Skip to main content

Advertisement

Log in

Association of Major Histocompatibility Complex Class I Chain-Related Gene A and HLA-B Alleles with Behçet's Disease in Turkey

  • LABORATORY INVESTIGATION
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

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

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.

Similar content being viewed by others

References

  1. 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

    Article  PubMed  CAS  Google Scholar 

  2. 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

    PubMed  CAS  Google Scholar 

  3. 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

    Article  PubMed  Google Scholar 

  4. 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

    Article  PubMed  CAS  Google Scholar 

  5. 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

    PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. 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

    Article  PubMed  CAS  Google Scholar 

  8. 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

    Article  PubMed  CAS  Google Scholar 

  9. 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

    Article  PubMed  CAS  Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

  11. 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

    PubMed  CAS  Google Scholar 

  12. 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

    PubMed  CAS  Google Scholar 

  13. 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

    Article  PubMed  CAS  Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

  15. 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

    Article  PubMed  CAS  Google Scholar 

  16. 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

    Article  PubMed  CAS  Google Scholar 

  17. 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

    PubMed  CAS  Google Scholar 

  18. 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

    Article  PubMed  CAS  Google Scholar 

  19. 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

    Article  PubMed  CAS  Google Scholar 

  20. 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

    Article  Google Scholar 

  21. 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

    Article  PubMed  CAS  Google Scholar 

  22. 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

    Article  PubMed  CAS  Google Scholar 

  23. 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

    Article  PubMed  CAS  Google Scholar 

  24. 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

    PubMed  CAS  Google Scholar 

  25. 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

    PubMed  CAS  Google Scholar 

  26. 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

    Article  PubMed  CAS  Google Scholar 

  27. 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

    Article  PubMed  CAS  Google Scholar 

  28. 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

    PubMed  CAS  Google Scholar 

  29. 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

    Article  PubMed  CAS  Google Scholar 

  30. 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

    PubMed  CAS  Google Scholar 

  31. 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

    Article  PubMed  CAS  Google Scholar 

  32. 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

    Article  PubMed  CAS  Google Scholar 

  33. 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

    Article  PubMed  CAS  Google Scholar 

  34. 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

    Article  PubMed  CAS  Google Scholar 

  35. 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

    Article  PubMed  CAS  Google Scholar 

  36. InstitutionalAuthorNameInternational Study Group for Behçet's disease (1990) ArticleTitleCriteria for the diagnosis of Behçet's disease Lancet 335 1078–1080

    Google Scholar 

  37. 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

    Article  PubMed  CAS  Google Scholar 

  38. 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

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nobuhisa Mizuki.

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10384-007-0473-y

Key words

Navigation