Abstract

Volume.116 Number.6

Original article : Clinical science

HLA-class I Gene Polymorphisms in Japanese Stevens-Johnson Syndrome Patients with Ocular Surface Complications
Shinnosuke Nakaji1, Mayumi Ueta1,2, Chie Sotozono1, Tsutomu Inatomi1, Shigeru Kinoshita1
1 Department of Ophthalmology, Kyoto Prefectural University of Medicine
2 Research Center for Inflammation and Regenerative Medicine, Faculty of Life and Medical Sciences, Doshisha University


Purpose: Our previous study of polymorphisms in the HLA-class I genes of 71 Japanese SJS/TEN patients with ocular surface complications and 113 Japanese healthy controls showed that in the Japanese, HLA-A*0206 was strongly associated with SJS/TEN. In this study, we examined 118 Japanese SJS/TEN patients with ocular surface complications and a new control group consisting of 220 healthy Japanese volunteers, and investigated the association between HLA class I antigens, HLA-A, B, C, and the SJS/TEN.
Methods: For HLA genotyping we enrolled 118 Japanese patients with SJS/TEN in the chronic or sub-acute phase at Kyoto Prefectural University of Medicine; all presented with ocular surface complications. We also enrolled 220 healthy Japanese volunteers. We performed polymerase chain reaction amplification followed by hybridization with sequence-specific oligonucleotide probes (PCR-SSO).
Results: HLA-A*0206 was most strongly associated with Japanese SJS/TEN patients with ocular surface complications (carrier frequency: p=0.0000000002, OR=5.2; gene frequency: p=0.000000007, OR=4.2).
Conclusion: HLA-A*0206 is strongly associated with Japanese SJS/TEN patients with ocular surface complications.
Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc) 116: 581-587, 2012.

Key words
HLA-A*0206, Stevens-Johnson syndrome (SJS), Toxic epidermal necrolysis (TEN), Ocular surface complications, HLA
Reprint requests to
Mayumi Ueta, M.D. Department of Ophthalmology, Kyoto Prefectural University of Medicine. 465 Kamigyo-ku, Kajii-cho, Hirokoji-agaru, Kawaramachi-dori, Kyoto 602-8566, Japan