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Genomewide association study of HLA alloimmunization in previously pregnant blood donors.


ABSTRACT: Alloimmunization through blood transfusion, transplantation, or circulating fetal cells during pregnancy is a significant concern. Some exposed individuals make alloantibodies while others do not, implying variation in genetic risk factors.We conducted a genomewide association study (GWAS) of 9,427,497 single-nucleotide polymorphisms (SNPs) to identify genetic variants for HLA alloimmunization in previously pregnant blood donors with (n?=?752) and without (n?=?753) HLA Class I or II alloantibodies.A SNP in the neurexophilin 2 (NXPH2) gene surpassed genome-wide significance (p?=?2.06 × 10-8 ), with multiple adjacent markers p < 10-6 , for women with anti-Class I alloantibodies only. Little is currently known about the function of NXPH2, although gene family members have been shown to impact immunity. SNPs in the E2F7 gene, a transcription factor related to cell cycle control and cellular proliferation, also approached genomewide significance (p?=?2.5 × 10-7 ).Further work to extend the GWAS approach and to characterize variants in NXPH2 and E2F7 in the context of alloantibody formation is warranted.

SUBMITTER: Seielstad M 

PROVIDER: S-EPMC5803399 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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<h4>Background</h4>Alloimmunization through blood transfusion, transplantation, or circulating fetal cells during pregnancy is a significant concern. Some exposed individuals make alloantibodies while others do not, implying variation in genetic risk factors.<h4>Study design and methods</h4>We conducted a genomewide association study (GWAS) of 9,427,497 single-nucleotide polymorphisms (SNPs) to identify genetic variants for HLA alloimmunization in previously pregnant blood donors with (n = 752)  ...[more]

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