目的:探讨HLA-DRB1等位基因多态性与慢性髓性白血病(CML)关联性。方法:采用序列特异性引物聚合酶链反应(PCR-SSP)DNA分型技术对762例慢性髓性白血病患者(男性492例,女性270例)及2 264例正常对照进行了HLA-DRB1基因分型。结果:正常人群的HLA-DRB1*15等位基因频率最高(17.25%),其次为DRB1*09(14.05%)、DRB1*12(11.73%)和DRB1*04(10.98%),DRB1*10等位基因频率最低(1.39%)。CML患者HLA-DRB1*08等位基因频率显著高于正常对照组(7.48%vs 5.39%,χ2=8.963,OR=1.023,P=0.004),男性患者的DRB1*08基因频率也明显高于正常对照(7.72%vs 5.39%,χ2=8.059,OR=1.025,P=0.007)。女性患者的DRB1*08基因频率也高于正常对照(7.04%vs 5.39%,χ2=0.115,OR=0.995,P=0.774),但没有统计学差异。结论:CML男性患者HLA-DRB1*08的表达明显高于正常人群,提示DRB1*08可能是男性CML患者的易感基因。
Objective:The aim was to explore the association between the HLA-DRB1 allele polymorphism and susceptibility to chronic myelogenous leukemia(CML) in Chinese Han population.Methods:The polymorphism of HLA-DRB1 alleles in 762 CML patients and 2 264 normal umbilical cord blood samples were tested by polymerase chain reaction with sequence specific primer(PCR-SSP).Results:The most common allele in DRB1 locus in normal population was DRB1*15(17.25%),whereas DRB1*10 was the least frequent allele(1.39%).Compared with normal controls,the frequency of HLA-DRB1*08 was significantly increased in all CML groups(7.48% vs 5.39%,χ2=8.963,OR=1.023,P=0.004) and CML male groups(7.72% vs 5.39%,χ2=8.059,OR=1.025,P=0.007).But there was no significant difference between the normal controls and CML female patients.Conclusion:It should be concluded that DRB1*08 could be considered a susceptible allele for CML male patients.