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The Distribution of HLA-DRB4 Alleles Among HLA-DRB1*07:01-Positive Haplotypes in Saudi Arabia

Sheerin A. Alandejani

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

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Fatma Aytül Uyar

Fatma Aytül Uyar

Department of Physiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey

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Abdullah Alrasheed

Abdullah 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

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Mohammed Alghamdi

Mohammed 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

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Asma Albaihed

Asma 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

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Abdullah S. Matyuri

Abdullah 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

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Abdulrahman Alkhaibari

Abdulrahman 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

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Aishah Alanazi

Aishah 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

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Mohammed Alzahrani

Mohammed 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

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Abdullah Alshubaili

Abdullah 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

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Hanan Anazi

Hanan 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

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Ali H. Hajeer

Corresponding 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

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First published: 29 June 2025

Funding: 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.

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.

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