Document Type : Original Article

Authors

1 Department of Microbiology, College of Medicine, Al-Nahrain University, Baghdad, Iraq

2 Biotechnology Research Center, Al-Nahrain University, Baghdad, Iraq

3 Tropical-Biological Research Unit, College of Science, University of Baghdad, Baghdad, Iraq

Abstract

Objective: This study aimed to investigate the association between HLA alleles and visceral leishmaniasis (VL) in a sample of Iraqi patients. Methods: A total of 30 patients were studied, in addition to 20 age, gender and ethnicity matched controls. All subjects were genotyped by polymerase chain reaction-sequence specific primers (PCR-SSP) method. Results: For HLA-class I region (A and B loci), only HLA-A*19 allele showed a significant (P = 0.031) decreased frequency in VL patients as compared with controls (13.3 vs. 45.0%), and such deviation was associated with OR and PF values of 0.19 and 0.37, respectively. At HLA-class II region, HLA-DRB1*03 and HLA-DQB1*02 alleles were significantly (P = 0.020 and 0.013, respectively) increased in VL patients (56.6 vs. 20% and 46.6 vs. 10%, respectively) as compared with controls. The OR of such two positive associations was 5.23 and 7.88, respectively, and the EF value was 0.46 and 0.41, respectively. In contrast, HLA-DRB1*02 (13.3 vs. 45.0%) and HLA-DQB1*03 (33.3 vs. 70.0%)were significantly (P = 0.031 and 0.023, respectively) decreased in patients. However, none of these differences remained significant after correcting the P value for the number of alleles tested at each locus. Conclusions: these preliminary data suggest that HLA alleles may have some role in aetiopathogenesis of VL, and this role can be in favour of susceptibility and/or protection.

Keywords

Palumbo E. Visceral leishmaniasis in children: a review. Minerva Pediatr 2010; 62: 389-395.
Postigo JA. Leishmaniasis in the World Health Organization Eastern Mediterranean Region. Int J Antimicrob Agents 2010; 36 Suppl 1: S62-S65.
Sharma U and Singh S. Immunobiology of leishmaniasis. Indian J Exp Biol 2009; 47: 412-423.
Sakthianandeswaren A, Foote SJ, Handman E. The role of host genetics in leishmaniasis. Trends Parasitol. 2009; 25: 383-391.
Howell WM, Carter V and Clark B. The HLA system: immunobiology, HLA typing, antibody screening and crossmatching techniques. J Clin Pathol 2010; 63: 387-390.
Alves C, Souza T, Meyer I, Toralles MB and Brites C. Immunogenetics and infectious diseases: special reference to the major histocompatibility complex. Braz J Infect Dis 2006; 10: 122-131.
Blackwell JM, Jamieson SE and Burgner D. HLA and infectious diseases. Clin Microbiol Rev 2009; 22: 370-385.
Tevfik Dorak M. Statistical analysis in HLA and disease association studies. Available at http://www.dorak.info/hla/stat.html (Updated 27 July 2009).
Singh N, Shyam S, Fionnuala W, Martin D, Curran., Anill R, et al. Molecular typing of HLA class I and class II antigens in Indian Kala-azar patients. Trop Med Intern Heal 1997; 2: 468-471.
Meddeb-Garnaoui A, Gritli S, Garbouj S, Ben Fadhel M, El Kares R, Mansour L, et al. Association analysis of HLAclass II and class III gene polymorphisms in the susceptibility to Mediterranean visceral leishmaniasis. Hum
Immunol 2001; 62: 509-517.
Peacock CS, Sanjeevi CB, Shaw MA, Collins A, Campbell RD, March R, et al. Genetic analysis of multicase families of visceral leishmaniasis in northeastern Brazil: no major role for class II or class III regions of HLA. Genes Immun 2002; 3: 350-358.
Faghiri Z, Tabei SZ, Taheri F. Study of the association of HLA class I antigens with Kala-azar. Hum Hered 1995; 45:258-261.
Morsy TA, Romia SA, Al-Ganayni GA, Abu-Zakham AA, Al-Shazly AM, Rezk RA. Histocompatibility antigens (HLA) in Egyptians with two parasitic skin diseases (scabies and leishmaniasis). J Egypt Soc Parasitol 1990; 20: 565-572.
Lara ML, Layrisse Z, Scorza JV, Garcia E, Stoikow Z, Granados S, et al. Immunogenetics of human American cutaneous leishmaniasis. Study of HLA haplotypes in 24 families from Venezuela. Hum Immunol 1991; 30: 129-135.
Ameen M. Cutaneous leishmaniasis: disease susceptibility and pharmacogenetic implications. Pharmacogenomics 2009; 10: 451-461.
Adíhiah AH. Immunonogenetic studies in selected human diseases. Ph.D. Thesis, Department of Human Genetics, 1990; University of Newcastle upon Tyne. U.K.
Ad'hiah AH. Distribution of HLA polymorphism in a sample of Iraqi Arabs in comparison with three Arab Gulf populations. Iraqi Journal of Science 2009; 50: 120-125.
Handman E, Elso C, Foote S. Genes and susceptibility to leishmaniasis. Adv Parasitol 2005; 59: 1-75.
Petzl-Erler ML, Belich MP, Queiroz-Telles F. Association of mucosal leishmaniasis with HLA. Hum Immunol 1991; 32:254-260.
Olivo-DÌaz A, Debaz H, Alaez C, Islas VJ, PÈrez-PÈrez H, Hobart O, et al. Role of HLA class II alleles in susceptibility to and protection from localized cutaneous leishmaniasis. Hum Immunol 2004; 65: 255-261.
Lal S, Bimal S, Sinha AN, Prasad LS. Role of HLA-DR antigens on T-cell activation in visceral leishmaniasis. Indian J Exp Biol 1991; 29: 1101-1103.