Abstract
Purpose
Behçet's disease (BD) is known to be associated with HLA-B*51 in many different ethnic groups. Recently, the major histocompatibility complex class I chain-related gene A (MICA), located near the HLA-B gene, has been proposed as a candidate gene for BD susceptibility in several ethnic groups. To compare the relative contribution of MICA polymorphisms and HLA-B*51 to BD in different ethnic groups, we studied MICA polymorphisms in Turkish BD patients.
Methods
Thirty-three Turkish BD patients and 65 healthy controls were enrolled for analysis of polymorphisms in the extracellular domains of MICA.
Results
The phenotype frequencies of MICA*009 were significantly higher in BD patients (75.8%) than in controls (29.2%) (P = 0.000015). HLA-B*51 was also significantly more frequent in BD patients (81.8%) than in controls (29.2%) (P = 0.0000007). A strong association existed between MICA*009 and HLA-B*51. To assess the confounding effect of MICA*009 on HLA-B*51, we performed a stratification analysis that showed that BD was distinctly associated only with HLA-B*51.
Conclusion
Our results indicate that the major susceptibility gene for BD is HLA-B*51 and that the association between MICA*009 and BD arises from a strong linkage disequilibrium with HLA-B*51. However, we suggest that MICA*009 likely elicits an immune effect secondary to BD. Jpn J Ophthalmol 2007;51:431–436 © Japanese Ophthalmological Society 2007
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References
VG Kaklamani G Vaiopoulos PG Kaklamanis (1998) ArticleTitleBehçet's disease Semin Arthritis Rheum 27 197–217 Occurrence Handle9514126 Occurrence Handle10.1016/S0049-0172(98)80001-2 Occurrence Handle1:STN:280:DyaK1c7ntlSmuw%3D%3D
S Ohno M Ohguchi S Hirose H Matsuda A Wakisaka M Aizawa (1982) ArticleTitleClose association of HLA-Bw51 with Behçet's disease Arch Ophthalmol 100 1455–1458 Occurrence Handle6956266 Occurrence Handle1:STN:280:DyaL383otlCrug%3D%3D
G Azizlerli AA Kose R Sarica et al. (2003) ArticleTitlePrevalence of Behçet's disease in Istanbul, Turkey Int J Dermatol 42 803–806 Occurrence Handle14521694 Occurrence Handle10.1046/j.1365-4362.2003.01893.x
N Mizuki M Ota M Kimura et al. (1997) ArticleTitleTriplet repeat polymorphism in the transmembrane region of the MICA gene: a strong association of six GCT repetitions with Behçet's disease Proc Natl Acad Sci U S A 94 1298–1303 Occurrence Handle9037047 Occurrence Handle10.1073/pnas.94.4.1298 Occurrence Handle1:CAS:528:DyaK2sXhtlKitLo%3D
S Bahram N Mizuki H Inoko T Spies (1996) ArticleTitleNucleotide sequence of the human MHC class I MICA gene Immunogenetics 44 80–81 Occurrence Handle8613147 Occurrence Handle1:CAS:528:DyaK28Xjslahu7o%3D
S Bahram M Bresnahan DE Geraghty T Spies (1994) ArticleTitleA second lineage of mammalian major histocompatibility complex class I genes Proc Natl Acad Sci U S A 91 6259–6263 Occurrence Handle8022771 Occurrence Handle10.1073/pnas.91.14.6259 Occurrence Handle1:CAS:528:DyaK2cXlslWrs78%3D
V Groh S Bahram S Bauer A Herman M Beauchamp T Spies (1996) ArticleTitleCell stress-regulated human major histocompatibility complex class I gene expressed in gastrointestinal epithelium Proc Natl Acad Sci U S A 93 12445–12450 Occurrence Handle8901601 Occurrence Handle10.1073/pnas.93.22.12445 Occurrence Handle1:CAS:528:DyaK28Xms1Gisrw%3D
NW Zwirner MA Fernandez-Vina P Stastny (1998) ArticleTitleMICA, a new polymorphic HLA-related antigen, is expressed mainly by keratinocytes, endothelial cells, and monocytes Immunogenetics 47 139–148 Occurrence Handle9396860 Occurrence Handle10.1007/s002510050339 Occurrence Handle1:CAS:528:DyaK2sXnvVGru7c%3D
V Groh A Steinle S Bauer T Spies (1998) ArticleTitleRecognition of stress-induced MHC molecules by intestinal epithelial gammadelta T cells Science 279 1737–1740 Occurrence Handle9497295 Occurrence Handle10.1126/science.279.5357.1737 Occurrence Handle1:CAS:528:DyaK1cXhvVers78%3D
S Bauer V Groh J Wu et al. (1999) ArticleTitleActivation of NK cells and T cells by NKG2D, a receptor for stress-inducible MICA Science 285 727–729 Occurrence Handle10426993 Occurrence Handle10.1126/science.285.5428.727 Occurrence Handle1:CAS:528:DyaK1MXltVehsro%3D
M Jinushi T Takehara T Kanto et al. (2003) ArticleTitleCritical role of MHC class I-related chain A and B expression on IFN-alpha-stimulated dendritic cells in NK cell activation: impairment in chronic hepatitis C virus infection J Immunol 170 1249–1256 Occurrence Handle12538683 Occurrence Handle1:CAS:528:DC%2BD3sXnvVOmtA%3D%3D
K Goto M Ota S Ohno et al. (1997) ArticleTitleMICA gene and ankylosing spondylitis: linkage analysis via a transmembrane-encoded triplet repeat polymorphism Tissue Antigens 49 503–507 Occurrence Handle9174144 Occurrence Handle1:CAS:528:DyaK2sXjvVantr4%3D
K Yabuki M Ota K Goto et al. (1999) ArticleTitleTriplet repeat polymorphism in the MICA gene in HLA-B27 positive and negative Caucasian patients with ankylosing spondylitis Hum Immunol 60 83–86 Occurrence Handle9952031 Occurrence Handle10.1016/S0198-8859(98)00092-5 Occurrence Handle1:CAS:528:DyaK1MXht1Wqu7g%3D
S Gonzalez J Martinez-Borra JC Torre-Alonso et al. (1999) ArticleTitleThe MICA-A9 triplet repeat polymorphism in the transmembrane region confers additional susceptibility to the development of psoriatic arthritis and is independent of the association of Cw*0602 in psoriasis Arthritis Rheum 42 1010–1016 Occurrence Handle10323458 Occurrence Handle10.1002/1529-0131(199905)42:5<1010::AID-ANR21>3.0.CO;2-H Occurrence Handle1:STN:280:DyaK1M3lsFSgtQ%3D%3D
HB Choi H Han JI Youn TY Kim TG Kim (2000) ArticleTitleMICA5.1 allele is a susceptibility marker for psoriasis in the Korean population Tissue Antigens 56 548–550 Occurrence Handle11169245 Occurrence Handle10.1034/j.1399-0039.2000.560609.x Occurrence Handle1:CAS:528:DC%2BD3MXktV2hsQ%3D%3D
G Gambelunghe M Ghaderi A Cosentino et al. (2000) ArticleTitleAssociation of MHC class I chain-related (MICA) gene polymorphism with type I diabetes Diabetologia 43 507–514 Occurrence Handle10819246 Occurrence Handle10.1007/s001250051336 Occurrence Handle1:CAS:528:DC%2BD3cXit12hsbY%3D
YJ Lee FY Huang CH Wang et al. (2000) ArticleTitlePolymorphism in the transmembrane region of the MICA gene and type 1 diabetes J Pediatr Endocrinol Metab 13 489–496 Occurrence Handle10803866 Occurrence Handle1:STN:280:DC%2BD3c3mtFSisw%3D%3D
G Gambelunghe A Falorni M Ghaderi et al. (1999) ArticleTitleMicrosatellite polymorphism of the MHC class I chain-related (MIC-A and MIC-B) genes marks the risk for autoimmune Addison's disease J Clin Endocrinol Metab 84 3701–3707 Occurrence Handle10523017 Occurrence Handle10.1210/jc.84.10.3701 Occurrence Handle1:CAS:528:DyaK1MXms1Ohur4%3D
Y Huang YJ Lee MR Chen et al. (2000) ArticleTitlePolymorphism of transmembrane region of MICA gene and Kawasaki disease Exp Clin Immunogenet 17 130–137 Occurrence Handle10899738 Occurrence Handle10.1159/000019132 Occurrence Handle1:CAS:528:DC%2BD3cXmtFOitro%3D
K Sugimura M Ota J Matsuzawa et al. (2000) ArticleTitleA close relationship of triplet repeat polymorphism in MHC class I chain-related gene A (MICA) to the disease susceptibility and behavior in ulcerative colitis Tissue Antigens 56 548–550 Occurrence Handle10.1034/j.1399-0039.2000.560609.x
JW Mok YJ Lee Y Kim et al. (2003) ArticleTitleAssociation of MICA polymorphism with rheumatoid arthritis patients in Koreans Hum Immunol 64 1190–1194 Occurrence Handle14630402 Occurrence Handle10.1016/j.humimm.2003.09.010 Occurrence Handle1:CAS:528:DC%2BD3sXptVGqsro%3D
S Bahram (2000) ArticleTitle MIC genes: from genetics to biology Adv Immunol 76 1–60 Occurrence Handle11079097 Occurrence Handle1:CAS:528:DC%2BD3cXosFSju7o%3D Occurrence Handle10.1016/S0065-2776(01)76018-X
B Rueda M Pascual MA Lopez-Nevot E Gonzalez J Martin (2002) ArticleTitleA new allele within the transmembrane region of the human MICA gene with seven GCT repeats Tissue Antigens 60 526–528 Occurrence Handle12542746 Occurrence Handle10.1034/j.1399-0039.2002.600608.x Occurrence Handle1:CAS:528:DC%2BD3sXhsFOgtrw%3D
N Mizuki M Ota K Yabuki et al. (2000) ArticleTitleLocalization of the pathogenic gene of Behçet's disease by microsatellite analysis of three different populations Invest Ophthalmol Vis Sci 41 3702–3708 Occurrence Handle11053265 Occurrence Handle1:STN:280:DC%2BD3M%2FisFSiug%3D%3D
K Yabuki N Mizuki M Ota et al. (1999) ArticleTitleAssociation of MICA gene and HLA-B*5101 with Behçet's disease in Greece Invest Ophthalmol Vis Sci 40 1921–1926 Occurrence Handle10440244 Occurrence Handle1:STN:280:DyaK1Mzms1ymtA%3D%3D
N Mizuki K Yabuki M Ota et al. (2001) ArticleTitleMicrosatellite mapping of a susceptible locus within the HLA region for Behçet's disease using Jordanian patients Hum Immunol 62 186–190 Occurrence Handle11182230 Occurrence Handle10.1016/S0198-8859(00)00246-9 Occurrence Handle1:CAS:528:DC%2BD3MXhtFeisb0%3D
N Mizuki K Yabuki M Ota et al. (2002) ArticleTitleAnalysis of microsatellite polymorphism around the HLA-B locus in Iranian patients with Behçet's disease Tissue Antigens 60 396–399 Occurrence Handle12492815 Occurrence Handle10.1034/j.1399-0039.2002.600506.x Occurrence Handle1:CAS:528:DC%2BD3sXkslWlsQ%3D%3D
SH Park KS Park YI Seo et al. (2002) ArticleTitleAssociation of MICA polymorphism with HLA-B51 and disease severity in Korean patients with Behçet's disease J Korean Med Sci 17 366–370 Occurrence Handle12068141 Occurrence Handle1:CAS:528:DC%2BD38Xlsl2hu74%3D
R Cohen S Metzger M Nahir T Chajek-Shaul (2002) ArticleTitleAssociation of the MIC-A gene and HLA-B51 with Behçet's disease in Arabs and non-Ashkenazi Jews in Israel Ann Rheum Dis 61 157–160 Occurrence Handle11796403 Occurrence Handle10.1136/ard.61.2.157 Occurrence Handle1:CAS:528:DC%2BD38Xht1yrsLw%3D
N Fodil L Laloux V Wanner et al. (1996) ArticleTitleAllelic repertoire of the human MHC class I MICA gene Immunogenetics 44 351–357 Occurrence Handle8781120 Occurrence Handle1:CAS:528:DyaK28XmsFCmsLs%3D
N Fodil P Pellet L Laloux G Hauptman I Theodorou S Bahram (1999) ArticleTitleMICA haplotypic diversity Immunogenetics 49 557–560 Occurrence Handle10380703 Occurrence Handle10.1007/s002510050536 Occurrence Handle1:CAS:528:DyaK1MXis1alsbo%3D
N Mizuki M Ota Y Katsuyama et al. (1999) ArticleTitleAssociation analysis between the MIC-A and HLA-B alleles in Japanese patients with Behçet's disease Arthritis Rheum 42 1961–1966 Occurrence Handle10513813 Occurrence Handle10.1002/1529-0131(199909)42:9<1961::AID-ANR23>3.0.CO;2-7 Occurrence Handle1:STN:280:DyaK1MvktF2ksw%3D%3D
GR Wallace DH Verity LJ Delamaine et al. (1999) ArticleTitleMIC-A allele profiles and HLA class I associations in Behçet's disease Immunogenetics 49 613–617 Occurrence Handle10369918 Occurrence Handle10.1007/s002510050656 Occurrence Handle1:CAS:528:DyaK1MXjtlKnsro%3D
EH Hughes RWM Collins E Kondeatis et al. (2005) ArticleTitleAssociations of major histocompatibility complex class I chain-related molecule polymorphisms with Behçet's disease in Caucasian patients Tissue Antigens 66 195–199 Occurrence Handle16101830 Occurrence Handle10.1111/j.1399-0039.2005.00465.x Occurrence Handle1:CAS:528:DC%2BD2MXhtVyksr3N
MF Gonzalez-Escribano MR Rodriguez F Aguilar A Alvarez J Sanchez-Roman A Nunez-Roldan (1999) ArticleTitleLack of association of MICA transmembrane region polymorphism and Behçet's disease in Spain Tissue Antigens 54 278–281 Occurrence Handle10519365 Occurrence Handle10.1034/j.1399-0039.1999.540309.x Occurrence Handle1:CAS:528:DyaK1MXms1yltbg%3D
InstitutionalAuthorNameInternational Study Group for Behçet's disease (1990) ArticleTitleCriteria for the diagnosis of Behçet's disease Lancet 335 1078–1080
MLC Marin CR Savioli JH Yamamoto J Kalil AC Goldberg (2004) ArticleTitleMICA polymorphism in a sample of the Sao Paulo population, Brazil Eur J Immunogenet 31 63–71 Occurrence Handle15086345 Occurrence Handle10.1111/j.1365-2370.2004.00446.x Occurrence Handle1:CAS:528:DC%2BD2cXks1Kgsrg%3D
Y Suzuki K Hoshi T Matsuda Y Mizushima (1992) ArticleTitleIncreased peripheral blood gamma delta+ T cells and natural killer cells in Behçet's disease J Rheumatol 19 588–592 Occurrence Handle1534375 Occurrence Handle1:STN:280:DyaK383nslGkuw%3D%3D
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Mizuki, N., Meguro, A., Tohnai, I. et al. Association of Major Histocompatibility Complex Class I Chain-Related Gene A and HLA-B Alleles with Behçet's Disease in Turkey. Jpn J Ophthalmol 51, 431–436 (2007). https://doi.org/10.1007/s10384-007-0473-y
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DOI: https://doi.org/10.1007/s10384-007-0473-y