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New HLA haplotype frequency reference standards: high-resolution and large sample typing of HLA DR-DQ haplotypes in a sample of European Americans
Abstract
Abstract: A collaborative study involving a large sample of European Americans was typed for the histocompatibility loci of the HLA DR‐DQ region and subjected to intensive typing validation measures in order to accurately determine haplotype composition and frequency. The resulting tables have immediate application to HLA typing and allogeneic transplantation. The loci within the DR‐DQ region are especially valuable for such an undertaking because of their tight linkage and high linkage disequilibrium. The 3798 haplotypes, derived from 1899 unrelated individuals, had a total of 75 distinct DRB1‐DQA1‐DQB1 haplotypes. The frequency distribution of the haplotypes was right skewed with haplotypes occurring at a frequency of less than 1% numbering 59 and yet constituting less than 12% of the total sample. Given DRB1 typing, it was possible to infer the exact DQA1 and DQB1 composition of a haplotype with high confidence (>90% likelihood) in 21 of the 35 high‐resolution DRB1 alleles present in the sample. Of the DRB1 alleles without high reliability for DQ haplotype inference, only *0401, *0701 and *1302 were common, the remaining 11 DRB1 alleles constituting less than 5% of the total sample. This approach failed for the 13 serologically equivalent DR alleles in which only 33% of DQ haplotypes could be reliably inferred. The 36 DQA1‐DQB1 haplotypes present in the total sample conformed to the known pattern of permissible heterodimers. Four DQA1‐DQB1 haplotypes, all rare, are reported here for the first time. The haplotype frequency tables are suitable as a reference standard for HLA typing of the DR and DQ loci in European Americans.
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“Interestingly, HLA-DQ6 was overrepresented within our small NMOSD cohort (9 out of 22 typed samples [41%] versus 15%-20% in Europe 57,58 ; Table S5).”
From Autoantigen-specific CD4+ T cells acquire an exhausted phenotype and persist in human antigen-specific autoimmune diseases (2024) · cites this paper as [58]
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“After resolution of individual alleles at each locus, DRB1-DQB1 haplotypes were assigned manually in accordance with known linkage disequilibria observed in major US populations [6, 7].”
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“Previous reports show that DQB1*02:02 and DQB1*03:02 are associated each with a single DQA1 allele (DQA1*02: 01 and DQA1*03:02, respectively).(26) See eTables 3 and 4, links.”
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“did not investigate polymorphisms outside exon 2 and was, therefore, not capable of identifying the DQA1*03:03 allele [14].”
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Distribution of HLA‐DQ risk genotypes for celiac disease in Ethiopian children
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“%)33 and 8.9% of Caucasians in the United States.36 In addition, we found a higher distribution of DQ8 than in South Africa (2.8%), Saharawi (2.7%), Algeria (2.2%), Italy (2”
BackgroundInfluentialCD4 T Cell Determinants in West Nile Virus Disease and Asymptomatic Infection
Koblischke, M., Spitzer, F. S., Florian, D. M., Aberle, S., Malafa, S., Faé, I., Cassaniti, I., Jungbauer, C., Knapp, B., Laferl, H., et al. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.00016 · Cited by 10
“For HLA-DQ predictions, haplotype compositions of –DQA1 and –DQB1 were assigned, based on the strongest linkage between these alleles, according to the reference HLA haplotype frequency standards (51).”
MethodReinauer, C., Rosenbauer, J., Bächle, C., Herder, C., Roden, M., Ellard, S., Franco, E. D., Karges, B., Holl, R. W., Enczmann, J., et al. (2017) · Genes · doi:10.3390/genes8050146 · Cited by 12
“The HLA-DRB1-DQA1-DQB1 haplotypes were determined by comparison of the phenotype with well-known haplotype frequencies [31].”
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DNA and RNA Profiling in Human Blood
Bugert, P. (2009) · METHODS IN MOLECULAR BIOLOGY™ · doi:10.1007/978-1-59745-553-4 · Cited by 9
“While most HLA alleles occur in all ethnic groups, they vary in frequency among these populations (15,16).”
BackgroundNext-generation sequencing characterization of HLA in multi-generation families of Kuwaiti descent.
Ameen, R., Al-Shemmari, S., & Askar, M. (2017) · Human Immunology · doi:10.1016/j.humimm.2017.12.012 · Cited by 8
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“*Two cases consist of one Caucasian and one African-American MG; Frequency data are from the published reports on US general population [17,18].”
BackgroundMethodInfluentialCoeliac disease is on the rise
Anderson, R. P. (2011) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2011.tb02971.x · Cited by 8
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“This sharing generally requires continuous exposure of the fetus to the host's uterine natural killer cells that are active enough and may lead to damage to trophoblast (9-12).”
BackgroundAssociations of HLA DR and DQ molecules with Lyme borreliosis in Latvian patients
Kovalchuka, L., Eglīte, J., Lucenko, I., Zalite, M., Vīksna, L., & Krūmiņa, A. (2012) · BMC Research Notes · doi:10.1186/1756-0500-5-438 · Cited by 7
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“Initially, DSA against HLA-DQ was considered less important due to its underexpression[61] and its masking by the HLA-DR locus[71,72,102,103].”
Lundtoft, C., Knight, A., Meadows, J., Karlsson, Å., Rantapää-Dahlqvist, S., Berglin, E., Palm, Ø., Haukeland, H., Gunnarsson, I., Bruchfeld, A., et al. (2024) · RMD Open · doi:10.1136/rmdopen-2023-004039 · Cited by 6
“Web resources IPD-IMGT/HLA: https://www.ebi.ac.uk/ipd/imgt/hla/ RCSB Protein data bank: https://www.rcsb.org/ LDlink: https://ldlink.nci.nih.gov/ Allele frequency Net Database: https://allelefrequen-cies.net/”
Deitiker, P., Oshima, M., Jankovic, J., & Atassi, M. (2017) · Immunology Letters · doi:10.1016/j.imlet.2017.07.016 · Cited by 6
“For the remaining 2 patients, DNA preparation from blood samples, DNA typing and HLA haplotype determination based on published HLA frequency data of US Caucasian population [20,21] were carried out as described previously”
MethodGenetic marker linking inflammation with sporadic Parkinson's disease.
Tan, E. (2011) · Annals of the Academy of Medicine, Singapore · doi:10.47102/annals-acadmedsg.v40n2p111 · Cited by 6
Full resolution HLA and KIR genes annotation for human genome assembliesPreprint
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“The HLA class II region is highly structured (Klitz et al. 2003; Norman et al. 2017; Chin et al. 2023), which is commonly characterized by DR haplotype.”
BackgroundRapid, Loop-Mediated Isothermal Amplification Detection of Celiac Disease Risk Alleles.
Erlichster, M., Tye-Din, J., Varney, M., Skafidas, E., & Kwan, P. (2018) · Journal of Molecular Diagnostics · doi:10.1016/j.jmoldx.2018.01.005 · Cited by 5
Interleukin-18 gene promoter polymorphisms and celiac disease in Italian patients
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“2 and HLADQ8 haplotype are expressed by the 13, 11 and 10 % of individuals respectively [4].”
Eller, E., Vardi, P., Mcfann, K., Babu, S., Yu, L.-P., Bugawan, T. L., Erlich, H. A., Eisenbarth, G., & Fain, P. R. (2007) · Genes and Immunity · doi:10.1038/sj.gene.6364425 · Cited by 5
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Balas, A., Avilés, M. J., Alonso-Nieto, M., Zarapuz, L., Blanco, L., García-Sánchez, F., & Vicario, J. (2005) · Human Immunology · doi:10.1016/j.humimm.2005.06.003 · Cited by 5
Tiercy, J., & Villard, J. (2004) · Immunogenetics · doi:10.1007/s00251-004-0678-x · Cited by 5
“identified in this patient represents a new DR7-DQ8 haplotype in addition to the four DR-DQ haplotypes found in a large sample of donors from different ethnic groups; i.e., DRB1*0701-DQA1*0201-DQB1*0202, DRB1*0701-DQA1*0201-DQB1*0301, DRB1*0701-DQA1*0302-DQB1*0301, and DRB1*0701-DQA1*0201-DQB1*0303 (Lin et al. 1997; K…”
BackgroundDevi-Marulkar, P., Moraes-Cabé, C., Campagne, P., Corre, B., Meghraoui, A., Bondet, V., Llibre, A., Duffy, D., Maillart, É., Papeix, C., et al. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.628375 · Cited by 4
“(A) Comparison of HLA-DRB1, DQA1, and DQB1 allele frequencies in the French Milieu Interieur (MI) cohort (n = 1,000) and in a European-American reference cohort [n = 1,899 (54)].”
BackgroundResultAhlén, M. T., Heide, G., Husebekk, A., Skogen, B., Kjeldsen-Kragh, J., & Stuge, T. (2020) · Scandinavian Journal of Immunology · doi:10.1111/sji.12890 · Cited by 4
Kampstra, A., van Heemst, J., Janssen, G., de Ru, A. H., van Lummel, M., van Veelen, P. V., & Toes, R. (2019) · Immunogenetics · doi:10.1007/s00251-019-01129-6 · Cited by 4
“We now performed an in-depth analysis of the ligandome of one of the most prevalent HLA-DR molecules in Caucasians, HLA-DRB1*03:01, with associated HLADRB3*02:02 molecule derived from homozygous cells (Klitz et al. 2003).”
MethodCharacterization of the novel HLA‐DQB1*06:48 allele by group‐specific sequencing
Foster, L., Tate, D., & Poulton, K. (2013) · International Journal of Immunogenetics · doi:10.1111/iji.12004 · Cited by 4
“HLA-DQB1*06:02 alleles are also found in high linkage disequilibrium with HLA-DRB1*15:01 alleles (Caucasian haplotype frequency: 14.17%; Klitz et al., 2003).”
BackgroundInfluentialCHAPTER 39 – Histocompatibility: HLA and other systems
Posch, P. N., & Hurley, C. (2011) · doi:10.1016/b978-0-7020-3147-2.00039-0 · Cited by 4
Immunogenetic Markers Definition in Latvian Patients with Lyme Borreliosis and Lyme Neuroborreliosis
Kovalchuka, L., Cvetkova, S., Trofimova, J., Eglīte, J., Gintere, S., Lucenko, I., Oczko-Grzesik, B., Vīksna, L., & Krūmiņa, A. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13121194 · Cited by 3
“PCR products were visualized by agarose-gel electrophoresis [29,30].”
MethodThe frequency of HLA-DR alleles in patients with tick-borne disease from Latvia
Kovalchuka, L., Eglīte, J., Zalite, M., Lucenko, I., Logina, I., Karelis, G., Vīksna, L., & Krūmiņa, A. (2014) · Research Journal of Infectious Diseases · doi:10.7243/2052-5958-2-4 · Cited by 4
“The genomic DNA was extracted from proteinase-K-treated peripheral blood leukocytes using the routine “salting-out” method [24,25].”
MethodInfluentialSilver, K., Magnuson, V., Tolea, M., Wang, J., Hagopian, W., & Mitchell, B. (2006) · Journal of molecular medicine · doi:10.1007/s00109-006-0052-6 · Cited by 3
Tansiri, Y., Sritrakul, T., Saparpakorn, P., Boondamnern, T., Chimprasit, A., Sripattanakul, S., Hannongbua, S., & Prapong, S. (2021) · Informatics in Medicine Unlocked · doi:10.1016/j.imu.2021.100649 · Cited by 3
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“Accordingly, the prevalence of DR15 in MS patient populations is higher than in healthy controls, with several studies reporting that over 50% of cases carry this allele [20], a substantial increase from the estimated 14.51% of the European-American population [21].”
InfluentialHLA Class I and II genes: A key factor for type one diabetes susceptibility
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Multiplexed, ligation‐dependent probe amplification for rapid and inexpensive HLA‐DQB1 allelotyping
Akers, N. K., Curry, J., Smith, M. T., Bracci, P. M., & Skibola, C. F. (2011) · Tissue Antigens · doi:10.1111/j.1399-0039.2011.01737.x · Cited by 2
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“…haplotype frequencies (http://bioinformatics.nmdp.org/ HLA/Haplotype_Frequencies/index.html?src=review) and by other reference reports elsewhere (Klitz et al., 2003; Maiers et al., 2007; Trachtenberg et al., 2007; Yang et al., 2009), we think that the ethnicity of the donor of DL03 is probably…”
BackgroundClassical HLA allele and haplotype frequency estimates in US populations
Gragert, L., Madbouly, A., Bashyal, P., Wadsworth, K., Kempenich, J., Bolon, Y.-T., & Maiers, M. (2026) · Human Immunology · doi:10.1016/j.humimm.2026.111792 · Cited by 1
Self-citationDağlı, H. Y., Artan, R., & Yılmaz, A. (2026) · Indian Pediatrics · doi:10.1007/s13312-026-00302-x · Cited by 1
“In the interpretation of allele levels for HLA-DQB1, detection of 0201 and 0202 was considered as positive for HLA-DQ2, and 0302 and 0305 was considered as positive for HLA-DQ8 [6].”
Immunogenetic Manifestations of Lyme Borreliosis / Imūnìenģtiskās Izpausmes Laimboreliozes Gadījumā
Kovaļčuka, L., Eglīte, J., Zīālīte, M., Lucenko, I., Vīksna, L., & Krūmiņa, A. (2016) · doi:10.1515/prolas-2016-0034 · Cited by 1
The DR7‐DQ2 Haplotype in a Native Norwegian Population
Heide, G., Stuge, T., Skogen, B., Husebekk, A., & Ahlén, M. T. (2013) · Scandinavian Journal of Immunology · doi:10.1111/sji.12031 · Cited by 1
Genetic and Environmental Pathways in Type 1 Diabetes Complications
Trucco, M. (2009) · Defense Technical Information Center (DTIC) · doi:10.21236/ada544029 · Cited by 1
No evidence for multiple loci affecting rheumatoid arthritis risk on chromosome 6p21
Sherva, R., Sun, L.-W., Biernacka, J., & Neuman, R. J. (2007) · BMC Proceedings · doi:10.1186/1753-6561-1-s1-s42 · Cited by 1
“In these cases, alleles had to be combined into broader categories to make use of the published [12] allele frequencies.”
Peltier, L., Brown, R., Monczak, Y., Popradi, G., Storring, J., & Laneuville, P. (2015) · doi:10.4172/2157-7412.1000254 · Cited by 1
Identification of a Distinct HLA‐DRB1*15:02–DQB1*03:01 Haplotype in a Transplant Pair
Alandejani, S. A., Saleh, N. M., Alshubaili, A., Anazi, H., & Hajeer, A. (2026) · HLA · doi:10.1111/tan.71009
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Abad-Molina, C., Boix, F., Cárdaba-Arranz, M., Vilches-Moreno, M., Bustamante-Munguira, E., Eiros-Bouza, J. M., & Coca-Rojo, A. (2026) · HLA · doi:10.1111/tan.70846
A Tool for the Assessment of HLA-DQ Heterodimers Variation in Hematopoietic Cell Transplantation
Sajulga, R., Bolon, Y.-T., Maiers, M., & Petersdorf, E. (2024) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2024.08.006
Self-citationKarataş, L., Tatar, Z., James, E. A., & Colakogullari, M. (2024) · Genes · doi:10.3390/genes15030339
“HLA DRB1*11:04 was co-inherited with HLA DQA1*05:05-DQB1*03:01 haplotype in 2.5% frequency among Americans of European descent [44].”
BackgroundInfluentialCorrelating HLA associations with follicular lymphoma in an Australian data set: A pilot study
Sutton, E., de Santis, D., Hay, L., McKinnon, E., D'Orsogna, L. J., & Joske, D. (2020) · HLA · doi:10.1111/tan.13918
Bloch, K. (2013) · doi:10.18725/oparu-2860
“Wegen des starken Kopplungsungleichgewichtes zwischen den zwei HLA-IIMerkmalen, können HLA-DRB1-DQB1-Haplotypen mit einer hohen Wahrscheinlichkeit nur basierend auf der hoch-aufgelösten HLA-DRB1-Typisierung vorhergesagt werden [34].”
BackgroundHuman helper T cell responses to RSV infection
Guvenel, A. (2016) · doi:10.25560/57117
Metadata
- Authors
- Klitz, W., Maiers, M., Spellman, S., Baxter‐Lowe, L. A., Schmeckpeper, B., Williams, T. M., & Fernandez‐Viña, M.
- Affiliations
- National Marrow Donor Program (US)
- University of California, San Francisco (US)
- American Red Cross (US)
- University of New Mexico Health Sciences Center (US)
- Corresponding author
- Klitz, W.
- Venue
- Tissue Antigens
- Publisher
- Wiley
- Published
- 2003-09-16
- Volume
- 62
- Issue
- 4
- Pages
- 296-307
- ISSN
- 0001-2815 (ISSN-L)
- 1399-0039
- OpenAlex
- W1976319355
- Cited by
- 179
- References
- 0
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 9 · 2023: 5 · 2022: 1 · 2021: 9 · 2020: 9 · 2019: 4 · 2018: 6 · 2017: 11 · 2016: 6 · 2015: 12 · 2014: 7 · 2013: 8 · 2012: 12
- FWCI
- 3.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Tissue Antigens (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Transplantation › Renal Transplantation Outcomes and Treatments
- Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
- Keywords
- HLA haplotype frequencies, HLA-DRB1, HLA-DQA1, HLA-DQB1, haplotype inference, linkage disequilibrium, European Americans, allogeneic transplantation, rare haplotypes
- MeSH terms
- Histocompatibility Antigens Class II, Gene Frequency, Haplotypes, Histocompatibility Testing, HLA-DQ Antigens, HLA-DR Antigens, Humans, Reference Standards, HLA-A Antigens, HLA-B Antigens, White People, HLA-DRB1 Chains, HLA-DQ alpha-Chains, HLA-DQ beta-Chains
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