Association of HLA-DQB1 polymorphisms with rheumatoid arthritis: a meta-analysis. Issue 1104 (28th April 2017)

• Record Type: Journal Article
• Authors: Wu, Jun; Li, Jun; Li, Si; Zhang, Tian-Ping; Li, Lian-Ju; Lv, Tian-Tian; Pan, Hai-Feng; Ye, Dong-Qing
• Is Part Of: Postgraduate medical journal. Volume 93:Issue 1104(2017)
• Page Start: 618
• Page End: 625
• Publication Date: 2017-04-28
• Subjects: HLA-DQB -- meta-analysis -- polymorphisms -- rheumatoid arthritis; Medicine -- Periodicals; 610
• DOI: 10.1136/postgradmedj-2016-134724
• Languages: English
• ISSNs: 0032-5473

Abstract

ABSTRACT: Aim: Studies investigating the association between HLA-DQB1 alleles and rheumatoid arthritis (RA) have reported conflicting results. The purpose of this study was to evaluate whether DQB1 alleles confer susceptibility to RA. Design: A comprehensive literature search up to May 2016 was conducted to identify case-control studies on the association of HLA-DQB1 alleles with RA. Pooled ORs with 95% CIs were used to assess the strength of association. Setting: The literature indicates that HLA-DQB1 is associated with susceptibility to RA. Main outcome measures: Frequencies of HLA-DQB1 alleles and phenotype in RA patients and healthy controls. Results: Fifteen studies with 1250 cases and 1621 controls were included in this meta-analysis. DQB1 alleles were associated with RA susceptibility. The frequencies of DQB1*06 were lower in RA (p-value for comparability=0.007, OR 0.726, 95% CI 0.576 to 0.916; p = 0.004, OR 0.611, 95% CI 0.438 to 0.852). The frequencies of DQB1*02 were lower in RA (p = 0.044, OR 0.731, 95% CI 0.597 to 0.895). A higher frequency of DQB1*04 was observed in RA (p = 0.023, OR 1.604, 95% CI 1.067 to 2.410). Conclusions: This meta-analysis demonstrates that DQB1*02 and DQB1*06 may be negatively associated with RA. Conversely, DQB1*04 may confer susceptibility to RA.