Skip to main content

Advertisement

Log in

Frequency of HLA celiac disease risk alleles and haplotypes in healthy adults in Tamil Nadu

  • Short Report
  • Published:
Indian Journal of Gastroenterology Aims and scope Submit manuscript

Abstract

Celiac disease (CeD) occurs only in individuals who are able to express human leukocyte antigens (HLA) DQ2 or DQ8, and these are expressed in nearly a third of healthy people in the West. As the disease is very uncommon in Tamil Nadu, we evaluated the possibility that the relevant genes are infrequent in this population. Four hundred healthy adults without any gastrointestinal abnormalities were recruited from Vellore district of Tamil Nadu. Genomic DNA was extracted from venous blood and amplified by PCR using the allele-specific primers for the following alleles—DQA1*0201, 0301, and 0501 and DQB1*02, 0201, and 0302, which determine the CeD risk haplotypes. Among the 400 healthy adults, the presence of DQ2.5 (DQB1*0201-DQA1*0501) and DQ2.2 (DQB1*02-DQA1*0201) haplotypes was found in 8.25% and 14.25%, respectively. DQ8 (DQB1*0302-DQA1*0301) haplotype was identified in only 3% of healthy individuals. Overall, approximately a quarter of healthy adults in Tamil Nadu had the potential CeD risk haplotypes of HLA DQ2.5, DQ2.2, and DQ8.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Ludvigsson JF, Murray JA. Epidemiology of celiac disease. Gastroenterol Clin N Am. 2019;48:1–18.

    Article  Google Scholar 

  2. Sollid LM. The roles of MHC class II genes and post-translational modification in celiac disease. Immunogenetics. 2017;69:605–16.

    Article  CAS  PubMed  Google Scholar 

  3. Rashid M, Lee J. Serologic testing in celiac disease: practical guide for clinicians. Can Fam Physician. 2016;62:38–43.

    PubMed  PubMed Central  Google Scholar 

  4. Wolters VM, Wijmenga C. Genetic background of celiac disease and its clinical implications. Am J Gastroenterol. 2008;103:190–5.

    Article  PubMed  Google Scholar 

  5. Mubarak A, Spierings E, Wolters V, van Hoogstraten I, Kneepkens CMF, Houwen R. Human leukocyte antigen DQ2.2 and celiac disease. J Pediatr Gastroenterol Nutr. 2013;56:428–30.

    Article  CAS  PubMed  Google Scholar 

  6. Megiorni F, Pizzuti A. HLA-DQA1 and HLA-DQB1 in celiac disease predisposition: practical implications of the HLA molecular typing. J Biomed Sci. 2012;19:88.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. De Silvestri A, Capittini C, Poddighe D, et al. HLA-DQ genetics in children with celiac disease: a meta-analysis suggesting a two-step genetic screening procedure starting with HLA-DQ β chains. Pediatr Res. 2018;83:564–72.

  8. Ramakrishna BS, Makharia GK, Chetri K, et al. Prevalence of adult celiac disease in India: regional variations and associations. Am J Gastroenterol. 2016;111:115–23.

  9. Krigel A, Turner KO, Makharia GK, Green PH, Genta RM, Lebwohl B. Ethnic variations in duodenal villous atrophy consistent with celiac disease in the United States. Clin Gastroenterol Hepatol. 2016;14:1105–11.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Scola L, Lio D, Candore G, et al. Analysis of HLA-DRB1, DQA1, DQB1 haplotypes in Sardinian centenarians. Exp Gerontol. 2008;43:114–8.

  11. Olerup O, Aldener A, Fogdell A. HLA-DQB1 and -DQA1 typing by PCR amplification with sequence-specific primers (PCR-SSP) in 2 hours. Tissue Antigens. 1993;41:119–34.

    Article  CAS  PubMed  Google Scholar 

  12. Profaizer T, Eckels D, Delgado JC. Celiac disease and HLA typing using real-time PCR with melting curve analysis. Tissue Antigens. 2011;78:31–7.

    Article  CAS  PubMed  Google Scholar 

  13. Kårhus LL, Thuesen BH, Skaaby T, Rumessen JJ, Linneberg A. The distribution of HLA DQ2 and DQ8 haplotypes and their association with health indicators in a general Danish population. United European Gastroenterol J. 2018;6:866–78.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Lundin KE, Qiao SW, Snir O, Sollid LM. Coeliac disease - from genetic and immunological studies to clinical applications. Scand J Gastroenterol. 2015;50:708–17.

    Article  CAS  PubMed  Google Scholar 

  15. Barker JM. Clinical review: type 1 diabetes-associated autoimmunity: natural history, genetic associations, and screening. J Clin Endocrinol Metab. 2006;91:1210–7.

    Article  CAS  PubMed  Google Scholar 

  16. Larizza D, Calcaterra V, Klersy C, et al. Common immunogenetic profile in children with multiple autoimmune diseases: the signature of HLA-DQ pleiotropic genes. Autoimmunity. 2012;45:470–5.

  17. Almeida FC, Gandolfi L, Costa KN, et al. Frequency of HLA-DQ, susceptibility genotypes for celiac disease, in Brazilian newborns. Mol Genet Genomic Med. 2018;6:779–84.

  18. Al-Hussaini A, Alharthi H, Osman A, Eltayeb-Elsheikh N, Chentoufi A. Genetic susceptibility for celiac disease is highly prevalent in the Saudi population. Saudi J Gastroenterol. 2018;24:268–73.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Murad H, Jazairi B, Khansaa I, Olabi D, Khouri L. HLA-DQ2 and -DQ8 genotype frequency in Syrian celiac disease children: HLA-DQ relative risks evaluation. BMC Gastroenterol. 2018;18:70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Selleski N, Almeida LM, Almeida FC, Pratesi CB, Nóbrega YKM, Gandolfi L. Prevalence of celiac disease predisposing genotype, including HLA-DQ2.2 variant, in Brazilian children. Arq Gastroenterol. 2018;55:82–5.

    Article  PubMed  Google Scholar 

  21. Cabrera CM, Méndez-López IM, Caballero A. Risk variation in celiac disease in a population from southern Spain: evaluating the influence of the DQB1*02:02 allele frequency. Scand J Gastroenterol. 2018;53:266–72.

    Article  CAS  PubMed  Google Scholar 

  22. Rani R, Fernandez-Vina MA, Stastny R. Association between HLA class II alleles in a north Indian population. Tissue Antigens. 1998;52:37–43.

    Article  CAS  PubMed  Google Scholar 

  23. Agrawal S, Srivastava SK, Borkar M, Chaudhuri TK. Genetic affinities of north and northeastern populations of India: inference from HLA-based study. Tissue Antigens. 2008;72:120–30.

    Article  CAS  PubMed  Google Scholar 

  24. Shanmugalakshmi S, Balakrishnan K, Manoharan K, Pitchappan RM. HLA-DRB1*, DQB1* in Piramalai Kallars and Yadhavas, two Dravidian-speaking castes of Tamil Nadu, South India. Tissue Antigens. 2003;61:451–64.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We thank Dr. Pugazhendhi Srinivasan for critical comments and assistance with the PCR analyses.

Funding

The study was funded by a grant from the Department of Biotechnology.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Balakrishnan S. Ramakrishna.

Ethics declarations

Conflict of interest

VG, JM, RB, and BSR declare that they have no conflict of interest.

Ethics statement

The authors declare that the study was performed in a manner conforming to the Helsinki declaration of 1975, as revised in 2000 and 2008 concerning human and animal rights, and the authors followed the policy concerning informed consent as shown on Springer.com.

Disclaimer

The authors are solely responsible for the data and the content of the paper. In no way, the Honorary Editor-in-Chief, Editorial Board Members, or the printer/publishers are responsible for the results/findings and content of this article.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Giriprasad, V., Mechenro, J., Balamurugan, R. et al. Frequency of HLA celiac disease risk alleles and haplotypes in healthy adults in Tamil Nadu. Indian J Gastroenterol 38, 178–182 (2019). https://doi.org/10.1007/s12664-019-00947-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12664-019-00947-6

Keywords

Navigation