Validation of the reshaped shared epitope HLA-DRB1 classification in rheumatoid arthritis
2006

Validation of HLA-DRB1 Classification in Rheumatoid Arthritis

Sample size: 200 publication 10 minutes Evidence: high

Author Information

Author(s): Michou Laëtitia, Croiseau Pascal, Petit-Teixeira Elisabeth, du Montcel Sophie Tezenas, Lemaire Isabelle, Pierlot Céline, Osorio José, Frigui Wafa, Lasbleiz Sandra, Quillet Patrick, Bardin Thomas, Prum Bernard, Clerget-Darpoux Françoise, Cornélis François

Primary Institution: University Evry-Paris VII Medical School

Hypothesis

The study tests the validity of a new classification of HLA-DRB1 alleles in relation to rheumatoid arthritis risk.

Conclusion

The new classification of HLA-DRB1 alleles was validated, showing a consistent risk hierarchy for rheumatoid arthritis genotypes.

Supporting Evidence

  • The S2 and S3P alleles were significantly over-transmitted.
  • The S1, S3D, and X alleles were under-transmitted.
  • The risk hierarchy of the six derived genotypes was consistent across samples.

Takeaway

Researchers checked a new way to group genes related to rheumatoid arthritis and found it works well.

Methodology

An association study using conditional logistic regression was performed on 200 trio families to evaluate the risk hierarchy of HLA-DRB1 genotypes.

Potential Biases

Potential selection bias due to the long disease duration and the exclusion of certain alleles from analysis.

Limitations

The study may have survivor bias due to the long duration of RA in the samples and small sample sizes for some alleles.

Participant Demographics

Participants were 100 RA patients from French Caucasian families.

Statistical Information

P-Value

1.9 × 10-6

Confidence Interval

95% CI 9.9–49.7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/ar1949

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