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MICA polymorphisms associated with antithyroid drug-induced agranulocytosis in the Chinese Han population.


ABSTRACT: BACKGROUND:Graves' disease (GD) is a clinical autoimmune thyroid disease. During the treatment of GD, antithyroid drug-induced agranulocytosis (TIA) is a common and even life-threatening adverse drug reaction. Previous studies suggested that susceptibility to TIA is strongly associated with HLA-B*27:05, HLA-B*38:02, and HLA-DRB1*08:03 genetic variation and six single nucleotide polymorphisms (SNPs) in MICA genes. AIMS:The purpose of this study is to further study the associations between TIA, HLA-B and MICA. MATERIALS & METHODS:We genotyped MICA-STR and MICA-129 variants in 41 TIA and 308 control patients with GD and investigated the linkage effect among SNPs and short tandem repeat (STR) of MICA and HLA-B alleles. RESULTS:The results showed that MICA*A5.1 was significantly associated with TIA (p?=?.007, odd ratio?=?1.958, 95% confidence interval, 1.192-3.214). In addition, high linkage among MICA-129 and six SNPs MICA and HLA-B was detected, and two haplotypes (AAAACAAAAACGGCCTA and AACAAAAAAAACATTAA (p?=?5.14E-07 and p?=?3.42E-08, respectively)) were significantly associated with TIA. Furthermore, when we analyzed only MICA-129 and HLA-B separately, the haplotypes (AAAACAAAAAA with p?=?2.49E-07 and AACAAAAAAAA with p?=?2.14E-09) were identified with more significant effects. MICA-129 was completely linked to six SNPs with haplotypes ACATTACA (p?=?2.05E-05) significantly associated with TIA. CONCLUSION:These data indicated that there was a significant linkage effect between MICA-129 and other alleles, suggesting that they exert interactive effects as risk factors for the development of TIA.

SUBMITTER: Gong X 

PROVIDER: S-EPMC7654430 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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MICA polymorphisms associated with antithyroid drug-induced agranulocytosis in the Chinese Han population.

Gong Xiaojuan X   Chen Pu P   Ma Pan P   Gao Jiayang J   Yang Jingsi J   Guo Hui H   Yan Chunxia C   Zhang Bao B   He Yayi Y  

Immunity, inflammation and disease 20201005 4


<h4>Background</h4>Graves' disease (GD) is a clinical autoimmune thyroid disease. During the treatment of GD, antithyroid drug-induced agranulocytosis (TIA) is a common and even life-threatening adverse drug reaction. Previous studies suggested that susceptibility to TIA is strongly associated with HLA-B*27:05, HLA-B*38:02, and HLA-DRB1*08:03 genetic variation and six single nucleotide polymorphisms (SNPs) in MICA genes.<h4>Aims</h4>The purpose of this study is to further study the associations  ...[more]

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