Multiple sclerosis: disease modifying therapy and the human leukocyte antigen

Abstract: Objective: To investigate the potential relationship between the human leukocyte antigen (HLA) type (class I and II) and the response to several disease-modifying therapies (DMTs) in patients with multiple sclerosis (MS). Methods: We analyzed clinical data of 87 patients with MS at the beginning and end of each type of DMT including the disease duration, Expanded Disability Status Scale and Multiple Sclerosis Severity Score (MSSS). Genotyping of HLA-DRB1, HLA-DPB1, HLA-DQB1, HLA-A, HLA-B and HLA-C alleles were identified using high-resolution techniques. Statistical correlation between the HLA type and response to DMTs was done using the initial and final MSSS. Results: Statistical relationships (p < 0.05) were found for only 15 of 245 alleles tested. There was a reduction in the MSSS for patients treated with corticosteroids (DRB1*15:01, DPB1*04:01, DQB1*02:01 and DQB1*03:01), azathioprine (DRB1*03:01, DPB1*04:01, DQB1*03:02, DQB1*06:02, HLA-C*07:02), interferon -1a 22 mcg (DRB1*11:04, DQB1*03:01 and DQB1*03:02), interferon -1a 30 mcg (DPB1*02:01, HLA-C*05:01) and interferon -1b (DQB1*02:01). Conclusion: These findings suggest a few relationships between the HLA and response to DMTs in the disability for some types of HLA class I and II alleles in a specific subset of MS patients.

Alternative title
Esclerose mltipla: teraputica modificadora da doena e antgenos leucocitrios humanos
Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Multiple sclerosis: disease modifying therapy and the human leukocyte antigen ; volume:76 ; number:10 ; year:2018 ; pages:697-704
Arquivos de neuro-psiquiatria ; 76, Heft 10 (2018), 697-704

Contributor
Werneck, Lineu Cesar
Lorenzoni, Paulo Jos
Kay, Cludia Suemi Kamoi
Scola, Rosana Herminia

DOI
10.1590/0004-282X20180103
URN
urn:nbn:de:101:1-2023100512574522428786
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:56 AM CEST

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Associated

  • Werneck, Lineu Cesar
  • Lorenzoni, Paulo Jos
  • Kay, Cludia Suemi Kamoi
  • Scola, Rosana Herminia

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