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词条 HLA-DR4
释义

  1. Serology

  2. Disease associations

     By serotype  By allele  By haplotype  By genotype 

  3. Genetic linkage

  4. References

human major histocompatibility complex, class II, DR4
Haplotypes groupsDRA*01:DRB1*0401 to DRA*01:DRB1*0413
Structure (See HLA-DR)
Identifiers
alpha *0101
Symbol(s)HLA-DRA
EBI-HLADRA*0101
Identifiers
beta 1 *0401 to *0413
Symbol(s)HLA-DRB1
EBI-HLADRB1*0401
EBI-HLADRB1*0402
EBI-HLADRB1*0403
EBI-HLADRB1*0404
EBI-HLADRB1*0405
EBI-HLADRB1*0406
EBI-HLADRB1*0407
EBI-HLADRB1*0408
EBI-HLADRB1*0409
EBI-HLADRB1*0410
EBI-HLADRB1*0411
EBI-HLADRB1*0412
EBI-HLADRB1*0413
Shared data
Locuschr.6 [https://www.ncbi.nlm.nih.gov/Omim/getmap.cgi?chromosome=6p21.31 6p21.31]

HLA-DR4 (DR4) is an HLA-DR serotype that recognizes the DRB1*04 gene products. The DR4 serogroup is large and has a number of

moderate frequency alleles spread over large regions of the world.

Serology

DR4 serological recognition of the gene products of some DRB1*04 alleles[1]
DRB1*DR4Sample
allele % size (N)
04:01 98 5118
04:02 92 1029
04:03 92 748
04:04 89 2164
04:05 91 505
04:06 89 83
04:07 86 846
04:08 86 258
04:09 95 13
04:10 84 29
04:11 93 76
04:12 >50 1
04:13 >30 3

The serological identification of DR4 is good. The serology of DRB1*04:17 to *04:60

is unknown.

Disease associations

By serotype

DR4 is associated with extraarticular[2] rheumatoid arthritis,[3] hydralazine-induced female systemic lupus erythematosus,[4] pemphigoid gestationis,[5] pemphigus foliaceus,[6] obstructive hypertrophic cardiomyopathy,[7] IgA nephropathy,[8] 'shared syndrome'-systemic sclerosis/rheumatoid arthritis[9] and polymyalgia rheumatica.[10]

By allele

DRB1*04 is associated with increased risk for alopecia areata.[11]

DRB1*04:01 is associated with multiple sclerosis,[12] rheumatoid arthritis,[13] type 1 diabetes,[14][15] lyme disease induced arthritis.[16]DRB1*04:02: drug-triggered[17]/idiopathic pemphigus vulgaris,[18][19] type 1 diabetes,[15] SLE associated anti-cardiolipin and anti-β2 glycoprotein I.[20]DRB1*04:03: polycystic ovary syndrome,[21] SLE associated anti-cardiolipin and anti-β2 glycoprotein I.[22]DRB1*04:04: anti-citrullinated fibrinogen[23] in rheumatoid arthritis,[13] autoimmune hepatitis.[24]DRB1*04:05: rheumatoid arthritis,[25] Autoimmune hepatitis,[26] type 1 diabetes.[14][15]DRB1*04:06: caspase-8 autoantibodies silicosis-systemic sclerosis (SSc)-systemic lupus erythematosus (SLE).[27]DRB1*04:09: T. cruzi infection with cardiomyopathy.[28]

By haplotype

DR4-DQ8 is a risk factor for papillary thyroid carcinoma,[29] juvenile diabetes, coeliac disease and rheumatoid arthritis.[30]DRB1*04:DQA1*03:03-DQB1*04:01 haplotype: type III autoimmune polyglandular syndrome,[31] autoimmune hepatitis,[32] autoimmune pancreatitis.[33]DRB1*04:DQA1*03-DQB1*03:02 haplotype: Type 1 diabetes[34][35] with DRB1*04:01, *04:05, *04:02 increasing risk when DQ8 is present.[36]

By genotype

DRB1*01:01/*04:04 and *01:01/*04:01 increases risk of mortality in rheumatoid arthritis, with ischemic heart disease and smoking.[37] these same genotypes are associated with rheumatoid vasculitis.[38]

Genetic linkage

DR4 Haplotypes
SerotypesDRADRB1DRB4
DR4-DR53*0101*0401*0103
*0101*0402*01
*0101*0403*01
*0101*0404*01
*0101*0405*01
SerotypesDQA1DQB1DRB1
DR4-DQ7 (7.3, 3) *0303 *0301 *0401
DR4-DQ7 (8.1, 3) *0301 *0302 *0401
*0301 *0302 *0402
*0301 *0302 *0404
DR4-DQ4 (4.3) *0303 *0401 *0405
SerotypesHLA-AHLA-CHLA-BDRB1
A2-Cw10-B62(15)-DR4 *0201 *0304 *1501 *0401
A2-Cw10-B60(40)-DR4 *0201 *0304 *4001 *0402
A2-Cw5-B44(16)-DR4 *0201 *0501 *4402 *0401

References

1. ^derived from IMGT/HLA
2. ^{{cite journal | author = Roudier J | title = HLA-DRB1 genes and extraarticular rheumatoid arthritis | journal = Arthritis Research & Therapy | volume = 8 | issue = 1 | pages = 103 | year = 2006 | pmid = 16542468 | doi = 10.1186/ar1886 | pmc = 1526581}}
3. ^{{cite journal | author = Winchester R | title = Genetic aspects of rheumatoid arthritis | journal = Springer Semin Immunopathol | volume = 4 | issue = 2 | pages = 89–102 | year = 1981 | pmid = 6459655 | doi = 10.1007/BF01857089}}
4. ^{{cite journal |vauthors=Batchelor J, Welsh K, Tinoco R, Dollery C, Hughes G, Bernstein R, Ryan P, Naish P, Aber G, Bing R, Russell G | title = Hydralazine-induced systemic lupus erythematosus: influence of HLA-DR and sex on susceptibility | journal = Lancet | volume = 1 | issue = 8178 | pages = 1107–9 | year = 1980 | pmid = 6103441 | doi = 10.1016/S0140-6736(80)91554-8}}
5. ^{{cite journal |vauthors=Shornick J, Jenkins R, Artlett C, Briggs D, Welsh K, Kelly S, Garvey M, Black M | title = Class II MHC typing in pemphigoid gestationis | journal = Clin Exp Dermatol | volume = 20 | issue = 2 | pages = 123–6 | year = 1995 | pmid = 8565245 | doi = 10.1111/j.1365-2230.1995.tb02668.x}}
6. ^{{cite journal | doi = 10.1111/j.1399-0039.1981.tb00689.x |vauthors=Matsuyama M, Hashimoto K, Yamasaki Y, Shirakura R, Higuchi R, Miyajima T, Amemiya H | title = HLA-DR antigens in pemphigus among Japanese | journal = Tissue Antigens | volume = 17 | issue = 2 | pages = 238–9 | year = 1981 | pmid = 7233418}}
7. ^{{cite journal |vauthors=Sakurami T, Ueno Y, Iwaki Y, Park M, Terasaki P, Saji H | title = HLA-DR specificities among Japanese with several autoimmune diseases | journal = Tissue Antigens | volume = 19 | issue = 2 | pages = 129–33 | year = 1982 | pmid = 6954729 | doi = 10.1111/j.1399-0039.1982.tb01428.x}}
8. ^{{cite journal |vauthors=Kashiwabara H, Shishido H, Tomura S, Tuchida H, Miyajima T | title = Strong association between IgA nephropathy and HLA-DR4 antigen | journal = Kidney Int | volume = 22 | issue = 4 | pages = 377–82 | year = 1982 | pmid = 6217371 | doi = 10.1038/ki.1982.185}}
9. ^{{cite journal |vauthors=Szücs G, Szekanecz Z, Zilahi E, etal | title = Systemic sclerosis-rheumatoid arthritis overlap syndrome: a unique combination of features suggests a distinct genetic, serological and clinical entity | journal = Rheumatology (Oxford, England) | volume = 46 | issue = 6 | pages = 989–93 | year = 2007 | pmid = 17384178 | doi = 10.1093/rheumatology/kem021}}
10. ^Page 255 in: {{cite book |author1=Elizabeth D Agabegi |author2=Agabegi, Steven S. |title=Step-Up to Medicine (Step-Up Series) |publisher=Lippincott Williams & Wilkins |location=Hagerstwon, MD |year=2008 |pages= |isbn=0-7817-7153-6 |oclc= |doi= |accessdate=}}
11. ^{{cite journal |vauthors=Entz P, Blaumeiser B, Betz RC, etal | title = Investigation of the HLA-DRB1 locus in alopecia areata | journal = European Journal of Dermatology | volume = 16 | issue = 4 | pages = 363–7 | year = 2006 | pmid = 16935791 | doi = }}
12. ^{{cite journal |vauthors=Laroni A, Calabrese M, Perini P, Albergoni M, Ranzato F, Tiberio M, Battistin L, Gallo P | title = Multiple sclerosis and autoimmune diseases : Epidemiology and HLA-DR association in North-east Italy | journal = J Neurol | volume = 253 | issue = 5 | pages = 636–9 | year = 2006 | pmid = 16502215 | doi = 10.1007/s00415-006-0084-4}}
13. ^{{cite journal |vauthors=Angelini G, Morozzi G, Delfino L, Pera C, Falco M, Marcolongo R, Giannelli S, Ratti G, Ricci S, Fanetti G | title = Analysis of HLA DP, DQ, and DR alleles in adult Italian rheumatoid arthritis patients | journal = Hum Immunol | volume = 34 | issue = 2 | pages = 135–41 | year = 1992 | pmid = 1429034 | doi = 10.1016/0198-8859(92)90039-P}}
14. ^{{cite journal |vauthors=Fernandez-Viña M, Ramirez L, Raskin P, Stastny P | title = Genes for insulin-dependent diabetes mellitus (IDDM) in the major histocompatibility complex (MHC) of African-Americans | journal = Tissue Antigens | volume = 41 | issue = 2 | pages = 57–64 | year = 1993 | pmid = 8475491 | doi = 10.1111/j.1399-0039.1993.tb01980.x}}
15. ^{{cite journal |vauthors=Undlien D, Friede T, Rammensee H, Joner G, Dahl-Jørgensen K, Søvik O, Akselsen H, Knutsen I, Rønningen K, Thorsby E | title = HLA-encoded genetic predisposition in IDDM: DR4 subtypes may be associated with different degrees of protection | journal = Diabetes | volume = 46 | issue = 1 | pages = 143–9 | year = 1997 | pmid = 8971095 | doi = 10.2337/diabetes.46.1.143}}
16. ^{{cite journal |vauthors=Gross D, Forsthuber T, Tary-Lehmann M, Etling C, Ito K, Nagy Z, Field J, Steere A, Huber B | title = Identification of LFA-1 as a candidate autoantigen in treatment-resistant Lyme arthritis | journal = Science | volume = 281 | issue = 5377 | pages = 703–6 | year = 1998 | pmid = 9685265 | doi = 10.1126/science.281.5377.703}}
17. ^{{cite journal |vauthors=Matzner Y, Erlich H, Brautbar C, Sanilevitch A, Landau M, Brenner S, Friedmann A | title = Identical HLA class II alleles predispose to drug-triggered and idiopathic pemphigus vulgaris | journal = Acta Derm Venereol | volume = 75 | issue = 1 | pages = 12–4 | year = 1995 | pmid = 7747528}}
18. ^{{cite journal |vauthors=Sáenz-Cantele AM, Fernández-Mestre M, Montagnani S, Calebotta A, Balbas O, Layrisse Z | title = HLA-DRB1*0402 haplotypes without DQB1*0302 in Venezuelan patients with pemphigus vulgaris | journal = Tissue Antigens | volume = 69 | issue = 4 | pages = 318–325 | year = 2007 | pmid = 17389015 | doi = 10.1111/j.1399-0039.2007.00826.x}}
19. ^{{cite journal |vauthors=Lee E, Lendas K, Chow S, Pirani Y, Gordon D, Dionisio R, Nguyen D, Spizuoco A, Fotino M, Zhang Y, Sinha A | title = Disease relevant HLA class II alleles isolated by genotypic, haplotypic, and sequence analysis in North American Caucasians with pemphigus vulgaris | journal = Hum Immunol | volume = 67 | issue = 1–2 | pages = 125–39 | year = 2006| pmid = 16698434 | doi = 10.1016/j.humimm.2005.09.003}}
20. ^{{cite journal |vauthors=Galeazzi M, Sebastiani G, Tincani A, Piette J, Allegri F, Morozzi G, Bellisai F, Scorza R, Ferrara G, Carcassi C, Font J, Passiu G, Smolen J, Papasteriades C, Houssiau F, Nebro A, Ramon Garrido E, Jedryka-Goral A, Marcolongo R | title = HLA class II alleles associations of anticardiolipin antibodies | journal = Lupus | volume = 9 | issue = 1 | pages = 47–55 | year = 2000 | pmid = 10715100 | doi=10.1177/096120330000900109 }}
21. ^{{cite journal |vauthors=Kaibe M, Takakuwa K, Murakawa H, Ishii K, Tamura M, Tanaka K | title = Studies on the human leukocyte antigens in patients with polycystic ovary syndrome in a Japanese population--possible susceptibility of HLA-A11 and -DRB1*0403 to patient population with polycystic ovary syndrome | journal = Am J Reprod Immunol | volume = 55 | issue = 4 | pages = 301–6 | year = 2006 | pmid = 16533342 | doi = 10.1111/j.1600-0897.2006.00369.x}}
22. ^{{cite journal |vauthors=Galeazzi M, Sebastiani G, Tincani A, Piette J, Allegri F, Morozzi G, Bellisai F, Scorza R, Ferrara G, Carcassi C, Font J, Passiu G, Smolen J, Papasteriades C, Houssiau F, Nebro A, Ramon Garrido E, Jedryka-Goral A, Marcolongo R | title = HLA class II alleles associations of anticardiolipin and anti-beta2GPI antibodies in a large series of European patients with systemic lupus erythematosus | journal = Lupus | volume = 9 | issue = 1 | pages = 47–55 | year = 2000 | pmid = 10715100 | doi = 10.1177/096120330000900109}}
23. ^{{cite journal |vauthors=Auger I, Sebbag M, Vincent C, Balandraud N, Guis S, Nogueira L, Svensson B, Cantagrel A, Serre G, Roudier J | title = Influence of HLA-DR genes on the production of rheumatoid arthritis-specific autoantibodies to citrullinated fibrinogen | journal = Arthritis Rheum | volume = 52 | issue = 11 | pages = 3424–32 | year = 2005 | pmid = 16255019 | doi = 10.1002/art.21391}}
24. ^{{cite journal |vauthors=Vázquez-García M, Aláez C, Olivo A, Debaz H, Pérez-Luque E, Burguete A, Cano S, de la Rosa G, Bautista N, Hernández A, Bandera J, Torres L, Kershenobich D, Alvarez F, Gorodezky C | title = MHC class II sequences of susceptibility and protection in Mexicans with autoimmune hepatitis | journal = J Hepatol | volume = 28 | issue = 6 | pages = 985–90 | year = 1998 | pmid = 9672174 | doi = 10.1016/S0168-8278(98)80347-4}}
25. ^{{cite journal |vauthors=Al-Swailem R, Al-Rayes H, Sobki S, Arfin M, Tariq M | title = HLA-DRB1 association in Saudi rheumatoid arthritis patients | journal = Rheumatol Int | volume = 26 | issue = 11 | pages = 1019–24 | year = 2006 | pmid = 16673133 | doi = 10.1007/s00296-006-0119-2}}
26. ^{{cite journal |vauthors=Ota M, Seki T, Kiyosawa K, Furuta S, Hino K, Kondo T, Fukushima H, Tsuji K, Inoko H | title = A possible association between basic amino acids of position 13 of DRB1 chains and autoimmune hepatitis | journal = Immunogenetics | volume = 36 | issue = 1 | pages = 49–55 | year = 1992 | pmid = 1350267 | doi = 10.1007/BF00209292}}
27. ^{{cite journal |vauthors=Ueki A, Isozaki Y, Kusaka M | title = Anti-caspase-8 autoantibody response in silicosis patients is associated with HLA-DRB1, DQB1 and DPB1 alleles | journal = J Occup Health | volume = 47 | issue = 1 | pages = 61–7 | year = 2005 | pmid = 15703453 | doi = 10.1539/joh.47.61}}
28. ^{{cite journal |vauthors=García Borrás S, Diez C, Cotorruelo C, etal | title = HLA class II DRB1 polymorphism in Argentinians undergoing chronic Trypanosoma cruzi infection | journal = Ann. Clin. Biochem. | volume = 43 | issue = Pt 3 | pages = 214–6 | year = 2006 | pmid = 16704757 | doi = 10.1258/000456306776865205}}
29. ^{{cite journal |vauthors=Porto T, Coelho I, Boavida J, etal | title = Association of HLA DQ4-DR8 haplotype with papillary thyroid carcinomas | journal = Clin. Endocrinol. | volume = 64 | issue = 2 | pages = 179–83 | year = 2006 | pmid = 16430717 | doi = 10.1111/j.1365-2265.2006.02445.x}}
30. ^{{cite journal |vauthors=Singal D, Green D, Reid B, Gladman D, Buchanan W | title = HLA-D region genes and rheumatoid arthritis (RA): importance of DR and DQ genes in conferring susceptibility to RA | journal = Ann Rheum Dis | volume = 51 | issue = 1 | pages = 23–8 | year = 1992 | pmid = 1371662 | doi = 10.1136/ard.51.1.23 | pmc = 1004612}}
31. ^{{cite journal |vauthors=Hashimoto K, Maruyama H, Nishiyama M, Asaba K, Ikeda Y, Takao T, Iwasaki Y, Kumon Y, Suehiro T, Tanimoto N, Mizobuchi M, Nakamura T | title = Susceptibility alleles and haplotypes of human leukocyte antigen DRB1, DQA1, and DQB1 in autoimmune polyglandular syndrome type III in Japanese population | journal = Horm Res | volume = 64 | issue = 5 | pages = 253–60 | year = 2005 | pmid = 16254435 | doi = 10.1159/000089293}}
32. ^{{cite journal |vauthors=Yoshizawa K, Ota M, Katsuyama Y, Ichijo T, Matsumoto A, Tanaka E, Kiyosawa K | title = Genetic analysis of the HLA region of Japanese patients with type 1 autoimmune hepatitis | journal = J Hepatol | volume = 42 | issue = 4 | pages = 578–84 | year = 2005 | pmid = 15763345 | doi = 10.1016/j.jhep.2004.12.019}}
33. ^{{cite journal |vauthors=Kawa S, Ota M, Yoshizawa K, Horiuchi A, Hamano H, Ochi Y, Nakayama K, Tokutake Y, Katsuyama Y, Saito S, Hasebe O, Kiyosawa K | title = HLA DRB10405-DQB10401 haplotype is associated with autoimmune pancreatitis in the Japanese population | journal = Gastroenterology | volume = 122 | issue = 5 | pages = 1264–9 | year = 2002 | pmid = 11984513 | doi = 10.1053/gast.2002.33022}}
34. ^{{cite journal |vauthors=Park Y, Tait B, Kawasaki E, Rowley M, Mackay I | title = Closer association of IA-2 humoral autoreactivity with HLA DR3/4 than DQB1*0201/*0302 in Korean T1D patients | journal = Ann N Y Acad Sci | volume = 1037 | issue = | pages = 104–9 | year = 2004| pmid = 15699500 | doi = 10.1196/annals.1337.015}}
35. ^{{cite journal |vauthors=Hermann R, Turpeinen H, Laine A, Veijola R, Knip M, Simell O, Sipilä I, Akerblom H, Ilonen J | title = HLA DR-DQ-encoded genetic determinants of childhood-onset type 1 diabetes in Finland: an analysis of 622 nuclear families | journal = Tissue Antigens | volume = 62 | issue = 2 | pages = 162–9 | year = 2003 | pmid = 12889996 | doi = 10.1034/j.1399-0039.2003.00071.x}}
36. ^{{cite journal |vauthors=Thomson G, Valdes AM, Noble JA, etal | title = Relative predispositional effects of HLA class II DRB1-DQB1 haplotypes and genotypes on type 1 diabetes: a meta-analysis | journal = Tissue Antigens | volume = 70 | issue = 2 | pages = 110–27 | year = 2007 | pmid = 17610416 | doi = 10.1111/j.1399-0039.2007.00867.x}}
37. ^{{cite journal |vauthors=Mattey DL, Thomson W, Ollier WE, etal |title=Association of DRB1 shared epitope genotypes with early mortality in rheumatoid arthritis: results of eighteen years of followup from the early rheumatoid arthritis study |journal=Arthritis Rheum. |volume=56 |issue=5 |pages=1408–16 |year=2007 |pmid=17469097 |doi=10.1002/art.22527}}
38. ^{{cite journal |vauthors=Gorman JD, David-Vaudey E, Pai M, Lum RF, Criswell LA |title=Particular HLA-DRB1 shared epitope genotypes are strongly associated with rheumatoid vasculitis |journal=Arthritis Rheum. |volume=50 |issue=11 |pages=3476–84 |year=2004 |pmid=15529352 |doi=10.1002/art.20588}}
{{DR serotypes}}{{DEFAULTSORT:Hla-Dr4}}

1 : HLA-DR haplotypes

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