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Neuromyelitis optica is an HLA associated disease different from Multiple Sclerosis: a systematic review with meta-analysis
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Abstract
Neuromyelitis Optica and Multiple Sclerosis are idiopathic inflammatory demyelinating diseases of the central nervous system that currently are considered distinct autoimmune diseases, so differences in genetic susceptibility would be expected. This study aimed to investigate the HLA association with Neuromyelitis Optica by a systematic review with meta-analysis. The STROBE instrument guided research paper assessments. Thirteen papers published between 2009 and 2020 were eligible. 568 Neuromyelitis Optica patients, 41.4% Asians, 32.4% Latin Americans and 26.2% Europeans were analyzed. Only alleles of the
DRB1
locus were genotyped in all studies. Neuromyelitis Optica patients have 2.46 more chances of having the
DRB1
*03 allelic group than controls. Ethnicity can influence genetic susceptibility. The main HLA association with Neuromyelitis Optica was the
DRB1
*03:01 allele in Western populations and with the
DPB1
*05:01 allele in Asia. Differences in the Multiple Sclerosis and Neuromyelitis Optica genetic susceptibility was confirmed in Afro descendants. The
DRB1
*03 allelic group associated with Neuromyelitis Optica has also been described in other systemic autoimmune diseases.
Springer Science and Business Media LLC
Title: Neuromyelitis optica is an HLA associated disease different from Multiple Sclerosis: a systematic review with meta-analysis
Description:
Abstract
Neuromyelitis Optica and Multiple Sclerosis are idiopathic inflammatory demyelinating diseases of the central nervous system that currently are considered distinct autoimmune diseases, so differences in genetic susceptibility would be expected.
This study aimed to investigate the HLA association with Neuromyelitis Optica by a systematic review with meta-analysis.
The STROBE instrument guided research paper assessments.
Thirteen papers published between 2009 and 2020 were eligible.
568 Neuromyelitis Optica patients, 41.
4% Asians, 32.
4% Latin Americans and 26.
2% Europeans were analyzed.
Only alleles of the
DRB1
locus were genotyped in all studies.
Neuromyelitis Optica patients have 2.
46 more chances of having the
DRB1
*03 allelic group than controls.
Ethnicity can influence genetic susceptibility.
The main HLA association with Neuromyelitis Optica was the
DRB1
*03:01 allele in Western populations and with the
DPB1
*05:01 allele in Asia.
Differences in the Multiple Sclerosis and Neuromyelitis Optica genetic susceptibility was confirmed in Afro descendants.
The
DRB1
*03 allelic group associated with Neuromyelitis Optica has also been described in other systemic autoimmune diseases.
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