
| 10.1086/341947
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J+Infect+Dis 2002 ; 186 (4): 447-52 Nephropedia Template TP
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Association of symptomatic acute human parvovirus B19 infection with human leukocyte antigen class I and II alleles #MMPMID12195370Kerr JR; Mattey DL; Thomson W; Poulton KV; Ollier WEJ Infect Dis 2002[Aug]; 186 (4): 447-52 PMID12195370show ga
To determine the effect of the major histocompatibility complex on the development of symptoms during acute human parvovirus B19 infection, we compared human leukocyte antigen (HLA) class I and II alleles in 36 patients with symptomatic acute B19 infection with those in >900 control subjects from northwestern England. The frequency of each of HLA-DRB1*01 (P=.016), DRB1*04 (P=.007), and DRB1*07 (P<.0001) alleles was significantly higher in parvovirus B19 patients than in control subjects. In the parvovirus group, 63.9% carried the rheumatoid arthritis-associated shared epitope sequence, compared with 45% of control subjects (odds ratio [OR], 2.2; 95% confidence interval [CI], 0.97-4.8; P=.04), and carriage was associated with fatigue during the acute phase (OR, 4.2; 95% CI, 0.8-23.9; P=.047). All symptomatic parvovirus-associated HLA-DRB1 molecules carry a neutrally charged glutamine at position 10 and a positively charged lysine at position 12 of the first hypervariable region. HLA-B49 was associated with parvovirus infection independently of HLA-DRB1*01, DRB1*04, and DRB1*07.|*Genes, MHC Class I[MESH]|*Genes, MHC Class II[MESH]|*Parvovirus B19, Human[MESH]|Acute Disease[MESH]|Adolescent[MESH]|Adult[MESH]|Aged[MESH]|Alleles[MESH]|Amino Acid Sequence[MESH]|Child[MESH]|Female[MESH]|Gene Frequency[MESH]|HLA-B Antigens/genetics[MESH]|HLA-DR Antigens/genetics[MESH]|HLA-DRB1 Chains[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Molecular Sequence Data[MESH]
  
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