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HLA-DR53 Fact File

M.Tevfik Dorak, M.D., Ph.D.

 

Dorak MT et al: Conserved Extended Haplotypes Update. Genes & Immunity, Sept 2006

 

Contents:

 Brief review of HLA-DR53

Disease Associations

Sequences

References

PowerPoint presentation on MHC & Leukemia Associations in Humans

HLA-DR53 specificity is exclusively found in association with haplotypes encoding the DR4, DR7 and DR9 specificities. It was originally called BR4x7, Hon7, MT3 and DRw53 1. HLA-DR53 is an HLA class II supertypic antigen expressed at somewhat lower level than the private HLA-DR antigens 2-6. The HLA-DRB4 promoter polymorphism is associated with differential expression of this locus 4 and this occurs at the level of mRNA production 3. No such difference between the transcripts of the HLA-DRB1 and HLA-DRB3 genes were found for the HLA-DR52 haplotypes 7 which shows the highest transcriptional activity 6-8. The same studies suggest that the HLA-DRB1 and -DRB4 genes have the lowest level of transcription among all HLA-DRB genes 6-8.

            HLA-DR53 is not expressed on the HLA-B57DR7Dw11DQ9 (DQA1*0201, DQB1*03032) haplotype (as in the cell line DBB (IHW 9052) representing the ancestral haplotype 57.1) due to a base substitution at the 3' end of the first intron of the gene 9;10. In fact, the null allele of the HLA-DRB4 gene (DRB4*0103102N) is transcribed, but it is an aberrant protein due to the lack of splicing out of the first exon 11. An exception has been reported as an unexpected expression of HLA-DR53 in a DR7 (Dw11) : DQ9 - positive leukemia patient 12. More recently, further unusual associations have also been reported. The null allele DRB4*0103102N has been found on HLA-DRB1*0401, *0402 and *0404 haplotypes 13;14. The reference cell lines for this allele are DBB and JHO2821 15;16.

            The gene encoding the HLA-DR53 antigen is HLA-DRB4 which exists only on DR4, DR7 and DR9 haplotypes. In HLA-DRB4, allelic differences occur and are not limited to exon 2 (b1 domain) but involve exon 3 (b2 domain) too. All expressed alleles belong to the DRB4*01 allelic series (see the Table below). The three main alleles (DRB4*0101101 [MOU-MANN, LKT3, LBUF-LBF, BSM and PRIESS cell lines]; *0102 [CML cell line], and *0103101 [BOLETH, JHAF, DKB and SUD cell lines]) differ by one amino acid substitution. DRB4*0102 differs from the others in codon 76 of the b1 domain (Asp to Gly substitution - creating a Bsp1286 I (or SduI) site), and DRB4*0103101 differs from the others in codon 135 of the b2 domain (Ser to Gly substitution - creating an EaeI (or CfrI) site). The rare alleles DRB4*0104 and DRB4*0105 have also been recognized 17-22. The null alleles which are not expressed are: DRB4*0103102N [DBB  and 12762 cell lines], DRB4*0201N [GN016 cell line] and DRB4*0301N [GN017 cell line] 16;17;20;21. For the alignment of DRB4 allelic sequences, see the IMGT/HLA Sequence Database alignment page. The latest list of officially recognized HLA-DRB alleles can be found at the ANRC site.

 

Serological equivalents of HLA-DRB4 alleles

(From HLA Dictionary (Refs. 20, 21) and Nomenclature Reports 1998,  2000 (Ref.22), 2002):

 

DRB4*01

DRB4*0101101  [DR53]

DRB4*0102  [DR53]

DRB4*0103101  [DR53]

DRB4*0103102N  [null]

DRB4*01032  [DR53] [cell line W778R]

DRB4*01033  [equivalent to DRB4*0103101; Ref. 23]

DRB4*0104  [No serological equivalent is defined]

DRB4*0105  [DR53]

DRB4*02

DRB4*0201N  [null]

DRB4*03

DRB4*0301N  [null]

 

There is a high degree of diversity in the DRB1-DRB4 haplotypes 24. This is not surprising as these two genes have different evolutionary histories (see below). Some DRB1 alleles are associated with more than one DRB4 allele. This is exemplified by the association of DRB1*0401 with either DRB4*0101101 or DRB4*0103101 (as in the cell lines BOLETH and SUD). In Caucasians and also in patients with rheumatoid arthritis, the commonest DRB4 allele is DRB4*0103 25.

 

Common HLA-DRB4 haplotypes

 

 

Ancestral

Haplotype

 

 

B/DRB1/DQB1