HLA Alleles and Predisposition to Diseases and Drug Reactions

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The page below is a sample from the LabCE course The Human Leukocyte Antigen (HLA) System. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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HLA Alleles and Predisposition to Diseases and Drug Reactions

Certain HLA alleles are used as diagnostic aids to help determine if individuals will be more susceptible/predisposed in their lifetime of developing certain conditions or are used in correlation with other clinical findings and tests to determine if someone is to be diagnosed with a certain disease. Table 3 provides several examples.
Table 3. HLA Alleles and Predisposition to Diseases.
DiseaseCharacteristicsAssociated HLA Allele(s)
Ankylosing Spondylitis (AS)Rare disease that causes arthritis in the lower spinal column and vertebrae to fuse, forming a rigid spineB27
Celiac disease (CD)Autoimmune disease where the individual has a sensitivity to glutenDQA1 and DQB1
95% of CD patients have DQ2 (DQA1*05 and DQB1*02)
Diabetes Mellitus (DM)Disease in which the body fails to respond to the hormone insulin, which is produced by the pancreasDRB1, DQA1, DQB1: DRB1*03:01 (DR3) w/ DQA1*05:01, DQB1*02:01 (DQ2) AND DRB1* 04:01 (DR4) with DQA103:01, DQB1*03:02 (DQ8)
NarcolepsyNeurological disorder characterized by the inability to control sleep and wakefulnessDQA*01:02, DQB1* 06:02, and DR15
PsoriasisImmunological disorder that is brought on by illness, stress, or infection and is characterized by rashes on the skin and nails Cw6
Drug reactionsCertain HLA alleles have been correlated to an increased risk of hypersensitivity with certain drugsReactions and hypersensitivities exist between carbamazepine and abacavir with HLA alleles B*15:02 and B*57:01