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HLA and prognosis in multiple sclerosis

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Abstract

The patients of a multiple sclerosis (MS) incidence cohort with 25 years of longitudinal follow-up were typed for HLA-DR and DQ. This type of cohort provides reliable data for gene frequencies and prognostic studies. The influence of sampling bias, mainly due to mortality during the long follow-up, was accounted for. A positive association between MS and DR15,DQ6 was confirmed, but this haplotype did not influence prognosis. There was no difference in haplotype frequency between relapsing-remitting and primary chronic progressive MS. DR17,DQ2 was significantly over-represented in the quartile with the most malignant course. The haplotype DR1,DQ5, which was found rather less frequently in MS patients, also tended to be associated with a poorer prognosis.

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References

  1. Batchelor JR, Morris PJ (1978) Joint report (HLA and disease). In: Bodmer WF, Batchelor JR, Bodmer JG, Festenstein H, Morris PJ (eds) Histocompatibility testing 1977. Munksgaard, Copenhagen, pp 207–210

    Google Scholar 

  2. Bidwell JL, Bignon JD (1991) DNARFLP methods and interpretation scheme for HLA-DR and DQ typing. Eur J Immunogenet 18:5–22

    PubMed  Google Scholar 

  3. Bidwell JL, Bidwell EA, Savage DA, Middleton D, Klouda PT, Bradley BA (1988) A DNA-RFLP typing system that positively identifies serologically well-defined and ill-defined HLA-DR and DQ alleles, including DRw10. Transplantation 45:640–646

    PubMed  Google Scholar 

  4. Bidwell JL, Bidwell EA, Bradley BA (1990) HLA class II genes: typing by DNA analysis. Baillière's Clin Haematol 3:355–384

    Google Scholar 

  5. Carlsson B, Wallin J, Böhme J, Möller E (1987) HLA-DR-DQ haplotypes defined by restriction fragment analysis. Correlation to serology. Hum Immunol 20:95–113

    Article  PubMed  Google Scholar 

  6. Dejaegher L, Bruyere M de, Ketelaer P, Carton H (1983) HLA antigens and progression of multiple sclerosis. II. J Neurol 229:167–174

    Article  PubMed  Google Scholar 

  7. Duquette P, Décary F, Pleines J, Boivin D, Lamoureux G, Cosgrove JBR, Lapierre Y (1985) Clinical subgroups of multiple sclerosis in relation to HLA: DR allelles as possible markers of disease progression. Can J Neurol Sci 12:106–110

    PubMed  Google Scholar 

  8. Ebers GC, Bulman DE, Sadovnick AD, Paty DW, Warren S, Hader W, Murray TJ, Seland P, Duquette P, Grey T, Nelson R, Nicolle M, Brunet D (1986) A population-based study of multiple sclerosis in twins. N Engl J Med 315: 1638–1642

    PubMed  Google Scholar 

  9. Engell T, Raun NE, Thomsen M, Platz P (1982) HLA and heterogeneity of multiple sclerosis. Neurology 32: 1043–1046

    PubMed  Google Scholar 

  10. Francis DA, Batchelor JR, McDonald WI, Hing SN, Dodi IA, Fielder AHI, Hern JEC, Downie AW (1987) Multiple sclerosis in Scotland. An association with HLA-DQw1. Brain 110: 181–196

    PubMed  Google Scholar 

  11. Francis DA, Thompson AJ, Brookes P, Davey N, Lechler RI, McDonald WI, Batchelor JR (1991) Multiple sclerosis and HLA: is the susceptibility gene really HLA-DR or -DQ? Hum Immunol 32:119–124

    Article  PubMed  Google Scholar 

  12. Gorodezky C, Najera R, Rangel BE, Castro LE, Flores J, Velazquez J, Granados J, Sotelo J (1986) Immunogenetic profile of multiple sclerosis in Mexicans. Hum Immunol 16:364–374

    Article  PubMed  Google Scholar 

  13. Haegert DG, Michaud M, Schwab C, Tansey C, Décary F, Francis G (1989) HLA-DRß, -DQa, and -DQß restriction fragment length polymorphism in multiple sclerosis. J Neurosci Res 23:46–54

    Article  PubMed  Google Scholar 

  14. Ilonen J, Lagerstedt A, Koskimies S, Reunanen M (1983) HLA-Dwl and BfF as protective markers in multiple sclerosis. J Neuroimmunol 5:283–288

    Article  PubMed  Google Scholar 

  15. Jersild C, Hansen GS, Svejgaard A, Fog T, Thomsen M, Dupont B (1973) Histocompatibility determinants in multiple sclerosis, with special reference to clinical course. Lancet II:1221–1225

    Article  Google Scholar 

  16. Kurdi A, Ayesh I, Abdallat A, Maayta U, McDonald WI, Compston DAS, Batchelor JR (1977) Different B lymphocyte alloantigens associated with multiple sclerosis in Arabs and north Europeans. Lancet I:1123–1125

    Article  Google Scholar 

  17. Kurtzke JF (1961) On the evaluation of disability in multiple sclerosis. Neurology 11:686–694

    PubMed  Google Scholar 

  18. Larhammar D, Schenning L, Gustafsson K, Wiman K, Claesson L, Rask L, Peterson PA (1982) Complete amino acid sequence of an HLA-DR antigen-like β-chain as predicted from the nucleotide sequence: similarities with immunoglobulins and HLA-A, -B, and -C antigens. Proc Natl Acad Sci USA 79:3687–3691

    PubMed  Google Scholar 

  19. Larsen JP, Kvaale G, Riise T, Nyland H, Aarli JA (1985) Multiple sclerosis — more than one disease? Acta Neurol Scand 72:145–150

    PubMed  Google Scholar 

  20. Madigand M, Oger JJ-F, Fauchet R, Sabouraud O, Genetet B (1982) HLA profiles in multiple sclerosis suggest two forms of disease and the existence of protective haplotypes. J Neurol Sci 53:519–529

    Article  PubMed  Google Scholar 

  21. Marrosu MG, Muntovi F, Murru MR, Spinicci G, Pischedda MP, Goddi F, Cossu P, Pirastu M (1988) Sardinian multiple sclerosis is associated with HLA-DR4: a serologic and molecular study. Neurology 38:1749–1753

    PubMed  Google Scholar 

  22. Naito S, Kuroiwa Y, Itoyama T, Tsubaki T, Horikawa A, Sasazuki T, Noguchi S, Ohtsuki S, Tokuomi H, Miyatake T, Takahata N, Kawanami S, McMichael AJ (1978) HLA and Japanese MS. Tissue Antigens 12:19–24

    PubMed  Google Scholar 

  23. Olerup O, Hillert J (1991) HLA class II-associated genetic susceptibility in multiple sclerosis: a critical evaluation. Tissue Antigens 38:1–15

    PubMed  Google Scholar 

  24. Olerup O, Hillert J, Fredrikson S, Olsson T, Kam-Hansen S, Möller E, Carlsson B, Wallin J (1989) Primarily chronic progressive and relapsing/remitting multiple sclerosis: two immunogentically distinct disease entities. Proc Natl Acad Sci USA 86: 7113–7117

    PubMed  Google Scholar 

  25. Paty DW, Dossetor JB, Stiller CR, Cousin HK, Marchuk L, Furesz J, Boucher DW (1977) HLA in multiple sclerosis. J Neurol Sci 32:371–379

    Article  PubMed  Google Scholar 

  26. Payami H, Joe S, Farid NR, Stenszky V, Chan HS, Yeo PPB, Cheah JS, Thomson G (1989) Relative predispositional effects (RPEs) of marker alleles with disease: HLA-DR alleles and Graves' disease. Am J Hum Genet 45: 541–546

    PubMed  Google Scholar 

  27. Poser C, Paty DW, Scheinberg L, McDonald WI, Davis FA, Ebers GC, Johnson KP, Sibley WA, Silberberg DH, Tourtellotte WW (1983) New diagnostic criteria for multiple sclerosis. Ann Neurol 13:227–231

    Article  PubMed  Google Scholar 

  28. Poser S, Ritter G, Grosse-Wilde H, Kuwert EK, Raun NE (1981) HLA-antigens and the prognosis of multiple sclerosis. J Neurol 225:219–221

    Article  PubMed  Google Scholar 

  29. Poser S, Bauer HJ, Poser W (1982) Prognosis of multiple sclerosis. Results from an epidemiological area in Germany. Acta Neurol Scand 65:347–354

    PubMed  Google Scholar 

  30. Reekers P, Hommes OR, Creemers-Molenaar J, Wijnings J, Kunst VAJM, Rood JJ van (1977) HLA-typing and lymphocyte population studies in patients with multiple sclerosis. J Neurol Sci 33:143–153

    Article  PubMed  Google Scholar 

  31. Runmarker B, Andersen O (1993) Prognostic factors in a multiple sclerosis incidence cohort with 25 years of follow-up. Brain 116:117–134

    PubMed  Google Scholar 

  32. Skegg DCG (1991) Multiple sclerosis: nature or nurture? BMJ 302:247–248

    PubMed  Google Scholar 

  33. Southern EM (1975) Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol 98:503–517

    PubMed  Google Scholar 

  34. Stendahl-Brodin L, Link H, Möller E, Norrby E (1979) Genetic basis of multiple sclerosis: HLA antigens, disease progression, and oligoclonal IgG ind CSF. Acta Neurol Scand 59:297–308

    PubMed  Google Scholar 

  35. Svenningsson A, Runmarker B, Lycke J, Andersen O (1990) Incidence of MS during two fifteen-year periods in the Gothenburg region of Sweden. Acta Neurol Scand 82:161–168

    PubMed  Google Scholar 

  36. Thompson AJ, Kermode AG, Wicks D, MacManus DG, Kendall BE, Kingsley DPE, McDonald WI (1991) Major differences in the dynamics of primary and secondary progressive multiple sclerosis. Ann Neurol 29:53–62

    Article  PubMed  Google Scholar 

  37. Tonnelle C, DeMars R, Long EO (1985) DOß: a new β chain gene in HLA-D with a distinct regulation of expression. EMBO J 4:2839–2847

    PubMed  Google Scholar 

  38. Woolf B (1955) On estimating the relation between blood group and disease. Ann Hum Gen 19:251–253

    Google Scholar 

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Runmarker, B., Martinsson, T., Wahlström, J. et al. HLA and prognosis in multiple sclerosis. J Neurol 241, 385–390 (1994). https://doi.org/10.1007/BF02033356

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