Zusammenfassung
Bei 31 (30 nichtverwandten) Patienten mit idiopathischer Hämochromatose wurde der HLA-Phänotyp bestimmt und mit dem Verteilungsmuster der HLA-Antigene in der deutschen Bevölkerung verglichen. Dabei fand sich ein signifikanter Überschuß von HLA-A3 (76,7% gegen 30,2%). Auch die Häufigkeit von HLA-B7 war erhöht (53,3% gegen 27,0%), erreichte jedoch bei Korrekturen für multiple Vergleiche nicht ganz die Signifikanzgrenze. Die Befunde stehen in Übereinstimmung mit Beobachtungen für andere ethnische Gruppen und sprechen dafür, daß IH in erhöhtem Maße mit dem Haplotyp A3/B7 vergesellschaftet ist.
Summary
HLA-phenotypes were determined in 31 (30 unrelated) patients with hemochromatosis and compared to the distribution of HLA-antigens in the general German population. A significant excess of HLA-A3 was observed (76.7% vs. 30.2%). The frequency of HLA-B7 was also increased (53.3% vs. 27.0%). However, the difference did not quite reach the level of statistical significance, when correction for multiple comparisons was made. Our finding are in accord with previous observations for different ethnic groups, indicating an association of IH with the A3/B7 haplotype.
References
Albert, E.D., Scholz, S., Bertrams, J., Ewald, R.W., Westphal, E., Ratschko, K.W., Spielmann, W., Seidl, S.: Representative HLA-phenotype and haplotype frequencies of the German population. Z. Immun. Forsch.148, 367–371 (1975)
Bach, F.H., van Rood, J.J.: The major histocompatibility complex. N. Engl. J. Med.295, 806–813 (1976)
Bodmer, W.F.: Nat. Cancer Inst. Monogr.36, 127 (1973)
Bomford, A., Eddleston, A.L.W.F., Kennedy, L.A., Batchelor, J.R., Williams, R.: Histocompatibility antigens as markers of abnormal iron metabolism in patients with idiopathic haemochromatosis and their relatives. Lancet1, 327–329 (1977)
Hahn, E.: Das HLA-System und innere Erkrankungen. Internist19, 491–500 (1978)
Henke, J., Ungar, W.: HLA-antigens in idiopathic haemochromatosis (i.h.). Preliminary report. Z. Immun.-Forsch.154, 41–43 (1978)
Laukens, P., Versieck, J., De Potter, E., Barbier, F.: Association of HLA-antigens with idiopathic hemochromatosis. Gastroenterology74, 1351 (1978)
Shewan, W.G., Movat, S.A., Allan, T.M.: HLA-antigens in haemochromatosis. Br. Med. J.1, 281 (1976)
Simon, M., Bourel, M., Fauchet, R., Genetet, B.: Association of HLA-A3 and HLA-B14 antigens with idiopathic haemochromatosis. G.U.T.17, 332–334 (1976)
Simon, M., Bourel, M., Genetet, B., Fauchet, R.: Hemochromatosis: Recessive inheritance and early detection by HLA-typing. N. Engl. J. Med.297, 1017–1021 (1977)
Simon, M., Bourel, M., Genetet, B., Fauchet, R., Edan, G., Brissot, P.: Idiopathic hemochromatosis and iron overload in alcoholic liver disease: differentiation by HLA phenotype. Gastroenterology73, 655–658 (1977)
Terasaki, P.I., McCurdy, B., McClelland, J.: Microdroplet lymphocyte cytotoxicitytest. In: Manual of tissue typing techniques (Eds. J.G. Ray, R.C. Scott et al.) pp. 50–55, NIH Bethesda, Maryland 20014, 1972
Walters, J.M., Watt, D.W., Stevens, F.M., McCarthy, C.F.: HLA antigens in haemochromatosis. Br. Med. J.4, 520 (1975)
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Dyrszka, H., Eberhardt, G. & Eckert, G. The distribution of HLA-antigens in german patients with idiopathic hemochromatosis. Klin Wochenschr 57, 529–531 (1979). https://doi.org/10.1007/BF01487823
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DOI: https://doi.org/10.1007/BF01487823