Human Leukocyte Antigen Class II Alleles Are Associated with Risk of Alopecia Areata

    Nazila Barahmani, Mariza de Andrade, Joshua P. Slusser, Peng Han, Maria Hordinsky, Vera H. Price, Angela M. Christiano, David A. Norris, John D. Reveille, Madeleine Duvic
    This study explored the link between HLA class II alleles and alopecia areata (AA), confirming a positive association of the HLA-DQB1*0301 and HLA-DRB1*1104 alleles with alopecia totalis/universalis (AT/AU), while identifying a protective role for the HLA-DQB1*0201 allele. Additionally, a new positive association was found between the HLA-DQB1*0202 allele and persistent patchy AA (AAP). The research involved 443 genotyped American Caucasian samples, including 99 with AAP, 163 with AT/AU, and 152 controls. These results underscored the genetic complexity of AA and highlighted specific HLA alleles as potential risk and protective factors, suggesting that HLA class II alleles are significant susceptibility determinants for AA. Further studies were recommended to confirm these associations.
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