HLA-DRB1*03 is associated with systemic lupus erythematosus and anti -SSB production in South Tunisia

Authors

  • Hend Hachicha Immunology Departement CHU Habib Bourguiba, Sfax, UR12SP14, Habib Bourguiba university Hospital of Sfax, Sfax, Tunisia
  • Arwa Kammoun Histocompatibility department, Hedi Chaker university Hospital, University of Sfax, Tunisia
  • Nadia Mahfoudh Histocompatibility department, Hedi Chaker university Hospital, University of Sfax, Tunisia
  • Sameh Marzouk Internal Medecine department, Hedi Chaker university Hospital, University of Sfax, Tunisia
  • Hajer Fourati UR12SP14, Habib Bourguiba university Hospital of Sfax, Sfax, Tunisia
  • Samy Haddouk Immunology department, Habib Bourguiba university Hospital of Sfax, Sfax,Tunisia UR12SP14, Habib Bourguiba university Hospital of Sfax, Sfax, Tunisia
  • Raouia Fakhfakh UR12SP14, Habib Bourguiba university Hospital of Sfax, Sfax, Tunisia
  • Sawsan Feki Immunology department, Habib Bourguiba university Hospital of Sfax, Sfax,Tunisia
  • Faten Frikha Internal Medecine department, Hedi Chaker university Hospital, University of Sfax, Tunisia
  • Lilia Gaddour Histocompatibility department, Hedi Chaker university Hospital, University of Sfax, Tunisia
  • Feiza Hakim Histocompatibility department, Hedi Chaker university Hospital, University of Sfax, Tunisia
  • Zouheir Bahloul Internal Medecine department, Hedi Chaker university Hospital, University of Sfax, Tunisia
  • Hafedh Makni
  • Hatem Masmoudi

Keywords:

Association, HLA, systemic lupus erythematosus, disease clinical expression

Abstract

Systemic Lupus erythematosus (SLE) is an autoimmune disease with various presentations. This variation is due to the interaction of hormonal, environmental and genetic factors. Associations between human leucocyte antigens and SLE have long been recognized in different ethnic populations and have been suggested to represent the most important association.

Objectives: The objectives of this paper were to determine susceptibility and protection HLA class II markers for SLE and to highlight, for the first time, associations between HLA alleles and clinical and serological features in South Tunisia.

Methods:  We conducted a case-control study on 75 SLE patients and 123 healthy controls. The HLA class II DRB1/DQB1 of all patients and controls was genotyped using PCR-SSP technique. Statistical analysis was performed using SPSS software.

Results: HLA-DRB1*03 was the principal classII allele associated with the genetic susceptibility to SLE (pc=0.02; OR=2.57; CI=(1.39-4.75); this allele was also associated with anti-SSB production (p=0.016; OR=4.00; CI=(1.24-12.96)). HLA- DRB1*01 was significantly more expressed in SLE patients with neurologic disorders (p=0.013; OR=20.25; CI= (1.87-219.21)). No allele was found to be protective against SLE in our study group.

Conclusion:  Our results show that in south Tunisia SLE is associated with HLA-DRB1*03 and that some clinical features of SLE may be influenced by specific DRB1 and DQB1 alleles.

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Published

2018-01-15

How to Cite

Hachicha, H., Kammoun, A., Mahfoudh, N., Marzouk, S., Fourati, H., Haddouk, S., Fakhfakh, R., Feki, S., Frikha, F., Gaddour, L., Hakim, F., Bahloul, Z., Makni, H., & Masmoudi, H. (2018). HLA-DRB1*03 is associated with systemic lupus erythematosus and anti -SSB production in South Tunisia. International Journal of Health Sciences, 12(1). Retrieved from https://pub.qu.edu.sa/index.php/journal/article/view/1982

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Original Paper