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HLA IN JUVENILE DERMATITIS HERPETIFORMIS: CLINICAL HETEROGENEITY CORRELATED WITH DNA AND SEROLOGICAL POLYMORPHISM
Author(s) -
Amoroso A.,
Mazzola G.,
Canale L.,
Borelli I.,
Dallomo A. M.,
Curtoni E. S.,
Ansaldi N.,
Fusco P.,
Elia G.,
Barbera C.
Publication year - 1990
Publication title -
international journal of immunogenetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.41
H-Index - 47
eISSN - 1744-313X
pISSN - 1744-3121
DOI - 10.1111/j.1744-313x.1990.tb00872.x
Subject(s) - dermatitis herpetiformis , serology , restriction fragment length polymorphism , typing , taqi , biology , hla dq , immunology , human leukocyte antigen , antigen , c4a , genotype , immunogenetics , gene , genetics , disease , medicine , antibody , haplotype
SUMMARY A group of 30 Italian children affected by Dermatitis Herpetiformis (DH) was analysed for HLA region polymorphisms with both serological and DNA methods. Serological typing was performed on HLA‐A, B, C, DR, DQ antigens and C4A, C4B, Bf polymorphisms. DNA RFLPs obtained with TaqI enzyme were investigated with cDNA probes specific for DR beta, DQ alpha and DQ beta genes. The results were correlated with intestinal involvement and age at onset of the disease. The following observations were made: (1) the intestinal biopsies revealed a direct correlation between degree of lesions and age at onset of DH; (2) a significantly increased relative risk (RR) was found for the following HLA antigens: A1 (RR = 2.2), B8 (RR = 6.2), Cw7 (RR = 3.9), C4AQO (RR = 7.4), DR3 (RR = 5.2), DR7 (RR = 4.4), DRw53 (RR = 4.7), DQw2 (RR = 6.0); (3) B8 and DR3 were significantly more frequent in patients with severe intestinal lesions; and (4) of the two DR3 subtypes revealed by RFLP typing, only 3.1 showed an increased frequency in DH patients (RR = 8.4). It is suggested that the susceptibility to Juvenile DH is determined by the same genes, within the HLA region, that are associated with Coeliac Disease.