HLA-A1

Serotype

In all instances so far, HLA-A1 has been found to be linked to disease by association, but there are few that define HLA-A1 has a predominant genetic risk relative to other gene-alleles in the vicinity of the A1 gene on the larger haplotype.

A1 and autoimmune diseases

A1 serotype was associated with a number of diseases as "HL-A"' antigens were first being described. The associations rapidly expanded to include 'HL-A8' HLA-B8, as the HLA A1 and B8 were found to be commonly linked. As DRw3 was characterized, autoimmune risk drifted toward the class II region. A1-B58 haplotype (A1-B17 where B58 is dominant) may remain associated with anti-neutrophil cytoplasmic antibody (ANCA)

A1 in diabetes

With the exception of type 1 diabetes, most of the evidence for direct association of A1 with autoimmune diseases evaporated as DR3 and DQ2 genes were characterized. While type 1 diabetes shows an extended association on the HLA A1-B8-DR3-DQ2 haplotype, the association appears not to extend beyond the HLA-B locus. A recent study of DR3-DQ2/DR4-DQ8 phenotype found that A1-cw7-B8 was actually lower than expected relative to other A-B types, indicating that risk associated genes are located between B8 and DR3. However a study elsewhere showed that A*01:01 appears to alter risk for type 1 diabetes but not Cw7-B8. The type 1 diabetes example shows the inherent difficulty in the use of linkage analysis alone to cipher risk.

A1 and allergic disease, sensitivities

Early in the study of HLA an association was found between HL A1,B8 in allergic disease, these are found to link to extended HLA A1-B8 region.

Oddly, A1 was also found associated with methotrexate-induced liver cirrhosis. Whereas A1 was found negatively associated with other disease such as coal workers pneumoconiosis and leprosy.

A1 and infectious disease

Within the early studies, A1 was found associate with or protected against some infectious diseases. Some diseases found associated with A1 actually link to the extended A1-B8 haplotype, viral induced hepatitis and accelerated progression of HIV are examples.

A1 with B8 showed an increase risk of measles infection, however, the significance was not consistent. A more recent paper showed an association of A*01:01 with lower than average responses to measles vaccine. With rubella, A1-B8 was more frequently found in people infected as a result of maternal transference. A1 was also found to associate with circumoral herpes. An association between A1 and cold sores was also described. Subsequently, the association for herpes simplex was also shown.

A1 in Lymphoma

In Hodgkin's lymphoma HLA-A1, but DR3 was not found higher. The A1-B8-DR3-DQ2 haplotype has a known association with Enteropathy-associated T-cell lymphoma, approximately 70% of patients are homozygotes for DQ2 with at least one copy of DR3-DQ2.

Alleles

Most of the disease risk conferred by A01:01 are represented by either A1 serotype risks, or A1-B8 serotype risk (In Europe A1-B8 is almost always composed of A01:01 and B08:01). The other alleles, A01:02 and A01:03, may confer specific risks. For example, A01:02 was found linked to a type of stroke seen frequently in children with sickle cell anemia.

There is a report that in the Somali communities within the US 2/3 of A1 bearers have the A*01:03 isoform.

A1-B haplotypes

• A1-B8 Western Irish, N. Irish, Scottish, Wales, NW England, Scandinavia, Yugoslavia, Russia,....
• A1-B7 Armenia, Austria, NW Europe (regional recombinant between A1-B8 and A2/A3-B7)
• A1-B13 Uralic
• A1-B35 (Albania, Belgium, Italy, Greece, France - Eastern Mediterranean in origin)
• A1-B37 Yakuts, Tribal-India, Iyers-India, Mongolian, Indian, Orochon, Romanian, Yugoslavia, Korean, Albania, French, German, Manchu
• A1-B51 Yugoslavia, Germany, Iberia, Italy
• A1-B52 Bharghavas-India, Tribal-India, Italy, Iberia, France
• A1-B57 (See tables on discussion page)
• A1-B58 (See tables on discussion page)

References

References

1. (February 1978). "The genetic control of HLA-A and B antigens in somatic cell hybrids: requirement for beta2 microglobulin". Tissue Antigens.
2. (2005). "Immunogenetic association in patients with antineutrophil cytoplasmic antibodies (ANCA) from Mumbai, Maharashtra, India.". J Autoimmun.
3. (2008). "Type 1 diabetes risk for HLA-DR3 haplotypes depends on genotypic context: Association of DPB1 and HLA class I loci among DR3 and DR4 matched Italian patients and controls". Hum. Immunol..
4. (2002). "The HLA class I A locus affects susceptibility to type 1 diabetes". Hum Immunol.
5. (1980). "HLA antigens in methotrexate-induced liver cirrhosis". Acta Derm. Venereol..
6. (August 1979). "HLA-A and B antigen frequencies in Welsh coalworkers with pneumoconiosis and Caplan's syndrome". Tissue Antigens.
7. (June 1979). "HLA-A1 and coalworkers' pneumoconiosis". Am. Rev. Respir. Dis..
8. (2003). "Novel HLA Class I Alleles Associated with Indian Leprosy Patients". J. Biomed. Biotechnol..
9. (October 1975). "HL-A transplantation antigens in subjects susceptible to recrudescent herpes labialis". Tissue Antigens.
10. (September 1975). "Predominance of histocompatibility antigens W18 and HL-A1 in miners resistant to complicated coalworkers pneumoconiosis". Inhaled Part.
11. Hug G. (May 1976). "Genetic factors and autoimmunity in viral hepatitis". Am. J. Clin. Pathol..
12. (February 1975). "HL-A antigens in congenital rubella and the role of antigens 1 and 8 in the epidemiology of natural rubella". Tissue Antigens.
13. (December 1979). "HLA antigens and responses to rubella vaccination". J Hyg (Lond).
14. (December 2005). "Immunologic significance of HLA class I genes in measles virus-specific IFN-gamma and IL-4 cytokine immune responses". Immunogenetics.
15. (2002). "Gregg's congenital rubella patients 60 years later". Med. J. Aust..
16. (December 1977). "Association of HLA-A1 antigen and susceptibility to recurrent cold sores". Arch Dermatol.
17. (1991). "HLA antigens associated with susceptibility to herpes simplex virus infection". Dis. Markers.
18. (1983). "HLA and susceptibility to Hodgkin's disease". Immunol. Rev..
19. (1977). "HLA and MLC typing in patients with Hodgkin's disease". Prog. Clin. Biol. Res..
20. (April 2003). "Distinct HLA associations by stroke subtype in children with sickle cell anemia". Blood.