HLA B7-DR15-DQ6

Mgh
haplotype = HLA A3-B7-DR15-DQ6


image_source = HLA region on chromosome 6
chromosome = 6
location = 6p21.3
othertype = Serotype
nicknames = "B7-DR2"
loci1name = Class I
centromeric
loci1rows = 2
gene1name = HLA-C
gene1var = HCwA|0702
type1var = Cw7
loci2name =
loci2rows =
gene2name = HLA-B
gene2var = HBA|0702
type2var = B7
loci3name = HLA-DR
loci3rows = 2
gene3name = HLA-DRB1
gene3var = HDR1A|1501
type3var = DR15
loci4name =
loci4rows =
gene4name = HLA-DRB5
gene4var = HDR3A|0101
type4var = DR51
loci5name = HLA-DQ
loci5rows = 2
gene5name = HLA-DQA1
gene5var = HQAA|0102
type5var = DQ1
loci6name =
loci6rows =
gene6name = HLA-DQB1
gene6var = HQBA|0602
type6var = DQ6
popMax = Western Ireland
freqMax = 6.0%
length = 2500
haplotype1 = .
diseases1 = .
haplotype2 = .
diseases2 = .

HLA B7-DR15-DQ6 is a multigene that covers a majority of the human major histocompatibility complex on chromosome 6. A multigene haplotype is set of inherited covering several genes, or gene-alleles, common multigene haplotypes are generally the result of descent by common ancestry (share a recent common ancestor for that segment of the chromosome). Chromosomal recombination fragments multigene haplotypes as the distance to that ancestor increases in number of generations.

HLA B7-DR15-DQ6 is a represention(by serotype) of a common HLA haplotype found in Western Eurasia. The haplotype can be written in an extended form covering the major histocompatibility loci as follows:

HLA Cw*0702 : B*0702 : DRB1*1501 : DQA1*0102 : DQB1*0602

The older literature may describe this haplotype in two different ways. One B7-DR2-DQ6 derives from the fact that DR15 is a split antigen of the DR2 broad antigen serotype. The other B7-DR2-DQ1 stems from the fact that DQ1 is an alpha chain serotype that is now covered by the beta chain type DQ5 and DQ6 (DQ1 pairs with DQ5 and DQ6 by cis-haplotype pairing).

There are two major subhaplotypes one that is preceded on its telomeric side by HLA A*0301 and the other by HLA A*0201. The A*0301 bearing haplotype (HLA A3-B7-DR15-DQ6) is described as the longest known multgene haplotype in humans.

HLA A2-B7-DR15-DQ6

The appendation of the B7::DQ6 haplotype creates the A2-B7::DQ6 haplotype. This haplotype if found often in Northern Spain, Switzerland, Netherlands.

HLA A*0201Cw*0702 : B*0702 : DRB1*1501 : DQA1*0102 : DQB1*0602

HLA A3-B7-DR15-DQ6

The gene-allele representation of the haplotype is:

HLA A*0301Cw*0702 : B*0702 : DRB1*1501 : DQA1*0102 : DQB1*0602

This is considered now the longest of the widely distributed ancestral haplotypes, its length is 4.8 million nucleotides and extends from TRIM27 gene . . . .The haplotype is nodal in Ireland but is also at high frequency in Switzerland, it has an subnode in the Pasiegos of northern spain. There is some variance in the distribution of A3::DQ6 relative to A1::DQ2 in that there is more of a bias toward central and eastern Europe. Parts of the haplotype are spread into East Asia and even appear within the New world's indigeonous populations. DR15:DQ6 frequencies peak in central Asia, and it is suspect that this may be a point of eurasian spread westward into Europe.

While there are some diseases associated with the haplotype, the frequency of association is less compared to A1::B8.

Disease Associations

HLA B7-DR15-DQ6 was found to have an association with postmenopausal osteoporosis in a Greek population.cite journal |author=Douroudis K, Tarassi K, Athanassiades T, "et al" |title=HLA alleles as predisposal factors for postmenopausal osteoporosis in a Greek population |journal=Tissue Antigens |volume=69 |issue=6 |pages=592–6 |year=2007 |month=June |pmid=17498269 |doi=10.1111/j.1399-0039.2007.00833.x |url=]

DR2(15 or 16)-DQ6.2 has been found to associate with (idiopathic) narcolepsy-cataplexy cite journal |author=Nishino S, Kanbayashi T |title=Symptomatic narcolepsy, cataplexy and hypersomnia, and their implications in the hypothalamic hypocretin/orexin system |journal=Sleep Med Rev |volume=9 |issue=4 |pages=269–310 |year=2005 |month=August |pmid=16006155 |doi=10.1016/j.smrv.2005.03.004 |url=] Hypocretin ligand deficiency in the brain and cerebrospinal fluid is also link to narcolepsy-cataplexy. DR15-DQ6 also shows an association with factors (including a genetic factor on chromosome 12p12) involved in familial multiple sclerosiscite journal |author=Stickler M, Valdes AM, Gebel W, "et al" |title=The HLA-DR2 haplotype is associated with an increased proliferative response to the immunodominant CD4(+) T-cell epitope in human interferon-beta |journal=Genes Immun. |volume=5 |issue=1 |pages=1–7 |year=2004 |month=January |pmid=14735143 |doi=10.1038/sj.gene.6364027 |url=] cite journal |author=Vitale E, Cook S, Sun R, "et al" |title=Linkage analysis conditional on HLA status in a large North American pedigree supports the presence of a multiple sclerosis susceptibility locus on chromosome 12p12 |journal=Hum. Mol. Genet. |volume=11 |issue=3 |pages=295–300 |year=2002 |month=February |pmid=11823448 |doi= |url=http://hmg.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=11823448] DR15-DQ6 is strongly associated with the development of choroidal neovascular lesions in presumed ocular histoplasmosis syndrome.cite journal |author=Dabil H, Kaplan HJ, Duffy BF, Phelan DL, Mohanakumar T, Jaramillo A |title=Association of the HLA-DR15/HLA-DQ6 haplotype with development of choroidal neovascular lesions in presumed ocular histoplasmosis syndrome |journal=Hum. Immunol. |volume=64 |issue=10 |pages=960–4 |year=2003 |month=October |pmid=14522093 |doi= |url=http://linkinghub.elsevier.com/retrieve/pii/S0198885903001757]

The DR15-DQ6 haplotype may afford some greater protection against the progression of HIV.cite journal |author=Vyakarnam A, Sidebottom D, Murad S, "et al" |title=Possession of human leucocyte antigen DQ6 alleles and the rate of CD4 T-cell decline in human immunodeficiency virus-1 infection |journal=Immunology |volume=112 |issue=1 |pages=136–42 |year=2004 |month=May |pmid=15096192 |pmc=1782463 |doi=10.1111/j.1365-2567.2004.01848.x |url=] However, the haplotype is a risk factor in cervical cancer.cite journal |author=Ghaderi M, Wallin KL, Wiklund F, "et al" |title=Risk of invasive cervical cancer associated with polymorphic HLA DR/DQ haplotypes |journal=Int. J. Cancer |volume=100 |issue=6 |pages=698–701 |year=2002 |month=August |pmid=12209609 |doi=10.1002/ijc.10551 |url=]

References