Abstract
Chronic inflammatory demyelinating polyneuropathy (CIDP) is an acquired immunological disorder. Although the precise pathoetiology of CIDP has not been clarified yet, it is believed that both B and T cells of immune system contribute in this disorder. Based on the importance of human leukocyte antigen (HLA) cluster in the regulation of immune responses, this family of proteins is putative determinants of risk of CIDP. We conducted the current investigation to appraise association between HLA alleles/genotypes/haplotypes and risk of CIDP in Iranian patients. HLA-DQB1*02 allele was significantly more prevalent among cases compared with controls (OR [95% CI] = 4.82 [2.06, 11.3], P value = 0.000215, adjusted P value = 0.0124). A*01—B*52—C*12—DRB1*15—DQB1*02 and A*23—B*35—C*04—DRB1*11—DQB1*03 haplotypes with frequency of 0.03 were the most frequent HLA haplotypes. These haplotypes were not detected among healthy controls. The present study introduces HLA-DQB1*02 allele as a risk allele for CIDP among Iranian patients and further supports the importance of HLA region in this immunological condition.
Similar content being viewed by others
Data Availability
The analyzed data sets generated during the study are available from the corresponding author on reasonable request.
References
Adams D, Festenstein H, Gibson J, Hughes R, Jaraquemada J, Papasteriadis C, Sachs J, Thomas P (1979) HLA antigens in chronic relapsing idiopathic inflammatory polyneuropathy. J Neurol Neurosurg Psychiatry 42:184–186
Blum S, McCombe PA (2014) Genetics of Guillain-Barré syndrome (GBS) and chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): current knowledge and future directions. J Peripher Nerv Syst 19:88–103
Bouchard C, Lacroix C, Planté V, Adams D, Chedru F, Guglielmi J-M, Said G (1999) Clinicopathologic findings and prognosis of chronic inflammatory demyelinating polyneuropathy. Neurology 52:498–498
Capittini C, de Silvestri A, Rebuffi C, Tinelli C, Poddighe D (2019) Relevance of HLA-DQB1* 02 allele in the genetic predisposition of children with celiac disease: additional cues from a meta-analysis. Medicina 55:190
Chin R, Sander H, Brannagan T, Green P, Hays A, Alaedini A, Latov N (2003) Celiac neuropathy. Neurology 60:1581–1585
Piccinelli SC, Carella G, Frassi M, Caria F, Cassarino SG, Baldelli E, Filosto M (2019) Human leukocyte antigens class II in CIDP spectrum neuropathies. J Neurol Sci 407, 116533
Doneddu P, Bianchi E, Cocito D, Manganelli F, Fazio R, Filosto M, Mazzeo A, Cosentino G, Cortese A, Jann S (2020) Risk factors for chronic inflammatory demyelinating polyradiculoneuropathy (CIDP): antecedent events, lifestyle and dietary habits. Data from the Italian CIDP Database. Eur J Neurol 27:136–143
Feeney DJ, Pollard JD, McLeod JG, Stewart GJ, Doran TJ (1990) HLA antigens in chronic inflammatory demyelinating polyneuropathy. J Neurol Neurosurg Psychiatry 53:170–172
Gabriel C, Gregson N, Hughes R (2000) Anti-PMP22 antibodies in patients with inflammatory neuropathy. J Peripher Nerv Syst 5:239–239
Hayat S, Jahan I, Das A, Hassan Z, Howlader ZH, Mahmud I, DEEN MOHAMMAD, Q. & ISLAM, Z. (2019) Human leukocyte antigen-DQB1 polymorphisms and haplotype patterns in Guillain-Barré syndrome. Ann Clin Transl Neurol 6:1849–1857
Piccinelli SC, Carella G, Frassi M, Caria F, Cassarino SG, Baldelli E, Filosto M (2019) Human leukocyte antigen DQB1 (HLA-DQB1) polymorphisms and the risk for Guillain-Barre syndrome: a systematic review and meta-analysis. PloS One, 10 e0131374.
Kieseier BC, Dalakas MC, Hartung H-P (2002) Immune mechanisms in chronic inflammatory demyelinating neuropathy. Neurology 59:S7–S12
Leonhard SE, Mandarakas MR, Gondim FA, Bateman K, Ferreira ML, Cornblath DR, van Doorn PA, Dourado ME, Hughes RA, Islam B (2019) Diagnosis and management of Guillain-Barré syndrome in ten steps. Nat Rev Neurol 15:671–683
Mahdi-Rogers M, Rajabally YA (2010) Overview of the pathogenesis and treatment of chronic inflammatory demyelinating polyneuropathy with intravenous immunoglobulins. Biologics : Targets & Therapy 4:45–49
Martinez-Martinez L, Lleixà MC, Boera-Carnicero G, Cortese A, Devaux J, Siles A, Rajabally Y, Martinez-Piñeiro A, Carvajal A, Pardo J (2017) Anti-NF155 chronic inflammatory demyelinating polyradiculoneuropathy strongly associates to HLA-DRB15. J Neuroinflammation 14:1–6
McCombe P, Csurhes P, Alizart M, Greer J (2005) HLA-DR2 is associated with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) in females, but not males. Clin Immunol 115:S90–S91
Milner P, Lovelidge C, Taylor W, Hughes R (1987) P0 myelin protein produces experimental allergic neuritis in Lewis rats. J Neurol Sci 79:275–285
Mrad M, Fekih-Mrissa N, Mansour M, Seyah A, Riahi A, Gritli N, Mrissa R (2013) Association of HLA-DR/DQ polymorphism with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) in Tunisian patients. Transfus Apheres Sci 49:623–626
Peng S, Trimble C, Wu L, Pardoll D, Roden R, Hung CF, Wu TC (2007) HLA-DQB1*02-restricted HPV-16 E7 peptide-specific CD4+ T-cell immune responses correlate with regression of HPV-16-associated high-grade squamous intraepithelial lesions. Clin Cancer Res 13:2479–2487
Safa A, Azimi T, Sayad A, Taheri M, Ghafouri-Fard S (2021) A review of the role of genetic factors in Guillain-Barré syndrome. J Mol Neurosci 71:902–920
SAID, G. (2006) Chronic inflammatory demyelinating polyneuropathy. Neuromuscul Disord 16:293–303
Stewart G, Pollard J, McLeod J, Wolnizer C (1978) HLA antigens in the Landry-Guillain-Barré syndrome and chronic relapsing polyneuritis. Annals of Neurology: Official Journal of the American Neurological Association and the Child Neurology Society 4:285–289
Vaughan R, Adam A, Gray I, Hughes R, Sanders E, van Dam M, Welsh K (1990) Major histocompatibility complex class I and class II polymorphism in chronic idiopathic demyelinating polyradiculoneuropathy. J Neuroimmunol 27:149–153
Funding
This study was financially supported by Grant from Medical School of Shahid Beheshti University of Medical Sciences.
Author information
Authors and Affiliations
Contributions
MT and SGF wrote the manuscript and revised it. AS and MTA supervised the study and performed the experiment. NN analyzed the data. OR and MM were the clinical consultant and assessed patients for inclusion in the study. All authors approved the manuscript.
Corresponding authors
Ethics declarations
Research Involving Human and Animal Participants
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Ethical Approval
The study protocol was approved by the ethical committee of Shahid Beheshti University of Medical Sciences. All methods were performed in accordance with the relevant guidelines and regulations.
Informed Consent
Informed consent forms were obtained from all study participants.
Consent for Publication
Not applicable.
Competing Interests
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Ghafouri-Fard, S., Akbari, M.T., Houlden, H. et al. Distribution of HLA Alleles and Genotypes in Patients with Chronic Inflammatory Demyelinating Polyneuropathy. J Mol Neurosci 72, 574–584 (2022). https://doi.org/10.1007/s12031-021-01902-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12031-021-01902-x