Variant "HLA:B35/Cw4"
Search result: 1 record
Variant information
Gene:
HLA 
Variant:
HLA:B35/Cw4 
dbSNP ID:
no data 
GWAS trait:
no data 
Modifier statisitcs
Record:
Disorder:
Reference:
Effect type:
Expressivity(1)  
Modifier effect:
Altered immune response(1)  
Detail:
  • Target disease:
    Sickle Cell Anemia (DOID_10923)
    Effect type:
    Expressivity 
    Modifier effect:
    Altered immune response 
    Evidence:
    Assessment of genotype–phenotype associations 
    Effect:
    Genetic factors or an HLA-related altered immune response may contribute to the development of leg ulcers in sickle cell anemia.
    Reference:
    Title:
    Sickle cell leg ulcers are associated with HLA-B35 and Cw4.
    Species studied:
    Human
    Abstract:
    We determined the HLA-A, B, C, and DR types in nine patients with sickle cell anemia (SS) who had leg ulcers or a history of leg ulcers, and in 29 control patients with SS without leg ulcers. Six (67%) of the nine patients with leg ulcers had HLA-B35 and each of these six patients also had HLA-Cw4. In contrast, only eight (28%) of the 29 control patients with SS had HLA-B35 and only three (10%) of these patients had both HLA-B35 and Cw4. The relative risk for development of leg ulcers in patients with SS who had both HLA-B35 and Cw4 was 17 times greater than that of patients without these antigens or who had only one antigen. The frequency of HLA-B35 was also significantly higher in patients with SS and leg ulcers than in a reference population (31%) consisting of 68 healthy black persons. These results suggest that genetic factors or an HLA-related altered immune response may contribute to the development of leg ulcers in sickle cell anemia.