RT Journal Article T1 Association of HLA-B*41:02 with Henoch-Schönlein Purpura (IgA Vasculitis) in Spanish individuals irrespective of the HLA-DRB1 status. A1 López-Mejías, Raquel A1 Genre, Fernanda A1 Sevilla Pérez, Belén A1 Castañeda, Santos A1 Ortego-Centeno, Norberto A1 Llorca, Javier A1 Ubilla, Begoña A1 Remuzgo-Martínez, Sara A1 Mijares, Verónica A1 Pina, Trinitario A1 Calvo-Río, Vanesa A1 Márquez, Ana A1 Miranda-Filloy, José A A1 Navas Parejo, Antonio A1 Conde-Jaldón, Marta A1 Ortiz-Fernández, Lourdes A1 Argila, Diego A1 Aragües, Maximiliano A1 Rubio, Esteban A1 León Luque, Manuel A1 Blanco-Madrigal, Juan María A1 Galíndez-Aguirregoikoa, Eva A1 González Escribano, Francisca A1 Ocejo-Vinyals, J Gonzalo A1 Martín, Javier A1 Blanco, Ricardo A1 González-Gay, Miguel A K1 Adolescente K1 Niño K1 Preescolar K1 Femenino K1 Estudios de seguimiento K1 Estudios de asociación genética K1 Predisposición genética a la enfermedad K1 Antígenos HLA-B K1 Cadenas HLA-DRB1 K1 Humanos K1 Masculino K1 Púrpura de Schoenlein-Henoch K1 Adulto joven K1 España AB INTRODUCTION:A study was conducted to determine whether the human leukocyte antigen (HLA) B alleles are implicated in the susceptibility to Henoch-Schönlein purpura (HSP) in the largest series of Caucasian HSP patients ever assessed for genetic studies.METHODS:The study population was composed of 349 Spanish patients diagnosed with HSP fulfilling the American College of Rheumatology and the Michel et al. classification criteria, and 335 sex and ethnically matched controls. HLA-B phenotypes were determined by sequencing-based typing (SBT) and analyzed by chi-square or Fisher exact test.RESULTS:A statistically significant increase of HLA-B*41:02 allele in HSP patients when compared with controls was found (8.3% versus 1.5% respectively; P = 0.0001; OR (odds ratio) =5.76 [2.15-19.3]). These results remained statistically significant after adjusting for Bonferroni correction (P = 0.0028). An internal validation also confirmed the susceptibility effect on HSP associated with HLA-B*41:02 (OR = 5.70 [1.98-16.44]). Since a former study described an association between HLA-DRB1*01:03 and HSP susceptibility, we also evaluated the implication of HLA-B*41:02 independently of HLA-DRB1*01:03. Interestingly, the association remained statistically significant (P = 0.0004, OR = 4.97 [1.8-16.9]). No HLA-B association with specific HSP clinical features was found.CONCLUSIONS:Our study indicates that HLA-B*41:02 is associated with the susceptibility to HSP in Spanish patients irrespective of HLA-DRB1 status. PB BioMed Central SN 1478-6354 YR 2015 FD 2015-04-14 LK http://hdl.handle.net/10668/2625 UL http://hdl.handle.net/10668/2625 LA en NO López-Mejías R, Genre F, Pérez BS, Castañeda S, Ortego-Centeno N, Llorca J, et al. Association of HLA-B*41:02 with Henoch-Schönlein Purpura (IgA Vasculitis) in Spanish individuals irrespective of the HLA-DRB1 status. Arthritis Res. Ther. 2015; 17:102 NO This study was supported by a grant from ‘Fondo de Investigaciones Sanitarias’ PI12/00193 (Spain). RLM is a recipient of a Sara Borrell postdoctoral fellowship from the Instituto de Salud Carlos III at the Spanish Ministry of Health (Spain) (CD12/00425). FG and BU are supported by funds from the RETICS Program (RIER) (RD12/0009/0013). DS RISalud RD Apr 18, 2025