HLA allele distribution distinguishes sporadic inclusion body myositis from hereditary inclusion body myopathies

J Neuroimmunol. 1998 Apr 15;84(2):139-42. doi: 10.1016/s0165-5728(97)00245-2.

Abstract

We studied the HLA class II associations in patients with sporadic inclusion body myositis (s-IBM) and hereditary inclusion body myopathies (h-IBM) and attempted to distinguish these myopathies on the basis of HLA allele assignments. Forty-five patients, 30 with s-IBM and 15 with h-IBM, underwent HLA class II allele-specific typing using polymerase chain reaction sequence-specific primers for 71 alleles contained in the DRbeta1, DRbeta3-5, and DQbeta1 loci. In s-IBM, we found a high (up to 77%) frequency of DRbeta1*0301, DRbeta3*0101 (or DRbeta3*0202) and DQbeta1*0201 alleles. No significant association with alleles in the DR and DQ haplotypes was found among the 15 h-IBM patients. The strong association of prominent alleles with s-IBM, but not h-IBM, suggests that s-IBM is a distinct disorder with an immunogenetic background that differs from h-IBM.

MeSH terms

  • Aged
  • Alleles
  • Diagnosis, Differential
  • Female
  • Gene Frequency
  • Genetic Diseases, Inborn / diagnosis*
  • Genetic Diseases, Inborn / genetics*
  • Genetic Diseases, Inborn / immunology
  • HLA-DQ Antigens / genetics
  • HLA-DR Antigens / genetics
  • Histocompatibility Testing*
  • Humans
  • Male
  • Middle Aged
  • Myositis, Inclusion Body / diagnosis*
  • Myositis, Inclusion Body / genetics*
  • Myositis, Inclusion Body / immunology

Substances

  • HLA-DQ Antigens
  • HLA-DR Antigens