A deletion in the second exon of an HLA-DRB1 allele found in a DR2-negative narcolepsy patient

Hum Immunol. 1993 May;37(1):1-6. doi: 10.1016/0198-8859(93)90136-o.

Abstract

In this report, we describe a new allele of the HLA-DRB 1 gene carrying a form of mutation that has not been observed before. It appeared in an HLA-DR2-negative narcolepsy patient who, besides HLA-DR4, revealed a serologic HLA-DR blank segregating with HLA-DQ1. Oligotyping showed that the new allele belongs to the HLA-DR8 group. Restriction analysis and DNA sequencing revealed the deletion of 12 bp as well as the substitution of 9 flanking base pairs between codons 36 and 43. The expression of the mutated gene was demonstrated by the presence of its messenger RNA and a few positive reactions with DR8 sera. Without interrupting the reading frame, the mutation leads to a gene product composed of a modified amino acid sequence. We anticipate that the mutation influences the conformation of the molecule with possible consequences concerning immune response.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles*
  • Amino Acid Sequence
  • Base Sequence
  • Exons
  • Female
  • Gene Deletion*
  • Genes, MHC Class II*
  • HLA-DR Antigens / genetics*
  • HLA-DRB1 Chains
  • Histocompatibility Antigens Class II / genetics*
  • Humans
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Narcolepsy / genetics*
  • Narcolepsy / immunology
  • Pedigree
  • Polymerase Chain Reaction
  • RNA, Messenger / analysis

Substances

  • HLA-DR Antigens
  • HLA-DRB1 Chains
  • Histocompatibility Antigens Class II
  • RNA, Messenger