NextGen 2024: Genetics in SJIA Session Part 3

NextGen 2024: Genetics in SJIA Session Part 3

@SJIA_Foundation
@SJIA_Foundation
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2 weeks ago 409

NextGen 2024: Genetics in SJIA Session Part 3

@SJIA_Foundation2 weeks ago

What is the role of 
HLA-DRB1*15 in Still’s 
disease
Michael Ombrello
Translational Genetics an…
1/20
DISCLOSURES
•No conflicts of interest
2/20
WHAT ARE HUMAN LEUKOCYTE
ANTIGEN (HLA) PROTEINS?
3/20
WHAT ARE HUMAN LEUKOCYTE ANTIGEN
(HLA) PROTEINS?
A family of proteins expressed on the surface of…
4/20
WHAT IS HLA-DRB1*15?
5/20
WHAT IS HLA-DRB1*15?
• A common class II HLA allele group
• IE. HLA-DRB1*15:01, *15:02, *15:03, e…
6/20
WHAT IS THE RELATIONSHIP BETWEEN
HLA-DRB1*15 AND SYSTEMIC
JIA?
7/20
HLA-DRB1*15 ALLELES ARE NOT
ASSOCIATED WITH SJIA
Ombrello MJ et al, 2015 (PMID 26598658)
9 indep…
8/20
HLA-DRB1*15 DOES NOT ASSOCIATE
WITH SJIA IN IMMUNOCHIP STUDY
Unpublished Data
Both of these stud…
9/20
HLA-DRB1*15 CARRIAGE VARIES BY
GEOGRAPHY AND ANCESTRY
• HLA-DRB1*15 carriage rates
• Myanmar 41-…
10/20
WHAT IS THE RELATIONSHIP BETWEEN
HLA-DRB1*15 AND STILL’S-LUNG
DISEASE?
11/20
STILL’S-LUNG DISEASE IS ASSOCIATED WITH
HLA-DRB1*15 ALLELES
1. Still’s-LD carriage of HLA-DRB1*15…
12/20
3
6
1 0
0
7 3
Lerman 2023
Drug reaction
Lung disease
HLA-DRB1*15+
All negative
3
1
5
1…
13/20
WHAT IS THE RELATIONSHIP BETWEEN
HLA-DRB1*15 AND DRUG
REACTIONS?
14/20
DRUG REACTIONS IN STILL’S DISEASE ASSOCIATE
WITH HLA-DRB1*15 ALLELES
1. Drug reaction carriage of…
15/20
HLA-DRB1*15 in drug reaction (surrogate): 78/92 (84.8%)
3
6
1 0
0
7 3
Lerman 2023
Drug react…
16/20
WHAT CONNECTS HLA-DRB1*15 WITH
DRUG REACTION/LD?
•Coexistant LD and drug reaction with shared HLA…
17/20
WHAT CONNECTS HLA-DRB1*15 WITH
DRUG REACTION/LD?
1. Antigen dependent
• MHC presentation of alte…
18/20
Still’s disease!
19/20
Acknowledgements
Translational Genetics and Genomics Section, NIAMS
 Hiroto Nakano, MD PhD
 Mari…
20/20


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