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The complex HLA-E-nonapeptide in Behçet disease

Abstract: Introduction: The knowledge of the aetiology of Behçet disease (BD), an immune-mediated vasculitis, is limited. HLA-B, mainly HLA-B51, and HLA-A molecules are associated with disease, but the ultimate cause of this association remains obscure. There is evidence that NK cells participate in the etiopathology of BD. NK cells have activator and inhibitor surface receptors, like the KIR and the NKG2 families. Classical HLA-class I molecules (A, B and C) are keys in the activity control of the NK because they are KIR ligands. Most NKG2 receptors bind HLA-E, which presents only nonapeptides derived from the signal peptide of other class-I molecules. Objective: This study investigates the contribution of the pair HLA-E and ligand, nonapeptide derived from the 3-11 sequence of the signal peptides of class I classical molecules, to the susceptibility to BD. Methods: We analyzed the frequency of the HLA-derivated nonapeptide forms in 466 BD patients and 444 controls and an HLA-E functional dimorphism in a subgroup of patients and controls. Results: In B51 negative patients, the frequency of VMAPRTLLL was lower (70.4% versus 80.0% in controls; P=0.006, Pc=0.04, OR=0.60, 95%CI 0.41-0.86), and the frequency of VMAPRTLVL was higher (81.6% versus 71.4% in controls; P=0.004, Pc=0.03, OR=1.78, 95%CI 1.20-2.63). In homozygosity, VMAPRTLLL is protective, and VMAPRTLVL confers risk. The heterozygous condition is neutral. There were no significant differences in the distribution of the HLA-E dimorphism. Discussion: Our results explain the association of BD with diverse HLA-A molecules, reinforce the hypothesis of the involvement of the NK cells in the disease and do not suggest a significant contribution of the HLA-E polymorphism to disease susceptibility.

Other publications of the same journal or congress with authors from the University of Cantabria

 Fuente: Frontiers in Immunology, 2023, 14, 1080047

Publisher: Frontiers Research Foundation

 Year of publication: 2023

No. of pages: 10

Publication type: Article

 DOI: 10.3389/fimmu.2023.1080047

ISSN: 1664-3224

Publication Url: https://doi.org/10.3389/fimmu.2023.1080047

Authorship

CASTAÑO-NÚÑEZ, ÁNGEL

MONTES-CANO, MARCO-ANTONIO

GARCÍA-LOZANO, JOSÉ-RAÚL

ORTEGO-CENTENO, NORBERTO

GARCÍA-HERNÁNDEZ, FRANCISCO JOSÉ

ESPINOSA, GERARD

GRAÑA-GIL, GENARO

SÁNCHEZ-BURSÓN, JUAN

JULIÁ, MARÍA ROSA

SOLNAS, ROSER

BARNOSI-MARÍN, ANA-CELIA

GÓMEZ DE LA TORRE, RICARDO

FANLO, PATRICIA

RODRÍGUEZ-CARBALLEIRA, MÓNICA

RODRÍGUEZ-RODRÍGUEZ, LUIS

CAMPS, TERESA

CASTAÑEDA, SANTOS

ALEGRE-SANCHO, JUAN-JOSÉ

MARTÍN, JAVIER