HLA-DR15 Haplotype and Multiple Sclerosis: A HuGE Review
Abstract
An association between multiple sclerosis (MS) and the human leukocyte antigen (HLA) complex, a dense cluster of genes on the short arm of chromosome 6, was first noted over 30 years ago. In Caucasian populations of Northern European descent, the DR15 haplotype (DRB1*1501-DQA1*0102-DQB1*0602) has been hypothesized to be the primary HLA genetic susceptibility factor for MS. However, studies of other populations have produced varying results. Thus, the authors reviewed the literature for articles on the association between the DR15 haplotype and MS. They identified 72 papers meeting the inclusion criteria: human genetic studies written in English that were published between 1993 and 2004 and that reported allele frequencies for HLA-DRB1*1501, HLA-DQA1*0102, or HLA-DQB1*0602 or the frequency of the DRB1*1501-DQA1*0102-DQB1*0602 haplotype. Most of the studies identified used a case-control design (n = 60), while the remainder used a family-based design (n = 22). In most of these papers, investigators reported a higher frequency of the DR15 haplotype and/or its component alleles among MS cases than among controls. However, the authors' confidence in these results is tempered by factors related to study design that may have biased the outcomes.
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The DR15 haplotype and its component alleles also associate with protection against diabetes, a high risk for multiple sclerosis, and risk or protective effects with many other immune-mediated diseases.
“the DR15 haplotype and its component alleles also associate with protection against diabetes108, a high risk for multiple sclerosis109,110, and risk or protective effects with many other immune-mediated diseases”
From Genetic meta-analysis of diagnosed Alzheimer’s disease identifies new risk loci and implicates Aβ, tau, immunity and lipid processing (2019) · cites this paper as [110]
A specific class II HLA-DR haplotype, DR15, has been suggested to impart risk for both AD and MS.
“Beyond these findings, a specific class II human leukocyte antigen (HLA)-DR haplotype, DR15, has been suggested to impart risk for both AD and MS (7, 8).”
From The Transcriptional Landscape of Microglial Genes in Aging and Neurodegenerative Disease (2019) · cites this paper as [7]
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Alzheimer Disease Genetics Consortium (ADGC), Kunkle, B. W., The European Alzheimer’s Disease Initiative (EADI), Cohorts for Heart and Aging Research in Genomic Epidemiology Consortium (CHARGE), Genetic and Environmental Risk in AD/Defining Genetic, P. A. E. R. F. A. D. C. (., Grenier-Boley, B., Sims, R., Bis, J. C., Damotte, V., Naj, A. C., et al. (2019) · Nature Genetics · doi:10.1038/s41588-019-0358-2 · Cited by 2,946 · see citing works
The HLA genomic loci map: expression, interaction, diversity and disease
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Latitude is significantly associated with the prevalence of multiple sclerosis: a meta-analysis
Simpson, S., Blizzard, L., Otahal, P., Van der Mei, I., & Taylor, B. (2011) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.2011.240432 · Cited by 718 · see citing works
Vitamin D in Autoimmunity: Molecular Mechanisms and Therapeutic Potential
Dankers, W., Colin, E. M., van Hamburg, J. P., & Lubberts, E. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2016.00697 · Cited by 453 · see citing works
Body size and risk of MS in two cohorts of US women
Munger, K. L., Chitnis, T., & Ascherio, A. (2009) · Neurology · doi:10.1212/wnl.0b013e3181c0d6e0 · Cited by 441 · see citing works
The immunogenetics of multiple sclerosis: A comprehensive review
Hollenbach, J. A., & Oksenberg, J. R. (2015) · Journal of Autoimmunity · doi:10.1016/j.jaut.2015.06.010 · Cited by 423 · see citing works
“A HuGE (Human Genome Epidemiology) review of 72 papers published from 1993–2004 found that in all but a very few studies, the frequency of DRB1*15:01 was greater in cases than controls, and that this was by a wide margin the most consistent finding [41].”
BackgroundTh17 Cell, the New Player of Neuroinflammatory Process in Multiple Sclerosis
Jadidi‐Niaragh, F., & Mirshafiey, A. (2011) · Scandinavian Journal of Immunology · doi:10.1111/j.1365-3083.2011.02536.x · Cited by 389 · see citing works
The initiation and prevention of multiple sclerosis
Ascherio, A., Munger, K. L., & Lünemann, J. D. (2012) · Nature Reviews Neurology · doi:10.1038/nrneurol.2012.198 · Cited by 288 · see citing works
Environmental Risk Factors for Multiple Sclerosis: A Review with a Focus on Molecular Mechanisms
O’Gorman, C., Lucas, R. M., & Taylor, B. V. (2012) · International Journal of Molecular Sciences · doi:10.3390/ijms130911718 · Cited by 209 · see citing works
“Associations between HLA-DR15 haplotype (the DRB1*1501 allele and the alleles with which it is in linkage disequilibrium: DQA1*0102, and DQB1*0602) and MS have been described throughout European and non-European populations with MS [34].”
Multifocal motor neuropathy: diagnosis, pathogenesis and treatment strategies
Vlam, L., van der Pol, W. L., Cats, E. A., Straver, D. C. G., Piepers, S., Franssen, H., & van den Berg, L. H. (2011) · Nature Reviews Neurology · doi:10.1038/nrneurol.2011.175 · Cited by 207 · see citing works
Environmental risk factors for multiple sclerosis
Salzer, J. (2013) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 202 · see citing works
Munger, K. L., Levin, L., O’Reilly, É., Falk, K. I., & Ascherio, A. (2011) · Multiple Sclerosis Journal · doi:10.1177/1352458511408991 · Cited by 200 · see citing works
“The association that we found between anti-EBNA antibodies and MS risk is unlikely to reflect confounding by genetic factors because we have previously shown that the HLADRB1*1501 allele, which is the strongest genetic predictor of MS [12], and anti-EBNA titers contribute independently and multiplicatively to MS risk.”
ResultInternational Encyclopedia of Rehabilitation
Tower, K. (2010) · Cited by 173 · see citing works
Biomarkers in Multiple SclerosisPreprint
Paul, A., Comabella, M., & Gandhi, R. (2018) · Cold Spring Harbor Perspectives in Medicine · doi:10.1101/cshperspect.a029058 · Cited by 157 · see citing works
“More recent investigations, conducted in many MS cohorts, suggested that the allele mainly responsible for attributing genetic risk in MS population is the HLADRB1 1501 (al-Din et al. 1995; Kwon et al. 1999; Bozikas et al. 2003; Oksenberg et al. 2004; Schmidt et al. 2007).”
BackgroundAutoreactive lymphocytes in multiple sclerosis: Pathogenesis and treatment target
Liu, R., Du, S., Zhao, L., Jain, S., Sahay, K., Rizvanov, A. A., Lezhnyova, V., Хайбуллин, Т. И., Martynova, E. V., Khaiboullina, S. F., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.996469 · Cited by 153 · see citing works
“Also finding the link between Human leukocyte Antigen (HLA) DRB1*1501 haplotype and MS in Northern European populations supported this assumption (37).”
BackgroundMultiple Sclerosis: Molecular Mechanisms and Therapeutic Opportunities
Miljković, D. M., & Spasojević, I. (2013) · Antioxidants and Redox Signaling · doi:10.1089/ars.2012.5068 · Cited by 136 · see citing works
“The latter might explain why a higher frequency of HLA-DRB1 *15 is detected in MS patients in Scandinavian countries compared with those in Mediterranean countries, or those in some other non-European countries (391).”
Biomarkers in Multiple Sclerosis: An Up-to-Date Overview
Katsavos, S., & Anagnostouli, M. C. (2013) · Multiple Sclerosis International · doi:10.1155/2013/340508 · Cited by 100 · see citing works
“MS cohorts, made clear that HLA-DRB11501 is the mainly responsible allele for attributing genetic risk in MS population [17–21].”
BackgroundContribution of vitamin D insufficiency to the pathogenesis of multiple sclerosis
Pierrot‐Deseilligny, C., & Souberbielle, J. (2013) · Therapeutic Advances in Neurological Disorders · doi:10.1177/1756285612473513 · Cited by 97 · see citing works
Steele, N. Z. R., Carr, J. S., Bonham, L. W., Geier, E. G., Damotte, V., Miller, Z. A., Desikan, R. S., Boehme, K. L., Mukherjee, S., Crane, P. K., et al. (2017) · PLOS Medicine · doi:10.1371/journal.pmed.1002272 · Cited by 91 · see citing works
Deschamps, R., Paturel, L., Jeannin, S., Chausson, N., Olindo, S., Béra, O., Bellance, R., Smadja, D., Césaire, D., & Cabre, P. (2010) · Multiple Sclerosis Journal · doi:10.1177/1352458510382810 · Cited by 91 · see citing works
The Transcriptional Landscape of Microglial Genes in Aging and Neurodegenerative Disease
Bonham, L. W., Sirkis, D. W., & Yokoyama, J. S. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.01170 · Cited by 83 · see citing works
Massey, J. C., Sutton, I. J., Ma, D. D. F., & Moore, J. J. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.00410 · Cited by 80 · see citing works
The immunogenetics of neurological disease
Misra, M. K., Damotte, V., & Hollenbach, J. A. (2018) · Immunology · doi:10.1111/imm.12869 · Cited by 74 · see citing works
Origins and immunopathogenesis of autoimmune central nervous system disorders
Ramanathan, S., Brilot, F., Irani, S. R., & Dale, R. C. (2023) · Nature Reviews Neurology · doi:10.1038/s41582-023-00776-4 · Cited by 71 · see citing works
Ethnicity and prevalence of multiple sclerosis in east London
Albor, C., du Sautoy, T., Vanan, N. K., Turner, B. P., Boomla, K., & Schmierer, K. (2016) · Multiple Sclerosis Journal · doi:10.1177/1352458516638746 · Cited by 66 · see citing works
Zhang, Q., Lin, C., Dong, Q., Wang, J., & Wang, W. (2011) · Autoimmunity Reviews · doi:10.1016/j.autrev.2011.03.003 · Cited by 61 · see citing works
Potential association of vitamin D receptor polymorphism Taq1 with multiple sclerosis
Cox, M., Ban, M., Bowden, N. A., Baker, A., Scott, R. J., & Lechner‐Scott, J. (2011) · Multiple Sclerosis Journal · doi:10.1177/1352458511415562 · Cited by 60 · see citing works
“investigations, the HLA-DRB1*1501 allele has remained the strongest genetic risk factor for developing MS.(3) A recent meta-analysis of GWAS data identified rs3135388, the tagging SNP of DRB1*1501, as the most significantly associated SNP in MS (p 1⁄4 3.”
BackgroundThe HLA Class II Allele DRB1*1501 Is Over-Represented in Patients with Idiopathic Pulmonary Fibrosis
Xue, J., Gochuico, B. R., Alawad, A. S., Feghali‐Bostwick, C. A., Noth, I., Nathan, S. D., Rosen, G., Rosas, I. O., Đačić, S., Ocak, İ., et al. (2011) · PLoS ONE · doi:10.1371/journal.pone.0014715 · Cited by 58 · see citing works
“were several-fold less than that measured here, and were also much less than frequencies reported within other large Caucasian control populations”
ResultXiao, D., Ye, X., Zhang, N., Ou, M., Guo, C., Zhang, B., Liu, Y., Wang, M., Yang, G., & Jing, C. (2015) · Scientific Reports · doi:10.1038/srep18083 · Cited by 57 · see citing works
Genome-wide association study identifies five risk loci for pernicious anemia
Laisk, T., Lepamets, M., Koel, M., Abner, E., Metspalu, A., Nelis, M., Milani, L. A., Esko, T., & Mägi, R. (2021) · Nature Communications · doi:10.1038/s41467-021-24051-6 · Cited by 53 · see citing works
The role of polymorphic ERAP1 in autoinflammatory disease
Reeves, E., & James, E. (2018) · Bioscience Reports · doi:10.1042/bsr20171503 · Cited by 55 · see citing works
Sundström, P., Nyström, L., Jidell, E., & Hallmans, G. (2008) · Multiple Sclerosis Journal · doi:10.1177/1352458508092353 · Cited by 55 · see citing works
“The HLA class II haplotype DR 15 is the best studied genetic risk factor for MS and most studies on its alleles have addressed DRB1*1501 [1].”
BackgroundCastillo‐Rama, M., Sebagh, M., Sasatomi, E., Randhawa, P. S., Isse, K., Salgarkar, A. D., Ruppert, K. M., Humar, A., & Demetris, A. J. (2013) · American Journal of Transplantation · doi:10.1111/ajt.12413 · Cited by 54 · see citing works
“Additionally, it is also described in multiple sclerosis where increased production of plasma cells and oligoclonal IgG4 bands are seen (43,44).”
BackgroundHaegert, D. G., Hackenbroch, J., Duszczyszyn, D. A., Fitz-Gerald, L., Zastepa, E., Mason, H., Lapierre, Y., Antel, J. P., & Bar‐Or, A. (2011) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2010.12.007 · Cited by 52 · see citing works
“Thus, it seems unlikely that the DR15-hapolotype (Schmidt et al., 2007) can explain our findings in RRMS or PPMS.”
ResultRaphael, I., Webb, J., Stüve, O., Haskins, W. E., & Forsthuber, T. G. (2014) · Expert Review of Clinical Immunology · doi:10.1586/1744666x.2015.991315 · Cited by 51 · see citing works
“The strongest genetic link for MS susceptibility was established with the genes of the HLA-DR15 haplotype [76].”
BackgroundMills, E. A., & Mao‐Draayer, Y. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.00138 · Cited by 51 · see citing works
“HLA-DRB1*15 is the most well-established susceptibility allele for MS (204), but may confer protection against JCV.”
BackgroundDendritic cells in central nervous system autoimmunity
Sie, C., & Korn, T. (2016) · Seminars in Immunopathology · doi:10.1007/s00281-016-0608-7 · Cited by 47 · see citing works
“It is well established that certain genetic variations inMHC class II molecules on the surface of professional APCs are associated with the disease, most prominently the HLA haplotype DRB1*15:01 in humans [2].”
BackgroundImplications for health and disease in the genetic signature of the Ashkenazi Jewish population
Guha, S., Rosenfeld, J., Malhotra, A. K., Lee, A. T., Gregersen, P. K., Kane, J. M., Pe’er, I., Darvasi, A., & Lencz, T. (2012) · Genome biology · doi:10.1186/gb-2012-13-1-r2 · Cited by 47 · see citing works
“This allele has been associated with susceptibility to multiple sclerosis and other autoimmune diseases [38].”
BackgroundCoexisting narcolepsy (with and without cataplexy) and multiple sclerosis
Kallweit, U., Bassetti, C. L., Oberholzer, M., Fronczek, R., Béguin, M., Strub, M., & Lammers, G. J. (2018) · Journal of Neurology · doi:10.1007/s00415-018-8949-x · Cited by 46 · see citing works
Prostaglandins in pathogenesis and treatment of multiple sclerosis
Mirshafiey, A., & Jadidi‐Niaragh, F. (2010) · Immunopharmacology and Immunotoxicology · doi:10.3109/08923971003667627 · Cited by 44 · see citing works
Multiple sclerosis associates with LILRA3 deletion in Spanish patients
Ordóñez, D., Sánchez, A., Rodríguez, J., Cisneros, E., Ramil, E., Romo, N., Moraru, M., Munteis, E., López‐Botet, M., Roquer, J., et al. (2009) · Genes and Immunity · doi:10.1038/gene.2009.34 · Cited by 45 · see citing works
Imrell, K., Greiner, E., Hillert, J. A., & Masterman, T. (2009) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2009.03.005 · Cited by 43 · see citing works
“Although here, as elsewhere (reviewed in Schmidt et al., 2007), carriage of HLADRB1⁎15 lowered age in MS onset, the allele's effect on age at EDSS 6.0 remained statistically significant after inclusion of onset age in model 1 of Table 2 (HR=1.23 [95% CI, 1.03–1.48; p=0.026]).”
InfluentialNetwork analysis of genes and their association with diseases
Kontou, P. I., Pavlopoulou, A., Dimou, N. L., Pavlopoulos, G. A., & Bagos, P. G. (2016) · Gene · doi:10.1016/j.gene.2016.05.044 · Cited by 41 · see citing works
Immune-mediated genesis of multiple sclerosis
Cavallo, S. (2020) · Journal of Translational Autoimmunity · doi:10.1016/j.jtauto.2020.100039 · Cited by 41 · see citing works
“HLA-DRB1*15:01 has the strongest effect with an average odds (OR) ratio of 3,08 and an additional risk in homozygous subjects [6].”
BackgroundThe Role of HLA DR-DQ Haplotypes in Variable Antibody Responses to Anthrax Vaccine Adsorbed
Pajewski, N., Parker, S. D., Poland, G., Ovsyannikova, I., Song, W.-Z., Zhang, K., McKinney, B., Pankratz, V., Edberg, J., Kimberly, R., et al. (2011) · Genes and Immunity · doi:10.1038/gene.2011.15 · Cited by 35 · see citing works
Gra, O., Mityaeva, O., Berdichevets, I., Kozhekbaeva, Z. M., Fesenko, D., Kurbatova, O., Goldenkova-Pavlova, I., & Nasedkina, T. (2010) · Genetic Testing and Molecular Biomarkers · doi:10.1089/gtmb.2009.0158 · Cited by 35 · see citing works
“…role in many autoimmune disorders, such as multiple sclerosis, psoriasis, type 1 diabetes, rheumatoid arthritis, celiac disease, and others (Laivoranta-Nyman et al ., 2004; Zhang et al ., 2004; Schmidt et al ., 2007; Erlich et al ., 2008; Monsuur et al ., 2008; Resic-Lindehammer et al ., 2008).”
Thewissen, K., Nuyts, A. H., Deckx, N., Wijmeersch, B. V., Nagels, G., D'hooghe, M. B., Willekens, B. M. P., Cras, P. P., Eijnde, B. O., Goossens, H., et al. (2013) · Multiple Sclerosis Journal · doi:10.1177/1352458513505352 · Cited by 39 · see citing works
Ghabaee, M., Bayati, A., Saroukolaei, S. A., Sahraian, M. A., Sanati, M. H., Karimi, P., Houshmand, M., Sadeghian, H., & Chelavi, L. H. (2008) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-008-9302-1 · Cited by 39 · see citing works
“Inconsistent results were obtained between HLA class II alleles and clinical characteristics of MS ( Schmidt et al. 2007 ); some studies found DRB1* 1501 to be associated with a younger age at onset (Hensiek et al. 2002; Smestad et al. 2007) and others did not (Amirzargar et al. 1998; Ballerini et al. 2004).”
ResultRomero-Pinel, L., Pujal, J. M., Martínez‐Yélamos, S., Gubieras, L., Matas, E., Bau, L., Torrabadella, M., Azqueta, C., & Arbizu, T. (2010) · European Journal of Neurology · doi:10.1111/j.1468-1331.2010.03148.x · Cited by 33 · see citing works
“This association has been already well established in most studied cohorts and specially the Caucasian populations [13].”
BackgroundLi, C. F., Zhou, R. W., Mkhikian, H., Newton, B. L., Yu, Z., & Demetriou, M. (2013) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2012.12.008 · Cited by 33 · see citing works
“…response, such as the major histocompatibility complex locus (HLA) and interleukin receptors IL2RA and IL7RA (Gregory et al., 2007; Lundmark et al., 2007; Schmidt et al., 2007; Maier et al., 2009a,b; *Corresponding author at: Department of Neurology, University of California, Irvine, CA 92869, USA.”
Blankenhorn, E. P., Butterfield, R. J., Case, L. K., Wall, E. H., del Río, R., Diehl, S. A., Krementsov, D. N., Saligrama, N., & Teuscher, C. (2011) · Annals of Neurology · doi:10.1002/ana.22642 · Cited by 32 · see citing works
“The heritability of MS is estimated to be 35%, largely associated with the inheritance of susceptible HLA haplotypes that can be present in up to 70% of these MS cases.(2) However, polymorphisms in many other genes have also been associated with MS in genome-wide association studies (GWAS).”
BackgroundJi, N., Somanaboeina, A., Dixit, A., Kawamura, K., Hayward, N. J., Self, C. R., Olson, G. L., & Forsthuber, T. G. (2013) · The Journal of Immunology · doi:10.4049/jimmunol.1300407 · Cited by 32 · see citing works
“In those MS patients who express the DR2b gene [∼60% of all MS patients (23)], selectively blocking this target is expected to disrupt the autoimmune process but not generally compromise the immune system.”
BackgroundŽivković, M., Stanković, A., Dinčić, E., Popović, M., Popovic, S., Raičević, R., & Alavantić, D. (2009) · Clinica Chimica Acta · doi:10.1016/j.cca.2009.05.004 · Cited by 31 · see citing works
Shehab, M., Sherri, N., Hussein, H. M., Salloum, N. A., & Rahal, E. A. (2019) · Journal of Virology · doi:10.1128/jvi.00987-19 · Cited by 30 · see citing works
“This association has been reported in Caucasian populations (17).”
BackgroundFernández, Ó., Antigüedad, A. R., Pinto-Medel, M. J., Mendibe, M. M., Acosta, N., Oliver‐Martos, B., Guerrero, M., Papais-Alvarenga, M., Fernández-Sánchez, V. E., & Leyva, L. (2009) · Journal of Neurology · doi:10.1007/s00415-009-5223-2 · Cited by 30 · see citing works
“Predisposition to MS in Northern European, American and African-American subjects has been most consistently associated with the HLA-DRB1*1501, DQA1*0102, DQB1*0602 haplotype [32, 33, 73 ] or the HLA-DRB1*15 alleles independent of DQB1*0602 [61].”
BackgroundAlnaqbi, H., Mawart, A., Alshamsi, J., AlSafar, H. S., & Tay, G. K. (2021) · Immunogenetics · doi:10.1007/s00251-021-01204-x · Cited by 31 · see citing works
Increased frequency of HLA-DRB1*15 in patients with multifocal motor neuropathy
Sutedja, N. A., Otten, H. G., Cats, E. A., Piepers, S., Veldink, J. H., van der Pol, W. L., & van den Berg, L. H. (2010) · Neurology · doi:10.1212/wnl.0b013e3181d3e2f6 · Cited by 29 · see citing works
Wu, J.-S., JAMES, I. R., Qiu, W., Castley, A. S. L., Christiansen, F., Carroll, W. M., Mastaglia, F. L., & Kermode, A. G. (2009) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2009.11.015 · Cited by 29 · see citing works
“Among the over 600 HLA-DRB1 alleles sequenced to date, the dominant association iswith theHLA-DRB1⁎1501allelewhich is found in over 50% of MS cases in all Caucasian populations so far studied (Schmidt et al., 2007) and which is more likely to be transmitted through the maternal line (Ramagopalan et al.”
HLA‐DRB1 and multiple sclerosis in Argentina
Patrucco, L., Larriba, J., Redal, M. A., Rojas, J. I., Argibay, P. F., & Cristiano, E. (2009) · European Journal of Neurology · doi:10.1111/j.1468-1331.2008.02523.x · Cited by 29 · see citing works
“The results of our study are in accordance with other Caucasian MS surveys that have found that HLADRB1*15 allele is strongly associated with MS disease [1,3,5] (Table 2).”
ResultContributions of vitamin D response elements and HLA promoters to multiple sclerosis risk
Nolan, D. A., Castley, A. S. L., Tschochner, M., JAMES, I. R., Qiu, W., Sayer, D. C., Christiansen, F., Witt, C. S., Mastaglia, F. L., Carroll, W. M., et al. (2012) · Neurology · doi:10.1212/wnl.0b013e318263c407 · Cited by 28 · see citing works
Association of HLA-DRB1*1501 tagging rs3135388 gene polymorphism with multiple sclerosis
Benešová, Y., Vašků, A., Štourač, P., Hladíková, M., Fiala, A., & Bednařík, J. (2012) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2012.10.014 · Cited by 28 · see citing works
“(Schmidt et al., 2007).”
BackgroundResultInfluentialHLA associations with multiple sclerosis in Greece
Kouri, I., Papakonstantinou, S., Bempes, V., Vasiliadis, H. S., Kyritsis, A. P., & Pelidou, S. (2011) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2011.06.037 · Cited by 28 · see citing works
“Recently, Schmidt et al reviewed 70 papers on the association between the DR15 haplotype andMS and reported a higher frequency of the DR15 haplotype and/or its component alleles among MS cases than among controls [9].”
Mirshafiey, A., & Jadidi‐Niaragh, F. (2010) · Immunopharmacology and Immunotoxicology · doi:10.3109/08923970903283662 · Cited by 28 · see citing works
“Through these genes, there are robust association between the HLA locus and susceptibility to MS [16], particularly DR15 haplotype and three alleles of DR2 haplotype, including DRB1*1501, DRB5*0101 and DQB1*0602 [17–19].”
BackgroundPediatric Multiple Sclerosis: Genes, Environment, and a Comprehensive Therapeutic Approach
Cappa, R. N., Theroux, L. M., & Brenton, J. N. (2017) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2017.07.005 · Cited by 29 · see citing works
Dhib-Jalbut, S. S., Valenzuela, R. M., Ito, K., Kaufman, M., Picone, M. A., & Buyske, S. G. (2013) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2013.02.005 · Cited by 27 · see citing works
“Genetic susceptibility in multiple sclerosis (MS) has been inferred from its association with HLA class-II major histocompatibility antigens which control cell mediated immunity (Schmidt et al., 2007).”
BackgroundResultMeléndez‐Torres, G. J., Auguste, P., Armoiry, X., Maheswaran, H., Court, R. A., Madan, J. J., Kan, A., Lin, S., Counsell, C. E., Patterson, J. V., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21520 · Cited by 27 · see citing works
Associated autoimmune diseases in patients with multifocal motor neuropathy and their family members
Cats, E. A., Bertens, A. S., Veldink, J. H., van den Berg, L. H., & van der Pol, W. L. (2011) · Journal of Neurology · doi:10.1007/s00415-011-6315-3 · Cited by 27 · see citing works
“We previously found that HLA-DRB1*15 is more prevalent among patients with MMN than in population based controls [15] similar to patients with MS [13].”
ResultThe role of ERAP1 in autoinflammation and autoimmunity
Pepelyayeva, Y., & Amalfitano, A. (2019) · Human Immunology · doi:10.1016/j.humimm.2019.02.013 · Cited by 26 · see citing works
Association of HLA‐DRB1*15 allele and CSF oligoclonal bands in a Spanish multiple sclerosis cohort
Romero-Pinel, L., Martínez‐Yélamos, S., Bau, L., Matas, E., Gubieras, L., Pujal, J. M., Morandeira, F., Bas, J., & Arbizu, T. (2011) · European Journal of Neurology · doi:10.1111/j.1468-1331.2011.03379.x · Cited by 26 · see citing works
“Multiple sclerosis (MS) is an autoimmune demyelinating complex genetic disease in which the association with the HLA-DR2 haplotype has been well established in most studied populations [1].”
BackgroundEnvironmental Factors Related to Multiple Sclerosis in Indian Population
Malli, C., Pandit, L., D’Cunha, A., & Mustafa, S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0124064 · Cited by 26 · see citing works
“Availability of suitable environmental triggers may determine the prevalence of autoimmune disorders such as MS given that genetic susceptibility is the same in most parts of the world [27].”
BackgroundThe role of non-HLA single nucleotide polymorphisms in multiple sclerosis susceptibility
Bahreini, S. A., Jabalameli, M. R., Saadatnia, M., & Zahednasab, H. (2010) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2010.08.002 · Cited by 26 · see citing works
“Among the suspected susceptibility genes, HLA-DRB1 on chromosome 6p21 is the most remarkable locus contributed to MS genetic susceptibility (Schmidt et al., 2007).”
BackgroundPeptide mimotopes alter T cell function in cancer and autoimmunity
Slansky, J. E., & Nakayama, M. (2020) · Seminars in Immunology · doi:10.1016/j.smim.2020.101395 · Cited by 25 · see citing works
“Specific HLA alleles and haplotypes provide susceptibility or protection from the disease, such as susceptibility with DQ2 and DQ8 in celiac disease [49–51], DR3-DQ2/ DR4-DQ8 in type 1 diabetes [52–54], DQB1*0602 in narcolepsy [55, 56], and DR15-DQ6 in multiple sclerosis [57, 58].”
BackgroundEpigenetics in Multiple Sclerosis
Chan, V. S. F. (2020) · Advances in experimental medicine and biology · doi:10.1007/978-981-15-3449-2_12 · Cited by 25 · see citing works
Identification of Genetic Determinants of the Sexual Dimorphism in CNS Autoimmunity
Bearoff, F. M., Case, L. K., Krementsov, D. N., Wall, E. H., Saligrama, N., Blankenhorn, E. P., & Teuscher, C. (2015) · PLoS ONE · doi:10.1371/journal.pone.0117993 · Cited by 25 · see citing works
Macrophages and HLA-Class II Alleles in Multiple Sclerosis: Insights in Therapeutic Dynamics
Prapas, P., & Anagnostouli, M. C. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25137354 · Cited by 25 · see citing works
“DRB1*15:01 is often found in combination with DQB1*06:02 and DQA1*01:02 alleles [41]; this combination are risk markers for MS even though their functional role has been controversial.”
BackgroundLing, F., Wei, L., Wang, T., Wang, H., Zhuo, M., Du, H., Wang, J., & Wang, X. (2010) · Immunogenetics · doi:10.1007/s00251-010-0498-0 · Cited by 24 · see citing works
“It has been reported that HLA-DQB1 alleles have been associated as an increased risk of developing type 1 diabetes (Todd 1990; Todd 1997; Redondo et al. 2001), celiac disease (Murray et al. 2007), multiple sclerosis (Dyment et al. 1997; Schmidt et al. 2007, and narcolepsy (Kadotani et al. 1998).”
BackgroundRaphael, I., Gomez‐Rivera, F., Raphael, R. A., Robinson, R. R., Nalawade, S. A., & Forsthuber, T. G. (2019) · JCI Insight · doi:10.1172/jci.insight.132527 · Cited by 24 · see citing works
“Discussion MS has both genetic and environmental predispositions, including HLA-DR2b (28).”
BackgroundImmunological tests and their interpretation in uveitis
Rathinam, S., Tuğal-Tutkun, İ., Agarwal, M., Vedhanayaki, R., Egriparmak, M., & Patnaik, G. (2020) · Indian Journal of Ophthalmology · doi:10.4103/ijo.ijo_570_20 · Cited by 22 · see citing works
“[119] Both idiopathic intermediate uveitis (pars planitis) and multiple sclerosis have been found to be associated with the HLA-DR15 subtype of HLA-DR2.”
BackgroundMassey, J. C., Jackson, K., Singh, M., Hughes, B., Withers, B., Ford, C., Khoo, M., Hendrawan, K., Zaunders, J. J., Muylder, B. C.-D., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.798300 · Cited by 22 · see citing works
Wu, J.-S., JAMES, I. R., Qiu, W., Castley, A. S. L., Christiansen, F., Carroll, W. M., Mastaglia, F. L., & Kermode, A. G. (2010) · Multiple Sclerosis Journal · doi:10.1177/1352458510362997 · Cited by 22 · see citing works
“Of the more than 600 alleles so far identified at this locus the HLA-DRB1*1501 allele has been found in over 50% of cases of MS in most Caucasian populations studied.(3) Other alleles associated with an increased risk include HLA-DRB1*0301 (DR3 haplotype, or DR17), which has been reported in several populations,(4,5,6…”
BackgroundAutoantigens and autoantibodies in multiple sclerosis.
Mirshafiey, A., & Kianiaslani, M. (2013) · PubMed · Cited by 21 · see citing works
Replication analysis of variants associated with multiple sclerosis risk
Dashti, M., Ateyah, K., Alroughani, R., & Al-Temaimi, R. A. (2020) · Scientific Reports · doi:10.1038/s41598-020-64432-3 · Cited by 20 · see citing works
Mack, S. J., Udell, J. B. M., Cohen, F., Osoegawa, K., Hawbecker, S. K., Noonan, D. A., Ladner, M. B., Goodridge, D., Trachtenberg, E., Oksenberg, J. R., et al. (2018) · Genes and Immunity · doi:10.1038/s41435-017-0006-8 · Cited by 20 · see citing works
“studies [4, 45, 46], DRB1*15:01~DQB1*06:02 confers very high disease risk in this population (OR= 3.”
Fernández, Ó., Fernández, V., Martinez-Cabrera, V., Mayorga, C., Alonso, A., León, A., Arnal, C., Hens, M. J., Luque, G., de Ramón, E., et al. (2008) · Tissue Antigens · doi:10.1111/j.1399-0039.2008.01016.x · Cited by 20 · see citing works
Wiśniewski, A., Wagner, M., Nowak, I., Bilińska, M. M., Pokryszko‐Dragan, A., Jasek, M., & Kuśnierczyk, P. (2012) · Human Immunology · doi:10.1016/j.humimm.2012.12.006 · Cited by 19 · see citing works
Katsavos, S., Artemiadis, A., Davaki, P., Stamboulis, E., Kilindireas, K., & Anagnostouli, M. C. (2018) · Clinical Neurology and Neurosurgery · doi:10.1016/j.clineuro.2018.08.021 · Cited by 19 · see citing works
Clinical and transcriptional recovery profiles in pediatric and adult multiple sclerosis patients
Menascu, S., Khavkin, Y., Zilkha‐Falb, R., Dolev, M., Magalashvili, D., Achiron, A., & Gurevich, M. (2020) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.51244 · Cited by 19 · see citing works
Multiple sclerosis in Colombia and other Latin American Countries
Toro, J., Cárdenas‐Robledo, S., Martínez, C., Urrutia, J., & Díaz, C. (2012) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2012.09.001 · Cited by 19 · see citing works
“(2010) did not find an association between MS frequency and HLA-DRB1n1501, which is the allele most consistently associated with MS worldwide (Schmidt et al., 2007; Hafler et al., 2007; Esposito et al., 2010), including Latin American countries such as Mexico (Al aez et al.”
BackgroundInterleukin 2 Receptor α Gene Polymorphism and Risk of Multiple Sclerosis: A Meta-Analysis
Wang, L., Zhang, D.-M., Xu, Y.-M., & Sun, S.-L. (2011) · Journal of International Medical Research · doi:10.1177/147323001103900505 · Cited by 19 · see citing works
Genetic factors and multiple sclerosis in the Moroccan population: A role for HLA class II
Ouadghiri, S., Taoussi, K. E. A., Brick, C., Benhaddou, E. H. A., Benseffaj, N., Benomar, A., Yahyaoui, M., & Essakalli, M. (2013) · Pathologie Biologie · doi:10.1016/j.patbio.2013.05.002 · Cited by 18 · see citing works
Wang, M., Nie, N., Feng, S., Shi, J., Ge, M., Li, X., Shao, Y., Huang, J., & Zheng, Y. (2014) · Human Immunology · doi:10.1016/j.humimm.2014.06.011 · Cited by 18 · see citing works
Sex-Specific Environmental Impacts on Initiation and Progression of Multiple Sclerosis
Leffler, J., Trend, S., Gorman, S., & Hart, P. H. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.835162 · Cited by 18 · see citing works
“There are several risk factors for MS, including genetic polymorphisms, relating mainly to variants in HLA-DR, where HLA-DRB115:01 has the strongest link with increased risk of MS (13).”
BackgroundALCAM — Novel multiple sclerosis locus interfering with HLA-DRB1*1501
Wagner, M., Wiśniewski, A., Bilińska, M. M., Pokryszko‐Dragan, A., Nowak, I., Kuśnierczyk, P., & Jasek, M. (2013) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2013.02.015 · Cited by 18 · see citing works
“This association on almost the same cohort of patients and controls was earlier detected in our laboratory and described by Wiśniewski et al. (2013). This result is in line with those obtained in most European populations (Schmidt et al.”
ResultAtan, D., Heissigerova, J., Kuffová, L., Hogan, A. C., Kilmartin, D. J., Forrester, J. V., Bidwell, J. L., Dick, A. D., & Churchill, A. (2013) · Europe PMC (PubMed Central) · Cited by 17 · see citing works
Yamout, B., Karaky, N., Mahfouz, R. A., Jaber, F., Estaitieh, N., Shammaa, D. M. R., Abbas, F., Hoteit, R. M., & Daher, R. T. (2016) · Journal of Neuroimmunology · doi:10.1016/j.jneuroim.2016.02.008 · Cited by 17 · see citing works
“Furthermore, no interaction between DRB1*15 and DRB1*08 was observed in our study; a combination usually known to increase the susceptibility to MS (Schmidt et al., 2007).”
Multiple Sclerosis: Epidemiology, Genetics, Symptoms, and Unmet Needs
Moreno‐Torres, I., Muñoz, J. S., & García‐Merino, A. (2019) · Royal Society of Chemistry eBooks · doi:10.1039/9781788016070-00001 · Cited by 17 · see citing works
An impact of air pollution on moderate to severe relapses among multiple sclerosis patients
Elgabsi, M., Novack, L., Yarza, S., Elgabsi, M., Shtein, A., & Ifergane, G. (2021) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2021.103043 · Cited by 17 · see citing works
Kearns, P. K. A., Martin, S. J., Chang, J. C., Meijboom, R., York, E. N., Chen, Y., Weaver, C., Stenson, A., Hafezi, K., Thomson, S., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-058506 · Cited by 17 · see citing works
Anagnostouli, M. C., Anagnostoulis, G., Katsavos, S., Panagiotou, M., Kararizou, E. G., & Davaki, P. (2014) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2014.02.003 · Cited by 17 · see citing works
“The various different conditions and subsequent treatments previously analyzed are summarized in Table 2, with comments on possible HLA and EBV correlations, based on the international literature [1,2,6–8,22–32].”
MethodOccupational Exposure and Risk of Central Nervous System Demyelination
Valery, P. C., Lucas, R. M., Williams, D. B., Pender, M. P., Chapman, C., Coulthard, A., Dear, K. B. G., Dwyer, T., Kilpatrick, T. J., McMichael, A. J., et al. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kws361 · Cited by 17 · see citing works
- Authors
- Schmidt, H., Williamson, D., & Ashley-Koch, A.
- Affiliations
- Accelerated Cure Project for Multiple Sclerosis (US)
- Centers for Disease Control and Prevention (US)
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-02-28
- Volume
- 165
- Issue
- 10
- Pages
- 1097-1109
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2146798707
- Cited by
- 212
- References
- 146
- Citations by year
- 2026: 10 · 2025: 9 · 2024: 10 · 2023: 5 · 2022: 12 · 2021: 8 · 2020: 14 · 2019: 10 · 2018: 16 · 2017: 13 · 2016: 9 · 2015: 14 · 2014: 7 · 2013: 15 · 2012: 13
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
- Keywords
- multiple sclerosis, HLA-DRB1*1501, HLA-DQA1*0102, HLA-DQB1*0602, genetic susceptibility, HLA complex, allele frequency, case-control study, family-based association study, study design bias
- MeSH terms
- Alleles, Multigene Family, Haplotypes, HLA-D Antigens, Humans, Multiple Sclerosis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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