The Distribution of HLA-DRB4 Alleles Among HLA-DRB1*07:01-Positive Haplotypes in Saudi Arabia
Sheerin A. Alandejani
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorFatma Aytül Uyar
Department of Physiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
Search for more papers by this authorAbdullah Alrasheed
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorMohammed Alghamdi
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAsma Albaihed
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAbdullah S. Matyuri
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAbdulrahman Alkhaibari
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAishah Alanazi
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorMohammed Alzahrani
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAbdullah Alshubaili
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorHanan Anazi
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorCorresponding Author
Ali H. Hajeer
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
RAK Medical & Health Sciences University, Ras Al Khaimah, UAE
Search for more papers by this authorSheerin A. Alandejani
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorFatma Aytül Uyar
Department of Physiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
Search for more papers by this authorAbdullah Alrasheed
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorMohammed Alghamdi
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAsma Albaihed
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAbdullah S. Matyuri
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAbdulrahman Alkhaibari
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAishah Alanazi
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorMohammed Alzahrani
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorAbdullah Alshubaili
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorHanan Anazi
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Search for more papers by this authorCorresponding Author
Ali H. Hajeer
Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City—Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
RAK Medical & Health Sciences University, Ras Al Khaimah, UAE
Search for more papers by this authorFunding: The authors received no specific funding for this work.
ABSTRACT
This study investigates the distribution of human leukocyte antigen (HLA)-DRB4 alleles in HLA-DRB1*07:01-positive haplotypes within a Saudi cohort of 313 individuals. It identifies strong linkage disequilibrium between HLA-DRB1*07:01 and specific alleles. The most prevalent HLA-DRB1∼DQB1 combination identified is DRB1*07:01∼DQB1*02:02. Additionally, for the HLA-DRB1*07:01∼DQB1*03:03 association, DRB4*01:01 was found to be more common than the DRB4*01:03N allele. The most frequently observed extended haplotype is HLA-A*02:01∼C*06:02∼B*50:01∼DRB1*07:01∼DRB4*01:03∼DQA1*02:01∼DQB1*02:02∼DPA1*01:03∼DPB1*04:01. These findings emphasize the distinct genetic characteristics of the Saudi population and contribute to understanding haplotypic diversity, particularly the prevalence of HLA-DR7-related alleles and their implications for disease susceptibility and transplantation compatibility.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
References
- Aboulaghras, S., D. Piancatelli, K. Taghzouti, et al. 2023. “Meta-Analysis and Systematic Review of HLA DQ2/DQ8 in Adults With Celiac Disease.” International Journal of Molecular Sciences 24, no. 2: 1188.
- Aldaher, A., M. M. Alali, N. Ourfali, et al. 2024. “Celiac Disease and Intussusception: A Common Association in Children.” Pediatric Emergency Care 40, no. 6: e76–e79.
- Al-Mamari, F., A. Al-Shirawi, D. Banodkar, et al. 2009. “HLA Antigens in Omani Psoriasis Vulgaris Patients.” Oman Medical Journal 24, no. 1: 27–29.
- Center for Arab Genomic Studies. 2013. “ Major Histocompatibility Complex, Class II, DR Alpha.” In The Catalogue for Transmission Genetics in Arabs CTGA Database. https://www.cags.org.ae/ctga/.
- Dendrou, C. A., J. Petersen, J. Rossjohn, and L. Fugger. 2018. “HLA Variation and Disease.” Nature Reviews Immunology 18, no. 5: 325–339.
- Excoffier, L., G. Laval, and S. Schneider. 2007. “Arlequin (Version 3.0): An Integrated Software Package for Population Genetics Data Analysis.” Evolutionary Bioinformatics Online 1: 47–50.
- Grubic, Z., M. Maskalan, L. Radmanic, K. Stingl Jankovic, M. Burek Kamenaric, and R. Zunec. 2018. “The Distribution of the DRB4*01:03:01:02N Null Allele in HLA-DRB1∼DQB1 Haplotypes in the Croatian Population.” HLA 91, no. 1: 23–28.
- Jawdat, D., F. A. Uyar, A. Alaskar, C. R. Muller, and A. Hajeer. 2020. “HLA-A, -B, -C, -DRB1, -DQB1, and -DPB1 Allele and Haplotype Frequencies of 28,927 Saudi Stem Cell Donors Typed by Next-Generation Sequencing.” Frontiers in Immunology 11: 544768.
- Karan, M. A., N. E. Tascioglu, A. O. Ozturk, S. Palanduz, and M. Carin. 2002. “The Role of HLA Antigens in Chronic Hepatitis B Virus Infection.” JPMA the Journal of the Pakistan Medical Association 52, no. 6: 253–256.
- Kebasi, S., A. Liacini, A. Shawhatti, H. AlHarbi, and R. Al-Attas. 2015. “Usual and Unusual Association of DRB4∗ 01: 03N Null Allele, With HLA DRB1∗ DQB1∗ Haplotypes: First Report From Arab Population.” Human Immunology 76: 74.
- Mosaad, Y. M. 2015. “Clinical Role of Human Leukocyte Antigen in Health and Disease.” Scandinavian Journal of Immunology 82, no. 4: 283–306.
- Niu, T. 2004. “Algorithms for Inferring Haplotypes.” Genetic Epidemiology 27, no. 4: 334–347.
- Noble, J. A., J. Johnson, J. A. Lane, and A. M. Valdes. 2011. “Race-Specific Type 1 Diabetes Risk of HLA-DR7 Haplotypes.” Tissue Antigens 78, no. 5: 348–351.
- Robinson, J., D. J. Barker, and S. G. E. Marsh. 2024. “25 years of the IPD-IMGT/HLA Database.” HLA 103, no. 6: e15549.
- Scherak, O., J. S. Smolen, and W. R. Mayr. 1983. “HLA-DR Antigens and Disease Patterns of Rheumatoid Arthritis.” Rheumatology International 3, no. 3: 113–116.
- Schmitt-Egenolf, M., T. H. Eiermann, W. H. Boehncke, M. Ständer, and W. Sterry. 1996. “Familial Juvenile Onset Psoriasis Is Associated With the Human Leukocyte Antigen (HLA) Class I Side of the Extended Haplotype Cw6-B57-DRB1*0701-DQA1*0201-DQB1*0303: a Population- and Family-Based Study.” Journal of Investigative Dermatology 106, no. 4: 711–714.
- Sidahmed, A. M., L. Stamm, K. Randrup, et al. 2015. “Uncommon DR7-DR53-DQ Haplotypes in Four Canadian Subjects.” Human Immunology 76: 151.
- Turner, D. 2004. “The Human Leucocyte Antigen (HLA) System.” Vox Sanguinis 87, no. S1: 87–90.
- Zalzala, H. H., G. A. Abdullah, M. Y. Abbas, H. R. Mohammedsalih, and B. M. Mahdi. 2018. “Relationship Between Human Leukocyte Antigen DRB1 and Psoriasis in Iraqi Patients.” Saudi Medical Journal 39, no. 9: 886–890.
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