HLA-DRB1 alleles are associated with the clinical course of disease and steroid dependence in Mexican patients with ulcerative colitis

Colorectal Dis. 2010 Dec;12(12):1231-5. doi: 10.1111/j.1463-1318.2009.02025.x.

Abstract

Aim: The aim of this study was to study the association between the HLA-DRB1 alleles and the clinical course of ulcerative colitis (UC).

Method: Seventy-five Mexican patients with UC were studied. High resolution HLA typing was performed using Polymerase Chain Reaction-Sequence Specific Oligonucleotide PCR-SSO reverse dot blot and Polymerase Chain Reaction-single specific primer PCR-SSP. Molecular typing techniques were applied to define HLA-DRB1 alleles.

Results: Seventy-five patients (36 female patients, 39 male patients) were studied. Significant associations were found between some HLA-DRB1 alleles and the clinical course of disease: initial active and then inactive and the HLA-DRB1*14 allele (P = 0.03; OR = 4.63; 95% CI: 1.08-21.23); and HLA-DRB1*08 allele (P = 0.04; OR = 4.34; 95% CI: 1.9-33.3). On the other hand, the HLA-DRB1*07 (P = 0.001; OR = 9.76 95% CI: 1.55-65.56) was significantly associated with steroid dependence in UC patients.

Conclusions: This study suggests that HLA-DRB1 alleles were associated with the clinical course of disease and steroid dependence in UC patients.

MeSH terms

  • Adult
  • Alleles
  • Colitis, Ulcerative / drug therapy*
  • Colitis, Ulcerative / genetics*
  • Colitis, Ulcerative / immunology
  • Female
  • Gene Frequency
  • Genetic Predisposition to Disease
  • HLA-DR Antigens
  • HLA-DRB1 Chains
  • Humans
  • Male
  • Mexico
  • Molecular Typing
  • Polymerase Chain Reaction
  • Steroids / therapeutic use

Substances

  • HLA-DR Antigens
  • HLA-DRB1 Chains
  • Steroids