HLA-DQB1*02 allele in children with celiac disease: Potential usefulness for screening strategies

被引:10
|
作者
Poddighe, Dimitri [1 ,2 ]
Capittini, Cristina [3 ]
Gaviglio, Ivan [2 ]
Brambilla, Ilaria [2 ]
Marseglia, Gian Luigi [2 ]
机构
[1] Nazarbayev Univ, Sch Med, Dept Med, Nur Sultan City, Astana, Kazakhstan
[2] Univ Pavia, Dept Pediat, Pavia, Italy
[3] Fdn IRCCS Policlin S Matteo, Dept Clin Epidemiol & Biometr, Pavia, Italy
关键词
celiac disease; celiac screening; children; HLA-DQB1*02;
D O I
10.1111/iji.12441
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Through a retrospective analysis of a real-life cohort of children with celiac disease (CD), who underwent HLA-DQ genotyping, we supported our previous findings indicating the presence of HLA-DQB1*02 allele in at least 90%-95% of pediatric patients. In the present study, reporting the HLA-DQ analysis from 184 children (age range: 1-16 years) diagnosed with CD in a single centre, we found that 97.29% of all these CD children (n = 179 out of 184 genotyped patients) resulted to be carriers of at least one copy of HLA-DQB1*02 allele. If a widened screening for CD should result to be appropriate in the pediatric population after further clinical research, this observation might be potentially exploited to consider a two-step screening strategy, starting with the HLA-DQB1*02 targeted analysis followed by the specific serology for CD in these predisposed patients only. However, additional and larger studies are needed to support our findings.
引用
收藏
页码:342 / 345
页数:4
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