Year 2025,
Volume: 15 Issue: 3, 225 - 231, 31.12.2025
Dinara Bokenbay
,
Çiğdem Kekik Çınar
,
Sonay Temurhan
,
Melek Büyük
,
Asli Cifcibasi Ormeci
,
Fatma Savran Oğuz
References
-
1. Van Heel DA, West J. Recent advances in celiac disease. Gut 2006; 55(7): 1037–46.
-
2. Spijkerman M, LT Inekel, JK Jeroen, Withoff S, Wijmenga C, Visschedijk MC, et al. A large variety of clinical features and concomitant disorders in celiac disease —A cohort study in The Netherlands. Dig Liver Dis 2016; 48(5): 499–505.
-
3. Singh P, Arora A, Strand TA, Leffler DA, Catassi C, Green PH, et al. Global prevalence of celiac disease: Systematic review and meta-analysis. Clin Gastroenterol Hepatol 2018; 16(6): 823-36.e2.
-
4. Mustalahti K, Catassi C, Reunanen A, Reunanen A, Fabiani E, Heier M, et al. The prevalence of celiac disease in Europe: results of a centralized, international mass screening project. Ann Med 2010; 42(8): 587–95.
-
5. Singh P, Arora S, Singh A, Strand TA, Makharia GK. Prevalence of celiac disease in Asia: a systematic review and meta-analysis. J Gastroenterol Hepatol 2016; 31(6): 1095–101.
-
6. Marild K, Stephansson O, Grahnquist L, Cnattingius S, Soderman G, Ludvigsson JF. Down syndrome is associated with elevated risk of celiac disease: a nationwide case-control study. J Pediatr 2013; 163(1): 237–42.
-
7. Therrien A, Kelly CP, AS Jocelyn. Celiac disease: Extraintestinal manifestations and associated conditions. J Clin Gastroenterol 2020; 54(1): 8–21.
-
8. Durazzo M, Arianna F, Brascugli I, Mattivi S, Fagoonee S, Pellicano R. Extra- intestinal manifestations of celiac disease: What should we know in 2022? J Clin Med 2022; 11(1): 258.
-
9. Caio G, Volta U, Sapone A, Leffler DA, De Giorgio R, Catassi C, et al. Celiac disease: a comprehensive current review. BMC Medicine 2019; 17(1): 142.
-
10. Dieli-Crimi R, Cénit MC, Núñez C. The genetics of celiac disease: a comprehensive review of clinical implications. J Autoimmun 2015; 64: 26–41.
-
11. Silano M, Vincentini O, De Vincenzi M. Toxic, immunostimulatory and antagonist gluten peptides in celiac disease. Curr Med Chem 2009; 16: 1489–98.
-
12. Jabri B, Sollid LM. Tissue-mediated control of immunopathology in coeliac disease. Nat Rev Immunol 2009; 9(12): 858–70.
-
13. Setty M, Discepolo V, Abadie V, Kamhawi S, Mayassi T, Kent A, et al. Distinct and synergistic contributions of epithelial stress and adaptive immunity to functions of intraepithelial killer cells and active celiac disease. Gastroenterology 2015; 149(3): 681-91.e10.
-
14. Hernangomez‐Laderas A, Cilleros‐Portet A, Velasco SM, Marí S, Legarda M, González‐García BP, et al. Sex bias in celiac disease: XWAS and monocyte eQTLs in women identify TMEM187 as a functional candidate gene. Biol Sex Differ 2023; 14(1): 86.
-
15. Kagnoff MF. Celiac disease: pathogenesis of a model immunogenetic disease. J Clin Invest 2007; 117(1): 41–9.
-
16. Llorente-Alonso MJ, Fernandez-Acenero MJ, Sebastian M. Gluten intolerance: sex and age-related features. Can J Gastroenterol 2006; 20(11): 719–22.
-
17. Megiorni F, Mora B, Bonamico M, Barbato M, Montuori M, Viola F, et al. HLA -DQ and susceptibility to celiac disease: evidence for gender differences and parent-of-origin effects. Am J Gastroenterol 2008; 103(4): 997–1003.
-
18. Büyüköztürk S, Kekik Ç, Gökyigit AZ, Tezer Filik FI, Karakaya G, Saygi S, et al. Cutaneous drug reactions to antiepileptic drugs and relation with HLA alleles in the Turkish population. Eur Ann Allergy Clin Immunol 2018; 50: 36–41.
-
19. Megiorni F, Mora B, Bonamico M, Barbato M, Nenna R, Maiella G, et al. HLA-DQ and risk gradient for celiac disease. Hum Immunol 2009; 70(1): 55–9.
-
20. Fernández-Cavada-Pollo MJ, Alcalá-Peña MI, Vargas-Pérez ML, Vergara-Prieto E, Vallcorba-Gómez-del-Valle I, Melero-Ruiz J, et al. Celiac disease and HLA- DQ genotype: Diagnosis of different genetic risk profiles related to the age in Badajoz, southwestern Spain. Rev Esp EnfeRm Dig 2013; 105(8): 469-76.
-
21. Tüysüz B, Dursun A, Kutlu T, Sökücü S, Çine N, Süoğlu Ö, et al. HLA-DQ alleles in patients with celiac disease in Turkey. Tissue Antigens 2001; 57(6): 540-2.
-
22. Fernández-Mestre M, Padrón-Lowe D, Salazar-Alcalá E, Blanco-Pérez F. Role of HLA-DQB1 alleles in the risk, signs and symptoms, and severity of celiac disease in a Venezuelan population. Rev Gastroenterol Mex (Engl Ed) 2023; 88(2): 125-31.
-
23. Kuloğlu Z, Doğancı T, Kansu A, Demirçeken F, Duman M, Tutkak H, et al. HLA types in Turkish children with celiac disease. Turk J Pediatr 2008; 50(6): 515-20.
-
24. Basturk A, Artan R, Yılmaz A. The incidence of HLA-DQ2/DQ8 in Turkish children with celiac disease and a comparison of the geographical distribution of HLA- DQ. Prz Gastroenterol 2017; 12(4): 256-61.
-
25. Sahin Y. Celiac disease in children: A review of the literature. World J Clin Pediatr 2021; 10(4): 53-71.
-
26. Sahin Y, Mermer S. Frequency of celiac disease and distribution of HLA-DQ2/ DQ8 haplotypes among siblings of children with celiac disease. World J Clin Pediatr 2022; 11(4): 351-9.
-
27. Biagi F, Bianchi PI, Vattiato C, Marchese A, Trotta L, Badulli C, et al. Influence of HLA- DQ2 and DQ8 on severity in celiac disease. J Clin Gastroenterol 2012; 46(1): 465-0.
-
28. Rostami-Nejad M, Romanos J, Rostami K, Ganji A, Ehsani-Ardakani MJ, Bakhshipour AR, et al. Allele and haplotype frequencies for HLA-DQ in Iranian celiac disease patients. World J Gastroenterol 2014; 20(20): 63020-8.
-
29. Cerda-Contreras E, Ramírez-Cervantes KL, Granados J, Mena L, Núnez-Álvarez C, Uscanga L. Is celiac disease better identified through HLA-DQ8 than through HLA-DQ2 in Mexican subjects? Rev Gastroenterol Mex (Engl Ed) 2018; 83(4): 410-3.
-
30. Jores RD, Frau F, Cucca F, Clemente MG, Orru S, Rais M, et al. HLA-DQB1*0201 homozygosis predisposes to severe intestinal damage in celiac disease. Scand J Gastroenterol 2007; 42(1): 48-53.
-
31. Karinen H, Kärkkäinen P, Pihlajamäki J, Janatuinen E, Heikkinen M, Julkunen R, et al. HLA genotyping is useful in the evaluation of the risk for coeliac disease in the 1st-degree relatives of patients with coeliac disease. Scand J Gastroenterol 2006; 41(11): 1299-304.
-
32. Hansen S, Osler M, Thysen SM, Kårhus LL, Rumessen JJ, Linneberg A. Celiac disease and risk of neuropsychiatric disorders: A nationwide cohort study. Acta Psychiatr Scand 2023; 148(1): 60–70.
The Effect of HLA-DQ Locus in Celiac Disease Risk: A Study in the Adult Turkish Patients
Year 2025,
Volume: 15 Issue: 3, 225 - 231, 31.12.2025
Dinara Bokenbay
,
Çiğdem Kekik Çınar
,
Sonay Temurhan
,
Melek Büyük
,
Asli Cifcibasi Ormeci
,
Fatma Savran Oğuz
Abstract
Objective: Celiac disease is an autoimmune disorder characterized by intestinal damage and autoanti body production caused by gluten ingestion in genetically predisposed individuals. The aim of this study was to investigate the role of the HLA DQ locus on Turkish celiac patients.
Materials and Methods: This study included 108 celiac patients and 100 healthy controls. Polymerase chain reaction sequencespecific oligonucleotide (PCRSSO) was used to genotype HLA DQB1 and DQA1 alleles, and the relative risk of different genotypes was evaluated for disease.
Results: The significantly increased allele frequencies in patients were DQA1*03:01 and DQB1*03:02. In typical celiac patients, DQA1*05:01 and DQB1*02:01 alleles were significantly higher, whereas DQA1*05:05 was found to be lower. No significant difference in the frequency of DQ2 heterozygous genotypes was observed. The DQ2 homozygous genotype was more frequent in patients, though not statistically significant. The DQ8 heterozygous genotype was significantly higher in patients. The DQB1*05:01 allele was positively associated with weight loss and DQB1*03:03 with reproductive system symptoms
Conclusions: The results of this study were about the effect of celiac disease subgroups and specific HLA alleles. These insights may lead to earlier diagnosis and the development of personalized treatments.
Ethical Statement
The Ethics Committee approval for our study was received from the Istanbul University Istanbul Faculty of Medicine Clinical Research Ethics Committee. (2024/516)
References
-
1. Van Heel DA, West J. Recent advances in celiac disease. Gut 2006; 55(7): 1037–46.
-
2. Spijkerman M, LT Inekel, JK Jeroen, Withoff S, Wijmenga C, Visschedijk MC, et al. A large variety of clinical features and concomitant disorders in celiac disease —A cohort study in The Netherlands. Dig Liver Dis 2016; 48(5): 499–505.
-
3. Singh P, Arora A, Strand TA, Leffler DA, Catassi C, Green PH, et al. Global prevalence of celiac disease: Systematic review and meta-analysis. Clin Gastroenterol Hepatol 2018; 16(6): 823-36.e2.
-
4. Mustalahti K, Catassi C, Reunanen A, Reunanen A, Fabiani E, Heier M, et al. The prevalence of celiac disease in Europe: results of a centralized, international mass screening project. Ann Med 2010; 42(8): 587–95.
-
5. Singh P, Arora S, Singh A, Strand TA, Makharia GK. Prevalence of celiac disease in Asia: a systematic review and meta-analysis. J Gastroenterol Hepatol 2016; 31(6): 1095–101.
-
6. Marild K, Stephansson O, Grahnquist L, Cnattingius S, Soderman G, Ludvigsson JF. Down syndrome is associated with elevated risk of celiac disease: a nationwide case-control study. J Pediatr 2013; 163(1): 237–42.
-
7. Therrien A, Kelly CP, AS Jocelyn. Celiac disease: Extraintestinal manifestations and associated conditions. J Clin Gastroenterol 2020; 54(1): 8–21.
-
8. Durazzo M, Arianna F, Brascugli I, Mattivi S, Fagoonee S, Pellicano R. Extra- intestinal manifestations of celiac disease: What should we know in 2022? J Clin Med 2022; 11(1): 258.
-
9. Caio G, Volta U, Sapone A, Leffler DA, De Giorgio R, Catassi C, et al. Celiac disease: a comprehensive current review. BMC Medicine 2019; 17(1): 142.
-
10. Dieli-Crimi R, Cénit MC, Núñez C. The genetics of celiac disease: a comprehensive review of clinical implications. J Autoimmun 2015; 64: 26–41.
-
11. Silano M, Vincentini O, De Vincenzi M. Toxic, immunostimulatory and antagonist gluten peptides in celiac disease. Curr Med Chem 2009; 16: 1489–98.
-
12. Jabri B, Sollid LM. Tissue-mediated control of immunopathology in coeliac disease. Nat Rev Immunol 2009; 9(12): 858–70.
-
13. Setty M, Discepolo V, Abadie V, Kamhawi S, Mayassi T, Kent A, et al. Distinct and synergistic contributions of epithelial stress and adaptive immunity to functions of intraepithelial killer cells and active celiac disease. Gastroenterology 2015; 149(3): 681-91.e10.
-
14. Hernangomez‐Laderas A, Cilleros‐Portet A, Velasco SM, Marí S, Legarda M, González‐García BP, et al. Sex bias in celiac disease: XWAS and monocyte eQTLs in women identify TMEM187 as a functional candidate gene. Biol Sex Differ 2023; 14(1): 86.
-
15. Kagnoff MF. Celiac disease: pathogenesis of a model immunogenetic disease. J Clin Invest 2007; 117(1): 41–9.
-
16. Llorente-Alonso MJ, Fernandez-Acenero MJ, Sebastian M. Gluten intolerance: sex and age-related features. Can J Gastroenterol 2006; 20(11): 719–22.
-
17. Megiorni F, Mora B, Bonamico M, Barbato M, Montuori M, Viola F, et al. HLA -DQ and susceptibility to celiac disease: evidence for gender differences and parent-of-origin effects. Am J Gastroenterol 2008; 103(4): 997–1003.
-
18. Büyüköztürk S, Kekik Ç, Gökyigit AZ, Tezer Filik FI, Karakaya G, Saygi S, et al. Cutaneous drug reactions to antiepileptic drugs and relation with HLA alleles in the Turkish population. Eur Ann Allergy Clin Immunol 2018; 50: 36–41.
-
19. Megiorni F, Mora B, Bonamico M, Barbato M, Nenna R, Maiella G, et al. HLA-DQ and risk gradient for celiac disease. Hum Immunol 2009; 70(1): 55–9.
-
20. Fernández-Cavada-Pollo MJ, Alcalá-Peña MI, Vargas-Pérez ML, Vergara-Prieto E, Vallcorba-Gómez-del-Valle I, Melero-Ruiz J, et al. Celiac disease and HLA- DQ genotype: Diagnosis of different genetic risk profiles related to the age in Badajoz, southwestern Spain. Rev Esp EnfeRm Dig 2013; 105(8): 469-76.
-
21. Tüysüz B, Dursun A, Kutlu T, Sökücü S, Çine N, Süoğlu Ö, et al. HLA-DQ alleles in patients with celiac disease in Turkey. Tissue Antigens 2001; 57(6): 540-2.
-
22. Fernández-Mestre M, Padrón-Lowe D, Salazar-Alcalá E, Blanco-Pérez F. Role of HLA-DQB1 alleles in the risk, signs and symptoms, and severity of celiac disease in a Venezuelan population. Rev Gastroenterol Mex (Engl Ed) 2023; 88(2): 125-31.
-
23. Kuloğlu Z, Doğancı T, Kansu A, Demirçeken F, Duman M, Tutkak H, et al. HLA types in Turkish children with celiac disease. Turk J Pediatr 2008; 50(6): 515-20.
-
24. Basturk A, Artan R, Yılmaz A. The incidence of HLA-DQ2/DQ8 in Turkish children with celiac disease and a comparison of the geographical distribution of HLA- DQ. Prz Gastroenterol 2017; 12(4): 256-61.
-
25. Sahin Y. Celiac disease in children: A review of the literature. World J Clin Pediatr 2021; 10(4): 53-71.
-
26. Sahin Y, Mermer S. Frequency of celiac disease and distribution of HLA-DQ2/ DQ8 haplotypes among siblings of children with celiac disease. World J Clin Pediatr 2022; 11(4): 351-9.
-
27. Biagi F, Bianchi PI, Vattiato C, Marchese A, Trotta L, Badulli C, et al. Influence of HLA- DQ2 and DQ8 on severity in celiac disease. J Clin Gastroenterol 2012; 46(1): 465-0.
-
28. Rostami-Nejad M, Romanos J, Rostami K, Ganji A, Ehsani-Ardakani MJ, Bakhshipour AR, et al. Allele and haplotype frequencies for HLA-DQ in Iranian celiac disease patients. World J Gastroenterol 2014; 20(20): 63020-8.
-
29. Cerda-Contreras E, Ramírez-Cervantes KL, Granados J, Mena L, Núnez-Álvarez C, Uscanga L. Is celiac disease better identified through HLA-DQ8 than through HLA-DQ2 in Mexican subjects? Rev Gastroenterol Mex (Engl Ed) 2018; 83(4): 410-3.
-
30. Jores RD, Frau F, Cucca F, Clemente MG, Orru S, Rais M, et al. HLA-DQB1*0201 homozygosis predisposes to severe intestinal damage in celiac disease. Scand J Gastroenterol 2007; 42(1): 48-53.
-
31. Karinen H, Kärkkäinen P, Pihlajamäki J, Janatuinen E, Heikkinen M, Julkunen R, et al. HLA genotyping is useful in the evaluation of the risk for coeliac disease in the 1st-degree relatives of patients with coeliac disease. Scand J Gastroenterol 2006; 41(11): 1299-304.
-
32. Hansen S, Osler M, Thysen SM, Kårhus LL, Rumessen JJ, Linneberg A. Celiac disease and risk of neuropsychiatric disorders: A nationwide cohort study. Acta Psychiatr Scand 2023; 148(1): 60–70.