东安纳托利亚地区乳糜泻患者HLA-DQ*02和HLA-DQ*08的患病率及HLA-DQ*02和HLA-DQ*08基因分型的诊断作用

IF 0.2 Q4 IMMUNOLOGY Turkish Journal of Immunology Pub Date : 2019-01-01 DOI:10.25002/TJI.2019.862
E. Balkan, A. Islek, E. Yaşar, H. Doğan
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引用次数: 0

摘要

简介:乳糜泻(CD)是通过血清学检查和小肠活检诊断的。在乳糜泻和人类白细胞抗原(HLA)之间有很强的联系。在本研究中,我们旨在确定HLA等位基因DQ*02和DQ*08在儿科CD患者诊断中的作用,并确定这些等位基因在人群中的患病率。材料与方法:本研究纳入72例经血清学和小肠活检结果诊断的学龄期乳糜泻患者,以及70例无全身性疾病的非相关个体作为对照组。HLA-DQ*02和HLA-DQ*08分型采用序列特异性引物(PCR-SSP)法。结果:纳入研究的CD患者平均年龄为10.06±2.10岁。CD组HLA-DQ*02频率(67%)显著高于对照组(17%),差异有统计学意义(p0.05)。结论:CD的遗传风险谱有助于预测疾病易感性和疾病进展。我们的研究结果显示,HLA-DQ*02在CD患者中的患病率高于健康人群,并且高于HLA-DQ*08的患病率。我们的研究进一步支持HLADQ*02与疾病风险增加之间的联系。
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Prevalence of HLA-DQ*02 and HLA-DQ*08 in Patients with Celiac Disease in Eastern Anatolia and the Diagnostic Role of HLA-DQ*02 and HLA-DQ*08 Genotyping
Introducton: Celiac disease (CD) is diagnosed with serological tests and small bowel biopsy. There is a strong link between CD and human leukocyte antigens (HLA). In this study, we aimed to determine the role of HLA alleles DQ*02 and DQ*08 in the diagnosis of pediatric CD patients and to determine the prevalence of these alleles in the population. Materials and Methods: The study included 72 school-aged celiac patients diagnosed according to serology and small bowel biopsy results, and a control group consisting of 70 unrelated individuals with no systemic disease. HLA-DQ*02 and HLA-DQ*08 typing was done using the sequence-specific primer (PCR-SSP) method. Results: The mean age of the CD patients included in the study was 10.06±2.10 years. HLA-DQ*02 frequency was significantly higher in the CD group (67%) compared to the control group (17%) (p<0.001). HLA-DQ*08 frequencies did not differ significantly between the patient and control groups (26% and 24%, respectively; p>0.05). Conclusions: Genetic risk profiles in CD are helpful for predicting susceptibility to disease and disease progression. The results of our study showed that the prevalence of HLA-DQ*02 was higher among CD patients than healthy individuals, and it was higher than the prevalence of HLA-DQ*08. Our study further supports the link between HLADQ*02 and increased risk of disease.
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