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Synergistic effect of two HLA heterodimers in the susceptibility to celiac disease in Tunisia

✍ Scribed by F. Bouguerra; M.C. Babron; J.F. Eliaou; A. Debbabi; J. Clot; F. Khaldi; L. Greco; F. Clerget-Darpoux


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
84 KB
Volume
14
Category
Article
ISSN
0741-0395

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✦ Synopsis


The DR and DQ HLA genotypes of 94 Tunisian children affected with celiac disease are analyzed so that we can gain a better understanding of the HLA component of this disease. All of them carry at least one of two specific heterodimers: a DQ heterodimer, encoded by DQA1*0501, DQB1*0201 and/or a DR heterodimer, encoded by the nonpolymorphic gene DRA and the DRB4 gene. Quantifying the relative penetrances of all susceptible genotypes gives evidence for a synergistic effect of these two heterodimers and for a dose effect of the alleles encoding the b chains of these two heterodimers. The DR3DR7 individuals have the greatest risk. They present the two kinds of heterodimers and carry two DQB1*0201 alleles. Celiac disease is the first HLA-associated disease for which the at-risk genotypes are so well delineated. Genet. Epidemiol. 14:413-422, 1997.


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