;/i&gt;&lt;/p&gt;&lt;p&gt;&lt;i&gt;Leeds Teaching Hospitals NHS Trust, Leeds, UK&lt;/i&gt;&lt;/p&gt;&lt;p&gt;The level of pre-transplant immune risk is assessed through measuring serum IgG HLA antibodies which can be produced by long lived plasma cells and memory B-cells. Memory B-cells can circulate without producing antibodies, therefore their contribution to the antibody pool may not be fully appreciated. We describe an in vitro method for improving the assessment of pretransplant risk through the non-specific stimulation of peripheral memory B-cells. Peripheral blood mononuclear cells from three unsensitised volunteers and six sensitised patients were cultured for 9 days with the toll-like receptor agonist R848 and interleukin-2. Cell culture supernatant was tested for IgG HLA antibodies using single antigen beads. This was compared with a matched serum sample. Resting Day-0 and stimulated Day-9 B-cell phenotypes were assessed using flow cytometry, confirming the switch to antibody se","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"50 S1","pages":"3-15"},"PeriodicalIF":2.2,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.12630","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50130562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epigenome-wide methylation haplotype association analysis identified HLA-DRB1, HLA-DRB5 and HLA-DQB1 as risk factors for rheumatoid arthritis 表观基因组甲基化单倍型关联分析发现HLA-DRB1、HLA-DRB5和HLA-DQB1是类风湿关节炎的危险因素
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-09-09 DOI: 10.1111/iji.12637
Jing Xu, Haiyan Chen, Chen Sun, Siyu Wei, Junxian Tao, Zhe Jia, Xingyu Chen, Wenhua Lv, Hongchao Lv, Guoping Tang, Yongshuai Jiang, Mingming Zhang

The aim of this study was to compare nonrandom associations between physically adjacent single methylation polymorphism loci among rheumatoid arthritis (RA) and normal subjects for investigating RA-risk methylation haplotypes (meplotype). With 354 ACPA-positive RA patients and 335 normal controls selected from a case–control study based on Swedish population, we conducted the first RA epigenome-wide meplotype association study using our software EWAS2.0, mainly including (i) converted the β value to methylation genotype (menotype) data, (ii) identified methylation disequilibrium (MD) block, (iii) calculated frequent of each meplotypes in MD block and performed case–control association test and (iv) screened for RA-risk meplotypes by odd ratio (OR) and p-values. Ultimately, 545 meplotypes on 334 MD blocks were identified significantly associated with RA (p-value < .05). These meplotypes were mapped to 329 candidate genes related to RA. Subsequently, combined with gene optimization, eight RA-risk meplotypes were identified on three risk genes: HLA-DRB1, HLA-DRB5 and HLA-DQB1. Our results reported the relationship between DNA methylation pattern on HLA-DQB1 and the risk of RA for the first time, demonstrating the co-demethylation of ‘cg22984282’ and ‘cg13423887’ on HLA-DQB1 gene (meplotype UU, p-value = 2.90E − 6, OR = 1.68, 95% CI = [1.35, 2.10]) may increase the risk of RA. Our results demonstrates the potential of methylation haplotype analysis to identify RA-related genes from a new perspective and its applicability to the study of other disease.

本研究的目的是比较类风湿关节炎(RA)和正常受试者中物理相邻的单甲基化多态性位点之间的非随机关联,以调查RA风险甲基化单倍型(meplotype)。我们从瑞典人群中选择了354例acpa阳性RA患者和335例正常对照,使用EWAS2.0软件进行了首次RA全表观基因组meplotype关联研究,主要包括(i)将β值转换为甲基化基因型(menotype)数据,(ii)鉴定甲基化不平衡(MD)块,(i)将β值转换为甲基化基因型(menotype)数据。(iii)计算MD区各meplotypes的出现频率,并进行病例对照关联检验;(iv)通过奇数比(OR)和p值筛选ra风险meplotypes。最终,334个MD块上的545个meplotypes被鉴定为与RA显著相关(p值<. 05)。这些meplotype被定位到与RA相关的329个候选基因。随后,结合基因优化,鉴定出HLA-DRB1、HLA-DRB5和HLA-DQB1三个风险基因上的8个ra风险倍型。我们的研究结果首次报道了HLA-DQB1 DNA甲基化模式与RA风险之间的关系,表明HLA-DQB1基因上的“cg22984282”和“cg13423887”(meplotype UU, p值= 2.90E−6,OR = 1.68, 95% CI =[1.35, 2.10])共去甲基化可能增加RA风险。我们的研究结果证明了甲基化单倍型分析从一个新的角度识别ra相关基因的潜力,以及它在其他疾病研究中的适用性。
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引用次数: 0
HLA-G 3′UTR haplotype analyses in HCV infection and HCV-derived cirrhosis, hepatocellular carcinoma and fibrosis HCV感染和HCV源性肝硬化、肝细胞癌和纤维化的hla - g3 ' utr单倍型分析
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-09-01 DOI: 10.1111/iji.12636
Julio Daimar Oliveira Correa, Francis Maria Báo Zambra, Rafael Tomoya Michita, Mário Reis Álvares-da-Silva, Daniel Simon, José Artur Bogo Chies

Hepatitis C virus (HCV) infection is a major cause of chronic liver disease. Chronic HCV infection is also an important cause of hepatic fibrosis, cirrhosis and hepatocellular carcinoma (HCC). HCV has the capacity to evade immune surveillance by altering the host immune response. Moreover, variations in immune-related genes can lead to differential susceptibility to HCV infection as well as interfere on the susceptibility to the development of hepatic fibrosis, cirrhosis and HCC. The human leucocyte antigen G (HLA-G) gene codes for an immunomodulatory protein known to be expressed in the maternal–foetal interface and in immune-privileged tissues. The HLA-G 3′ untranslated region (3′UTR) is important for mRNA stability, and variants in this region are known to impact gene expression. Studies, mainly focusing in a 14 bp insertion/deletion polymorphism, have correlated HLA-G 3′UTR with susceptibility to viral infections, but other polymorphic variants in the HLA-G 3′UTR might also affect HCV infection as they are inherited as haplotypes. The present study evaluated HLA-G 3′UTR polymorphisms and performed linkage disequilibrium test and haplotype assembly in 286 HCV infected patients who have developed fibrosis, cirrhosis or HCC, as well as in 129 healthy control subjects. Haplotypes UTR-1, UTR-2 and UTR-3 were the most observed in HCV+ patients, in the frequencies of 0.276, 0.255 and 0.121, respectively. No statistically significant difference was observed between HCV+ and control subjects, even when patients were grouped according to outcome (HCC, cirrhosis or fibrosis). Despite that, some trends in the results were observed, and therefore, we cannot rule out the possibility that variants associated to high HLA-G expression can be involved in HCV infection susceptibility.

丙型肝炎病毒(HCV)感染是慢性肝病的主要原因。慢性HCV感染也是肝纤维化、肝硬化和肝细胞癌(HCC)的重要原因。HCV具有通过改变宿主免疫反应来逃避免疫监视的能力。此外,免疫相关基因的变异可导致对HCV感染的不同易感性,并干扰肝纤维化、肝硬化和HCC的易感性。人类白细胞抗原G (HLA-G)基因编码一种已知在母胎界面和免疫特权组织中表达的免疫调节蛋白。HLA-G 3 '非翻译区(3 ' utr)对mRNA的稳定性很重要,已知该区域的变异会影响基因表达。研究主要集中在14bp的插入/删除多态性上,发现hla - g3 ' utr与病毒感染的易感性相关,但hla - g3 ' utr的其他多态性变异也可能影响HCV感染,因为它们是单倍型遗传的。本研究评估了286例HCV感染并发生纤维化、肝硬化或HCC的患者以及129名健康对照者的HLA-G 3'UTR多态性,并进行了连锁不平衡检验和单倍型组装。单倍型UTR-1、UTR-2和UTR-3在HCV+患者中最多,频率分别为0.276、0.255和0.121。HCV+组与对照组之间无统计学差异,即使根据结果(HCC、肝硬化或纤维化)对患者进行分组。尽管如此,我们还是观察到了结果中的一些趋势,因此,我们不能排除与高HLA-G表达相关的变异可能与HCV感染易感性有关。
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引用次数: 0
Analysis of null deletion polymorphism of glutathione S-transferase theta (GSTT-1), associated with anti-GSTT-1 antibodies development in transplantation 移植中与抗GSTT-1抗体产生相关的谷胱甘肽s -转移酶(GSTT-1)零缺失多态性分析
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-08-23 DOI: 10.1111/iji.12635
Manuel Muro-Perez, Gema González-Martínez, Pedro Martínez-García, Isabel Legaz, Pilar Zafrilla, Manuel Muro
Glutathione S‐transferase theta 1 (GSTT1) is an enzyme involved in phase II biotransformation processes and a member of a multigene family of detoxifying and clearing reactive oxygen species. GSTT1 is polymorphic like other biotransforming enzymes, allowing variability in hepatic conjugation processes. Immunological recognition of the GSTT1 alloantigen, as evidenced by donor‐specific antibodies formation, has previously been observed in recipients lacking GSTT1 protein (called GSTT1−, GSTT*0, null phenotype or homozygous for the GSTT1 deletion) who receive liver or kidney transplants from GSTT1+ donors and is a risk factor for the development of de novo hepatitis following liver transplants from a GSTT1 expressing donor. Antibodies against GSTT1 are demonstrated in patients who are GSTT1 null and received a transplant from a GSTT1+ donor. Understanding the local population frequency of the GSTT1 deletion is of value in understanding the potential clinical risk of developing post‐transplant complications, which can be attributed to the nonexpression of GSTT1. A population of 173 healthy donors of the Murcia Region in Southeast Spain was evaluated for a null allele of GSTT1 (n = 173). DNA was extracted, and GSTT‐1 null allele detection was performed by real‐time polymerase chain reaction. The frequency of the null GSTT1 genotype (nonexpression or deletion of the homozygous polymorphism of the GSTT1 protein) was 17.9% (n = 31 null allele GSTT1/173 total individuals). Our data suggest that the frequency of null GSTT1 mutations in our population in Southeast Spain is 17.9%, lower than in other Caucasoid populations. This would convert our recipient population into more susceptible to nonlocal potential organ donors and less susceptible to local donors. All recipients bearing this GSTT1 deletion homozygous would be without the protein and triggering an alloantigen in the case of transplantation with a donor without deletion.
谷胱甘肽s -转移酶1 (GSTT1)是一种参与II期生物转化过程的酶,是解毒和清除活性氧的多基因家族的成员。GSTT1像其他生物转化酶一样是多态的,允许肝脏结合过程的可变性。GSTT1异体抗原的免疫识别,如供者特异性抗体的形成,先前在GSTT1+供者的肝脏或肾脏移植中缺乏GSTT1蛋白(称为GSTT1−、GSTT*0、无表型或GSTT1缺失纯合)的受者中观察到,这是GSTT1表达供者的肝脏移植后发生新生肝炎的危险因素。在GSTT1无效且接受GSTT1+供体移植的患者中发现了抗GSTT1抗体。了解GSTT1缺失的本地人群频率对于了解发生移植后并发症的潜在临床风险具有价值,这可能归因于GSTT1的不表达。对西班牙东南部穆尔西亚地区173名健康献血者进行GSTT1空等位基因评估(n = 173)。提取DNA,实时聚合酶链反应检测GSTT-1零等位基因。GSTT1空基因型(GSTT1蛋白纯合多态性缺失或不表达)的发生率为17.9% (n = 31个GSTT1空等位基因/173个个体)。我们的数据表明,西班牙东南部人群中GSTT1无效突变的频率为17.9%,低于其他高加索人群。这将使我们的接受者群体更容易受到非本地潜在器官捐赠者的影响,而对本地捐赠者的影响更小。所有携带GSTT1缺失纯合子的受体都没有这种蛋白,在没有缺失的供体移植的情况下会触发异体抗原。
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引用次数: 0
Possible impact of HLA class I and class II on malignancies driven by a single germ-line BRCA1 mutation HLA I类和II类对由单一种系BRCA1突变驱动的恶性肿瘤的可能影响
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-07-28 DOI: 10.1111/iji.12631
Milena Ivanova, Anastasia Ormandjieva, Rumyana Dodova, Radka Kaneva, Velizar Shivarov

This study provides the first immunogenetic preliminary evidence that specific human leucocyte antigen (HLA) class I and class II alleles and haplotypes may be relevant for BRCA1 c.5263_5264insC driven oncogenesis. Observed HLA associations might have practical implications for establishment of predictive markers for the response to immunotherapies in malignancies driven by this germ-line mutation.

该研究首次提供了免疫遗传学的初步证据,证明特异性人类白细胞抗原(HLA) I类和II类等位基因和单倍型可能与BRCA1 c.5263_5264insC驱动的肿瘤发生有关。观察到的HLA相关性可能对建立由这种种系突变驱动的恶性肿瘤免疫治疗反应的预测标记具有实际意义。
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引用次数: 0
Correlation of CTLA-4 polymorphism and the risk of gastric cancer in a Chinese Bai population 中国白族人群CTLA-4多态性与胃癌风险的相关性
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-07-26 DOI: 10.1111/iji.12632
Ping Yan, Shan Kong, Yong Zheng, Mingjing Cheng, Weidong Zhao

Cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) is involved in the regulation of immune responses mediated by T cells. This study aimed to explore the correlation between CTLA-4 gene polymorphisms and the risk of gastric cancer (GC) in the Bai minority population of southwestern China. A total of 422 GC patients and 397 healthy controls (HC) were included in this case–control study. Four single nucleotide polymorphism sites of CTLA-4 gene (rs231775, rs733618, rs16840252 and rs3087243) were selected and analysed. The results showed a significant difference in the rs733618 loci between GC and HC groups. The frequency of the rs733618 polymorphism ‘TC’ genotype was significantly lower in GC group compared to the HC group [odds ratio (OR), 95% confidence interval (CI): .47 (.35–.63), p < .001]. GC cases with dominant genetic model ‘TC + CC’ had a 47% reduced risk of GC [OR, 95%CI: .53 (.40–.71), p < .001]. Subgroup analyses revealed that the rs733618 ‘TC + CC’ genotype was associated with a lower risk of GC in male patients [OR, 95%CI: .42 (.31–.58), p < .001], those aged ≤60 years old [OR, 95%CI: .27 (.18–.42), p < .001], non-drinkers [OR, 95%CI: .21 (.13–.33), p < .001], non-smokers [OR, 95%CI: .38 (.25–.57), p < .001] and individuals without Helicobacter pylori infection [OR, 95%CI: .16 (.10–.26), p < .001]. Further multivariated analyses indicated that individuals with the ‘TC + CC’ rs733618 genotype who were aged ≤60 years old [OR, 95%CI: .42 (.29–.83), p = .032] and had no H. pylori infection [OR, 95%CI: .35 (.28–.76), p = .018] were found to have a protective effect against GC. Additionally, soluble CTLA-4 were significantly lower in GC patients with ‘TC’ and ‘TC + CC’ genotypes (all p < .05). Our findings suggest that the rs733618 polymorphism of CTLA-4 gene may play a critical role in the prevention of GC.

细胞毒性T淋巴细胞相关抗原-4 (CTLA-4)参与调节T细胞介导的免疫反应。本研究旨在探讨CTLA-4基因多态性与中国西南白族人群胃癌(GC)发病风险的关系。本病例对照研究共纳入422例胃癌患者和397例健康对照。选择CTLA-4基因的4个单核苷酸多态性位点(rs231775、rs733618、rs16840252和rs3087243)进行分析。结果显示,rs733618位点在GC组和HC组之间存在显著差异。与HC组相比,GC组rs733618多态性“TC”基因型的频率显著降低[优势比(OR), 95%可信区间(CI): 0.47 (0.35 - 0.63), p <措施)。显性遗传模式为“TC + CC”的胃癌患者发生胃癌的风险降低47% [OR, 95%CI: 0.53 (0.40 - 0.71), p <措施)。亚组分析显示,rs733618“TC + CC”基因型与男性患者较低的GC风险相关[OR, 95%CI: 0.42 (0.31 - 0.58), p <.001],年龄≤60岁者[OR, 95%CI: 0.27 (0.18 - 0.42), p <措施,不喝酒(或者,95%置信区间ci: .21 (13 .33), p & lt;措施),非吸烟者(或者,95%置信区间ci: 38 (.25 .57), p & lt;.001]和未感染幽门螺杆菌的个体[OR, 95%CI: 0.16 (0.10 - 0.26), p <措施)。进一步的多变量分析表明,年龄≤60岁[OR, 95%CI: 0.42 (0.29 - 0.83), p = 0.032]且未感染幽门螺杆菌[OR, 95%CI: 0.35 (0.28 - 0.76), p = 0.018]的“TC + CC”rs733618基因型个体对胃癌具有保护作用。此外,可溶性CTLA-4在“TC”和“TC + CC”基因型的GC患者中显著降低(p <.05). 我们的研究结果提示CTLA-4基因rs733618多态性可能在GC的预防中起关键作用。
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引用次数: 0
HLA-A*02:06 allele may be susceptible to myelodysplastic syndrome in Zhejiang Han population, China HLA-A*02:06等位基因可能是浙江汉族骨髓增生异常综合征的易感基因
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-07-23 DOI: 10.1111/iji.12629
Nanying Chen, Fang Wang, Yanmin Zhao, Lina Dong, Wei Wang, Wei Zhang, Ji He, Faming Zhu

The association between HLA loci and haematological malignancy has been reported in certain populations. However, there are limited data for HLA loci at a high-resolution level with haematological malignancy in China. In this study, a total of 1115 patients with haematological malignancies (including 490 AML, 410 acute lymphoblastic leukaemia (ALL), 122 myelodysplastic syndrome [MDS] and 93 non-Hodgkin's lymphoma [NHL]) and 1836 healthy individuals as a control group in the Han population of Zhejiang Province, China, were genotyped for HLA-A, HLA-C, HLA-B, HLA-DRB1 and HLA-DQB1 loci at high resolution. The possible association between HLA alleles and haplotypes and haematologic malignancy was analysed. The allele frequencies (AFs) of HLA-A*02:05, HLA-A*02:06, HLA-A*32:01, HLA-B*35:03, HLA-B*54:01, HLA-B*55:07, HLA-DRB1*04:05, HLA-DRB1*15:01, HLA-DQB1*04:01 and HLA-DQB1*06:02 in the MDS patients were much higher than those in the control group (P < 0.05), while the AFs of HLA-C*07:02, HLA-DRB1*03:01, HLA-DRB1*14:54, HLA-DQB1*02:01 and HLA-DQB1*05:03 were obviously lower than those in the control group (p < .05). Interestingly, the differences in these HLA alleles in patients with MDS were not significant after applying Bonferroni correction (Pc > .05), except for HLA-A*02:06 (Pc < .01). There were 13, 6 and 10 HLA alleles with uncorrected significant differences (p < .05) among patients with AML, ALL and NHL, respectively, compared with those in the control group, but the differences in these HLA alleles were not significant after correction (Pc > .05). Compared to those of the control group, there were some haplotypes over 1.00% frequency in patients with AML, MDS and NHL patients with uncorrected significant differences (p < .05). However, none of them showed a significant difference after correction as well (Pc > .05). The study reveals that HLA-A*02:06 may lead to susceptibility to MDS, but none of the HLA alleles were associated with AML, ALL or NHL after correction. These data will help to further understand the role of HLA loci in the pathogenesis of haematological malignancy in China.

HLA基因座与血液恶性肿瘤之间的关联已在某些人群中报道。然而,HLA基因座在中国血液恶性肿瘤的高分辨率水平上的数据有限。本研究对中国浙江省汉族人群中1115例血液系统恶性肿瘤患者(包括490例AML、410例急性淋巴细胞白血病(ALL)、122例骨髓增生异常综合征(MDS)和93例非霍奇金淋巴瘤(NHL))和1836例健康对照进行了HLA-A、HLA-C、HLA-B、HLA-DRB1和HLA-DQB1位点的高分辨率基因分型。分析了HLA等位基因和单倍型与血液学恶性肿瘤之间可能存在的关联。MDS患者HLA-A*02:05、HLA-A*02:06、HLA-A*32:01、HLA-B*35:03、HLA-B*54:01、HLA-B*55:07、HLA-DRB1*04:05、HLA-DRB1*15:01、HLA-DQB1*04:01、HLA-DQB1*06:02等位基因频率显著高于对照组(P <0.05),而HLA-C*07:02、HLA-DRB1*03:01、HLA-DRB1*14:54、HLA-DQB1*02:01、HLA-DQB1*05:03的AFs明显低于对照组(p <. 05)。有趣的是,MDS患者在进行Bonferroni校正后,这些HLA等位基因的差异并不显著(Pc >.05),除了HLA-A*02:06 (Pc <. 01)。HLA等位基因分别为13、6、10个,差异有统计学意义(p <与对照组相比,AML、ALL和NHL患者的HLA等位基因差异均无统计学意义(p < 0.05),但校正后差异无统计学意义(p < 0.05);. 05)。与对照组相比,AML、MDS和NHL患者的一些单倍型频率超过1.00%,未校正的差异有统计学意义(p <. 05)。但修正后,两者均无显著差异(Pc >. 05)。研究发现HLA- a *02:06可能导致MDS易感性,但经校正后,HLA等位基因均未与AML、ALL或NHL相关。这些数据将有助于进一步了解HLA位点在中国血液恶性肿瘤发病机制中的作用。
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引用次数: 0
Nomenclature for factors of the HLA system, update April, May and June 2023 HLA系统因子命名法,2023年4月、5月和6月更新
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-07-19 DOI: 10.1111/iji.12628
Steven G. E. Marsh, for the WHO Nomenclature Committee for Factors of the HLA System
The following sequences have been submitted to the Nomenclature Committee since the January, February and March 2023 nomenclature update (Marsh, 2023) and, following agreed policy, have been assigned official allele designations (Marsh et al., 2010). Full details of all sequences will be published in a forthcoming report. Below are listed the newly assigned sequences (Table 1) and confirmations of previously reported sequences (Table 2). The accession number of each sequence is given and these can be used to retrieve the sequence files from the EMBL, GenBank or DDBJ data libraries. Although accession numbers have been assigned by the data libraries and most sequences are already available, there is still the possibility that an author may not yet have allowed the sequence to be released; in such a case, you will have to contact the submitting author directly. Additional information pertaining to new sequences is often included in the publications describing these alleles; a listing of recent publications that describe new HLA sequences is given in Table 3. An additional 122 alleles were recently published but have not been included in Table 3 due to space considerations (Bishara et al., 2023). In addition, the alleles A*02:03:12, A*03:01:96, A*11:01:98, A*30:02:25, A*34:01:06, A*68:01:59, DRB1*10:38Q and DRB1*11:01:01:12Q have had suffix changes and have been renamed A*02:03:12Q, A*03:01:96Q, A*11:01:98Q, A*30:02:25Q, A*34:01:06Q, A*68:01:59Q, DRB1*10:38 and DRB1*11:01:01:12N, respectively. Furthermore, the sequence for the allele A*24:459:02 was named in error and has been renamed A*24:608. The name A*24:459:02 has therefore been deleted. Finally, the allele B*56:05:02 was extended and renamed B*56:94. The allele name B*56:05:02 has been deleted. All new and confirmatory sequences should now be submitted directly to theWHONomenclature Committee for Factors of the HLA System via the IPD-IMGT/HLA Database using the sequence submission tool provided (Barker et al., 2023). The IPD-IMGT/HLA Database may be accessed via the World WideWeb at www.ebi.ac.uk/ipd/imgt/ hla.
{"title":"Nomenclature for factors of the HLA system, update April, May and June 2023","authors":"Steven G. E. Marsh,&nbsp;for the WHO Nomenclature Committee for Factors of the HLA System","doi":"10.1111/iji.12628","DOIUrl":"10.1111/iji.12628","url":null,"abstract":"The following sequences have been submitted to the Nomenclature Committee since the January, February and March 2023 nomenclature update (Marsh, 2023) and, following agreed policy, have been assigned official allele designations (Marsh et al., 2010). Full details of all sequences will be published in a forthcoming report. Below are listed the newly assigned sequences (Table 1) and confirmations of previously reported sequences (Table 2). The accession number of each sequence is given and these can be used to retrieve the sequence files from the EMBL, GenBank or DDBJ data libraries. Although accession numbers have been assigned by the data libraries and most sequences are already available, there is still the possibility that an author may not yet have allowed the sequence to be released; in such a case, you will have to contact the submitting author directly. Additional information pertaining to new sequences is often included in the publications describing these alleles; a listing of recent publications that describe new HLA sequences is given in Table 3. An additional 122 alleles were recently published but have not been included in Table 3 due to space considerations (Bishara et al., 2023). In addition, the alleles A*02:03:12, A*03:01:96, A*11:01:98, A*30:02:25, A*34:01:06, A*68:01:59, DRB1*10:38Q and DRB1*11:01:01:12Q have had suffix changes and have been renamed A*02:03:12Q, A*03:01:96Q, A*11:01:98Q, A*30:02:25Q, A*34:01:06Q, A*68:01:59Q, DRB1*10:38 and DRB1*11:01:01:12N, respectively. Furthermore, the sequence for the allele A*24:459:02 was named in error and has been renamed A*24:608. The name A*24:459:02 has therefore been deleted. Finally, the allele B*56:05:02 was extended and renamed B*56:94. The allele name B*56:05:02 has been deleted. All new and confirmatory sequences should now be submitted directly to theWHONomenclature Committee for Factors of the HLA System via the IPD-IMGT/HLA Database using the sequence submission tool provided (Barker et al., 2023). The IPD-IMGT/HLA Database may be accessed via the World WideWeb at www.ebi.ac.uk/ipd/imgt/ hla.","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"50 4","pages":"206-232"},"PeriodicalIF":2.2,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9902963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Human leukocyte antigen-G in gynaecological tumours 人白细胞抗原- g在妇科肿瘤中的作用
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-07-06 DOI: 10.1111/iji.12626
Xinmeng Guo, Jinning Zhang, Jin Shang, Yanfei Cheng, Shuang Tian, Yuanqing Yao

Gynaecological tumours that threaten the health of women, especially when advanced and recurrent, have remained mostly intractable to existing treatments. Therefore, new therapeutic targets are urgently needed. Human leukocyte antigen-G (HLA-G) is a nonclassical major histocompatibility complex class I molecule typically expressed in foetuses for protection against destruction by the maternal immune system. HLA-G is also expressed under pathological conditions, such as in solid tumours, and may participate in tumour development and serve as a novel immune checkpoint in cancer. Furthermore, it is expressed in most gynaecological tumours. Therefore, inhibiting HLA-G and its receptors to block the immune escape pathway could represent a new strategy in cancer immunotherapy. To the best of our knowledge, this review is the first to summarize recent research findings on HLA-G in gynaecological oncology. We highlight the fact that HLA-G is expressed in gynaecological tumour tissues, wherein it inactivates immune effectors involved in tumour progression. Further studies on HLA-G in gynaecological oncology are needed to incorporate HLA-G into the design and evaluation of immunotherapy for malignant gynaecological diseases.

威胁妇女健康的妇科肿瘤,特别是晚期和复发的妇科肿瘤,目前的治疗方法大多难以治愈。因此,迫切需要新的治疗靶点。人白细胞抗原- g (HLA-G)是一种非经典的主要组织相容性复合体I类分子,通常在胎儿中表达,以保护胎儿免受母体免疫系统的破坏。HLA-G也在病理条件下表达,如在实体肿瘤中,并可能参与肿瘤的发展,并作为癌症中新的免疫检查点。此外,它在大多数妇科肿瘤中表达。因此,抑制HLA-G及其受体阻断免疫逃逸途径可能是癌症免疫治疗的新策略。据我们所知,这篇综述首次总结了HLA-G在妇科肿瘤中的最新研究成果。我们强调的事实,HLA-G在妇科肿瘤组织中表达,其中它灭活免疫效应参与肿瘤进展。需要进一步研究HLA-G在妇科肿瘤中的作用,以便将HLA-G纳入恶性妇科疾病免疫治疗的设计和评估中。
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引用次数: 0
ICOS gene polymorphisms in systemic lupus erythematosus: A case–control study 系统性红斑狼疮ICOS基因多态性的病例对照研究。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-06-20 DOI: 10.1111/iji.12625
Hana Houssaini, Emna Bouallegui, Olfa Abida, Safa Tahri, Nesrine Elloumi, Hend Hachicha, Sameh Marzouk, Zouhir Bahloul, Hatem Masmoudi, Raouia Fakhfakh

The inducible T-cell costimulator (ICOS) may play an important role in adaptive immunity by regulating the interaction between T cells and antigen-presenting cells. Disruption of this molecule can lead to autoimmune diseases, in particular systemic lupus erythematosus (SLE). In this study, we aimed to explore the possible association between ICOS gene polymorphisms and SLE as well as their influence on disease susceptibility and clinical outcomes. A further objective was to assess the potential impact of these polymorphisms on RNA expression. A case–control study, including 151 patients with SLE, and 291 unrelated healthy controls (HC) matched in gender, and geographical origin, was performed to genotype two polymorphisms located in the ICOS gene: rs11889031 (−693 G/A) and rs10932029 (IVS1 + 173 T/C); using the polymerase chain reaction (PCR)-restriction fragment length polymorphism method. The different genotypes were validated by direct sequencing. The expression level of ICOS mRNA was assessed by quantitative PCR in peripheral blood mononuclear cells of SLE patients and HC. The results were analysed using Shesis and spss.20. Our results revealed a significant association between ICOS gene rs11889031 > CC genotype and SLE disease (codominant genetic model 1, (C/C vs. C/T), p = .001, odds ratio [OR] = 2.18 IC [1.36–3.49]); codominant genetic model 2, (C/C vs. T/T) p = .007, OR = 15.29 IC [1.97–118.5]); dominant genetic model, (C/C vs. C/T + T/T) p = .0001, OR = 2.44 IC [1.53–3.9]). Besides, there was a marginal association between rs11889031 > TT genotype and T allele with a protective role from SLE (recessive genetic model, p = .016, OR = 0.08 IC [0.01–0.63] and p = 7.6904E − 05, OR = 0.43 IC = [0.28–0.66], respectively). Moreover, statistical analysis indicated that the rs11889031 > CC genotype was linked with clinical and serological manifestations of SLE, including blood pressure, and anti-SSA antibodies production in SLE patients. However, the ICOS gene rs10932029 polymorphism was not associated with susceptibility to SLE. On the other side, we did not note any effect of the two selected polymorphisms on the level of ICOS mRNA gene expression. The study showed a significant predisposing association of the ICOS rs11889031 > CC genotype with SLE, in contrast to a protective effect of rs11889031 > TT genotype in Tunisian patients. Our results suggest that ICOS rs11889031 may act as a risk factor for SLE and could be used as a genetic susceptibility biomarker.

诱导型T细胞共刺激因子(ICOS)可能通过调节T细胞和抗原呈递细胞之间的相互作用在适应性免疫中发挥重要作用。这种分子的破坏会导致自身免疫性疾病,特别是系统性红斑狼疮(SLE)。在本研究中,我们旨在探讨ICOS基因多态性与SLE之间的可能联系,以及它们对疾病易感性和临床结果的影响。另一个目的是评估这些多态性对RNA表达的潜在影响。一项病例对照研究,包括151名SLE患者和291名在性别和地理来源上匹配的无关健康对照(HC),对ICOS基因中的两个多态性进行基因分型:rs11889031(-693 G/A)和rs10932029(IVS1+173 T/C);采用聚合酶链式反应(PCR)-限制性片段长度多态性方法。通过直接测序验证了不同的基因型。定量PCR检测SLE患者和HC外周血单个核细胞ICOS mRNA的表达水平。使用Shesis和sps.20对结果进行分析。我们的研究结果显示,ICOS基因rs11889031>CC基因型与SLE疾病之间存在显著相关性(共显性遗传模型1,(C/C vs.C/T),p=0.001,比值比[OR]=2.18IC[1.36-3.49]);共显性遗传模型2,(C/C与T/T)p=.007,OR=15.29 IC[1.97-118.5]);此外,rs11889031>TT基因型和T等位基因对SLE的保护作用之间存在边际关联(隐性遗传模型,分别为p=0.016,OR=0.08IC[0.01-0.63]和p=7.6904E-05,OR=0.43IC=[0.28-0.66])。此外,统计分析表明,rs11889031>CC基因型与SLE患者的临床和血清学表现有关,包括血压和抗SSA抗体的产生。ICOS基因rs10932029多态性与SLE易感性无关。另一方面,我们没有注意到两种选择的多态性对ICOS mRNA基因表达水平的任何影响。研究显示ICOS rs11889031>CC基因型与SLE有显著的易感性关联,而突尼斯患者的rs11889031/TT基因型具有保护作用。我们的研究结果表明,ICOS rs11889031可能是SLE的危险因素,并可作为遗传易感性的生物标志物。
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International Journal of Immunogenetics
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