Relationship between human leucocyte antigen class I and class II and chronic idiopathic urticaria associated with aspirin and/or NSAIDs hypersensitivity

Mediators Inflamm. 2006;2006(5):62489. doi: 10.1155/MI/2006/62489.

Abstract

Background: HLA genes play a role in the predisposition of several diseases. The aim was to analyze the prevalence of HLA class I phenotypes and HLA-DRB1* genotype in patients with CIU associated with ASA and NSAIDs hypersensitivity (AICU).

Methods: 69 patients with AICU, and 200 healthy subjects.

Results: Subjects with HLA-B44 and HLA-Cw5 antigens were more represented in patients with AICU than in control group. Subjects with HLA-A11, HLA-B13, HLACw4, and HLA-Cw7 antigen were more represented in control group than in patients with AICU. Multiple logistic regression demonstrated an association of HLA-Cw4 and HLA-Cw7 with a lower risk of AICU, whereas carriers of HLA-B44 phenotype had a higher risk of AICU. No differences were found between patients and controls as regards to HLA-DRB1* genotype.

Conclusions: We observed an association between some HLA class-I antigens and AICU. To the best of our knowledge this is the first description of such association.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alleles
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Aspirin / adverse effects*
  • Case-Control Studies
  • Drug Hypersensitivity / complications*
  • Drug Hypersensitivity / genetics
  • Drug Hypersensitivity / immunology*
  • Female
  • Gene Frequency
  • Genes, MHC Class II
  • Genotype
  • HLA-DR Antigens / genetics*
  • HLA-DRB1 Chains
  • Histocompatibility Antigens Class I / metabolism*
  • Humans
  • Male
  • Middle Aged
  • Phenotype
  • Risk Factors
  • Urticaria / etiology*
  • Urticaria / genetics
  • Urticaria / immunology*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • HLA-DR Antigens
  • HLA-DRB1 Chains
  • Histocompatibility Antigens Class I
  • Aspirin