HLA-DQA1*04:01 is related to a higher multiple sclerosis lesion load on T2/Flair MRI sequences

ABSTRACT Background: The genetic predisposition to multiple sclerosis (MS) is associated with HLA alleles, especially HLA-DRB1*15:01. Objective: To identify associations between findings in magnetic resonance imaging (MRI) and genetic features in a Brazilian cohort of patients with MS. Methods: We r...

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Main Authors: Fabio NORO, Soniza Vieira ALVES-LEON, Fabricia Lima FONTES-DANTAS, Paulo Roberto VALLE BAHIA, Rodrigo Ferrone ANDREIUOLO, Fernanda Cristina RUEDA LOPES, Valeria Coelho Santa Rita PEREIRA, Livia de Almeida Afonso ABI-HAILA, Renan Amaral COUTINHO, Amanda Dutra de ARAUJO, Edson MARCHIORI
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO)
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021005026202&tlng=en
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author Fabio NORO
Soniza Vieira ALVES-LEON
Fabricia Lima FONTES-DANTAS
Paulo Roberto VALLE BAHIA
Rodrigo Ferrone ANDREIUOLO
Fernanda Cristina RUEDA LOPES
Valeria Coelho Santa Rita PEREIRA
Livia de Almeida Afonso ABI-HAILA
Renan Amaral COUTINHO
Amanda Dutra de ARAUJO
Edson MARCHIORI
author_facet Fabio NORO
Soniza Vieira ALVES-LEON
Fabricia Lima FONTES-DANTAS
Paulo Roberto VALLE BAHIA
Rodrigo Ferrone ANDREIUOLO
Fernanda Cristina RUEDA LOPES
Valeria Coelho Santa Rita PEREIRA
Livia de Almeida Afonso ABI-HAILA
Renan Amaral COUTINHO
Amanda Dutra de ARAUJO
Edson MARCHIORI
author_sort Fabio NORO
collection DOAJ
description ABSTRACT Background: The genetic predisposition to multiple sclerosis (MS) is associated with HLA alleles, especially HLA-DRB1*15:01. Objective: To identify associations between findings in magnetic resonance imaging (MRI) and genetic features in a Brazilian cohort of patients with MS. Methods: We retrospectively studied data from 95 consecutive patients with MS. Two independent observers who were blinded to the clinical data identified black holes and enhanced lesions on T1 MRI sequences, and counted and measured contrast-enhanced lesions on T2 and Flair (fluid attenuation inversion recovery) sequences. Cases were classified according to lesion size, number, and volume. The HLA-DRB1, HLA-DQB1, and HLA-DQA1 alleles, and the rs4774, rs3087456, rs6897932, rs731236, and rs1033182 single nucleotide polymorphisms were identified by polymerase chain reaction amplification with sequence-specific primers using the One Lambda Inc. Kit, Canoga Park, CA, USA. Results: Patients with the HLA-DQA1*04:01 allele had lesion load (adjusted for age, sex, and MS duration) above median compared with patients with other HLA-DQA1 alleles (p=0.02). There were no differences among all the other HLA alleles and single nucleotide polymorphisms and lesion load. Conclusions: The correlation of the HLA-DQA1*04:01 allele with a higher lesion load on T2/Flair MRI sequences suggests that the presence of this allele is associated with the risk of greater MS severity.
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spelling doaj.art-9ac598e96f39461288170dc6b4a9f1b02022-12-21T19:23:13ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422710.1590/0004-282x-anp-2020-0487HLA-DQA1*04:01 is related to a higher multiple sclerosis lesion load on T2/Flair MRI sequencesFabio NOROSoniza Vieira ALVES-LEONFabricia Lima FONTES-DANTASPaulo Roberto VALLE BAHIARodrigo Ferrone ANDREIUOLOFernanda Cristina RUEDA LOPESValeria Coelho Santa Rita PEREIRALivia de Almeida Afonso ABI-HAILARenan Amaral COUTINHOAmanda Dutra de ARAUJOEdson MARCHIORIABSTRACT Background: The genetic predisposition to multiple sclerosis (MS) is associated with HLA alleles, especially HLA-DRB1*15:01. Objective: To identify associations between findings in magnetic resonance imaging (MRI) and genetic features in a Brazilian cohort of patients with MS. Methods: We retrospectively studied data from 95 consecutive patients with MS. Two independent observers who were blinded to the clinical data identified black holes and enhanced lesions on T1 MRI sequences, and counted and measured contrast-enhanced lesions on T2 and Flair (fluid attenuation inversion recovery) sequences. Cases were classified according to lesion size, number, and volume. The HLA-DRB1, HLA-DQB1, and HLA-DQA1 alleles, and the rs4774, rs3087456, rs6897932, rs731236, and rs1033182 single nucleotide polymorphisms were identified by polymerase chain reaction amplification with sequence-specific primers using the One Lambda Inc. Kit, Canoga Park, CA, USA. Results: Patients with the HLA-DQA1*04:01 allele had lesion load (adjusted for age, sex, and MS duration) above median compared with patients with other HLA-DQA1 alleles (p=0.02). There were no differences among all the other HLA alleles and single nucleotide polymorphisms and lesion load. Conclusions: The correlation of the HLA-DQA1*04:01 allele with a higher lesion load on T2/Flair MRI sequences suggests that the presence of this allele is associated with the risk of greater MS severity.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021005026202&tlng=enMultiple SclerosisHLA-DQ AntigensHLA-DRB1 ChainsGenotypeMagnetic Resonance Imaging
spellingShingle Fabio NORO
Soniza Vieira ALVES-LEON
Fabricia Lima FONTES-DANTAS
Paulo Roberto VALLE BAHIA
Rodrigo Ferrone ANDREIUOLO
Fernanda Cristina RUEDA LOPES
Valeria Coelho Santa Rita PEREIRA
Livia de Almeida Afonso ABI-HAILA
Renan Amaral COUTINHO
Amanda Dutra de ARAUJO
Edson MARCHIORI
HLA-DQA1*04:01 is related to a higher multiple sclerosis lesion load on T2/Flair MRI sequences
Arquivos de Neuro-Psiquiatria
Multiple Sclerosis
HLA-DQ Antigens
HLA-DRB1 Chains
Genotype
Magnetic Resonance Imaging
title HLA-DQA1*04:01 is related to a higher multiple sclerosis lesion load on T2/Flair MRI sequences
title_full HLA-DQA1*04:01 is related to a higher multiple sclerosis lesion load on T2/Flair MRI sequences
title_fullStr HLA-DQA1*04:01 is related to a higher multiple sclerosis lesion load on T2/Flair MRI sequences
title_full_unstemmed HLA-DQA1*04:01 is related to a higher multiple sclerosis lesion load on T2/Flair MRI sequences
title_short HLA-DQA1*04:01 is related to a higher multiple sclerosis lesion load on T2/Flair MRI sequences
title_sort hla dqa1 04 01 is related to a higher multiple sclerosis lesion load on t2 flair mri sequences
topic Multiple Sclerosis
HLA-DQ Antigens
HLA-DRB1 Chains
Genotype
Magnetic Resonance Imaging
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021005026202&tlng=en
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