Abstract

BackgroundCeliac disease (CD) is a common autoimmune disease in Syria which manifesting with inflammation of the small intestine and with various extra intestinal symptoms. The disease is associated with human HLA-DQ genes encoding HLA-DQ2 and DQ8 proteins.MethodsIn this study, 49 children patients of CD and 58 healthy control samples were genotyped for HLA-DQ genes using SSP-PCR technique. Relative risks for different genotypes were also evaluated.ResultsThe DQB1*0201 allele was the most common in the patients (77.6%) followed by DQB1*0302 allele (10.2%). The highest HLA-DQB risk for CD development was found in patients carriers a DQ2.5/DQ8 genotype (1/10), followed by the patients carriers DQ2.5/DQ2.5 (1/12).ConclusionThe significant differences in the frequency of HLA-DQ2 and HLA-DQ8 in Syrian patients in compared with controls and relative risks predicted demonstrated the importance role of these alleles in the development of CD in Syrian children patients.

Highlights

  • Celiac disease (CD) is a common autoimmune disease in Syria which manifesting with inflammation of the small intestine and with various extra intestinal symptoms

  • In Syria, previous reports indicated that Syrian population has high prevalence of the CD (1/62) in healthy blood donors [16, 17], but no published study about the link of Human leukocyte antigen (HLA)-DQ alleles and Syrian celiac patients; so, we aim to study the distribution of the CD genes: DQ2 and DQ8 in 49 children patients in comparable with 58 control samples of the same ages

  • HLA-DQB1 genotype was performed by sequence-specific primer-polymerase chain reaction (SSP-PCR) method using published primers [20] and for HLA-DQA1 genotype [21]

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Summary

Introduction

Celiac disease (CD) is a common autoimmune disease in Syria which manifesting with inflammation of the small intestine and with various extra intestinal symptoms. Celiac disease is an immune-mediated disorder with a strong genetic predisposition and dietary gluten as an environmental trigger [1]. This disease causes inflammation in the small intestinal mucosa. Several ways to diagnosis celiac disease using anti-tissue transglutaminase (anti-TG2) test, anti-endomysium (EMA) auto-antibodies and small bowel biopsy [3]. This disease is widespread in most Mediterranean countries [4], and it estimated that about more than 5 million patients will be affected in the 10 years in the Mediterranean region [5].

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