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Acta Neurochirurgica
Published in: Acta Neurochirurgica 3/2012

01-03-2012 | Experimental research

Analysis of human leucocyte antigen genes in Caucasian patients with idiopathic Moyamoya angiopathy

Authors: Markus Kraemer, Peter A. Horn, Constantin Roder, Nadia Khan, Rolf R. Diehl, Peter Berlit, Falko M. Heinemann

Published in: Acta Neurochirurgica | Issue 3/2012

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Abstract

Background

The etiology and genetic susceptibility of Moyamoya angiopathy (MMA) (Moyamoya disease, Moyamoya syndrome and unilateral type of MMA) still remain unclear. In Asian patient cohorts several HLA markers were described to be associated with MMA, but in Caucasians very little is known about genetic susceptibility of this angiopathy.

Method

We analysed DNA of 33 Caucasian patients with MMA for HLA-A, HLA-B, HLA-DRB1, and HLA-DQB1 markers, respectively. HLA frequencies of all 33 patients with MMA were compared with HLA-frequencies of Caucasian controls. Additionally, subgroup analysis of 22 patients with Moyamoya disease (MMD) and 11 patients with unilateral type of MMA was performed.

Findings

Significant association was observed for HLA-DRB1*03 and HLA-DRB1*13 in all 33 patients (P c < 0.001 and P c < 0.001, respectively). Moreover, HLA-A*02 (P c = 0.009); HLA-B*08 (P c = 0.009), and HLA-DQB1*03 (P c = 0.003) frequencies were higher in all patients with MMA when compared with the controls. In addition, in 22 patients with MMD a higher frequency of HLA-DRB1*03 (P c < 0.001) was observed when compared with controls.

Conclusions

The results of this study indicate a putative association of HLA markers with MMA in Caucasian patients. Further studies are needed to elucidate the role of human MHC in the pathogenesis of this angiopathy.
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Metadata
Title
Analysis of human leucocyte antigen genes in Caucasian patients with idiopathic Moyamoya angiopathy
Authors
Markus Kraemer
Peter A. Horn
Constantin Roder
Nadia Khan
Rolf R. Diehl
Peter Berlit
Falko M. Heinemann
Publication date
01-03-2012
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 3/2012
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-011-1261-5

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