HLA-DR17 (DR17) is an HLA-DR serotype that recognizes the DRB1*0301 and *0304 gene products. DR17 is found at high frequency in Western Europe (such as Western Ireland, N. Spain, Sardinia). DR17 is part of the broader antigen group HLA-DR3 and is very similar to the group HLA-DR18.
Serology
DR17 and DR3 recognition of some DRB1*03 alleles[1]
DRB1*
DR17
DR3
DR18
Sample
allele
%
%
%
size (N)
0301
64
33
0
9698
0304
20
60
5
DR17 recognizes the DRB1*0301, *0304 alleles.
Disease associations
By serotype
DR17 is associated with non-chronic sarcoidosis,[2][3] infantile spasm/epilepsy,[4] rabies vaccine-induced autoimmune encephalomyelitis[5] and cardiovascular hypertrophy in subjects with arterial hypertension[6] People with DR17 show a tendency toward benzylpenicilloyl allergies.[7]
By allele
DRB1*0301: diabetes mellitus type 1,[8] myositis,[9] early onset Graves disease,[10] type 1 autoimmune hepatitis,[11] inflammatory inclusion body myositis.[12] In autoimmune hepatitis,
DRB1*0301 correlates with more severe and difficult to treat disease.[13]
By haplotype
DRB1*0301:DQA1*05:DQB1*0201 is associated with diabetes mellitus type 1,[14] ovarian cancer,[15] non-thymomic myasthenia gravis,[16] idiopathic inflammatory myopathies,[17] non-cancer associated Lambert-Eaton myasthenic syndrome[18] and sarcoidosis [19]
By phenotype
The DRB1*0301/DRB1*1501 heterozygote is linked to primary Sjögren's syndrome[20]
Genetic Linkage
DR17 Haplotypes
Serotypes
DRA
DRB1
DRB3
DR17
*0101
*0301
0101
*0101
*0301
0201
Serotypes
DQA1
DQB1
DRB1
DR17(3)-DQ2(2.5)
*0501
*0201
*0301
Serotypes
HLA-A
HLA C
HLA B
DRB1
A1-Cw7-B8-DR17(3)
*0101
*0701
*0801
*0301
A2-Cw7-B8-DR17(3)
*0201
*0701
*0801
*0301
A30-Cw5-B18-DR17(3)
*3002
*0501
*1801
*0301
HLA-DR17 is genetically linked to DR52 and HLA-DQ2 serotypes. These serotypes
are the result of gene products from the HLA-DRB3* and HLA DQA1*0501 and HLA DQB1*0201 alleles.
DRB1*0301 is frequently within by the "Super-B8" or ancestral HLA haplotype:
^Berlin M, Fogdell-Hahn A, Olerup O, Eklund A, Grunewald J (1997). "HLA-DR predicts the prognosis in Scandinavian patients with pulmonary sarcoidosis". Am J Respir Crit Care Med. 156 (5): 1601–5. doi:10.1164/ajrccm.156.5.9704069. PMID9372682.
^Planck A, Katchar K, Eklund A, Gripenbäck S, Grunewald J (2003). "T-lymphocyte activity in HLA-DR17 positive patients with active and clinically recovered sarcoidosis". Sarcoidosis Vasc Diffuse Lung Dis. 20 (2): 110–7. PMID12870720.
^Shawkatova I, Michalkova D, Barak L, Fazekasova H, Kuba D, Buc M (2006). "HLA class II allele frequencies in type 1A diabetes mellitus Slovak patients". Bratisl Lek Listy. 107 (3): 76–9. PMID16796128.
^Lavard L, Madsen H, Perrild H, Jacobsen B, Svejgaard A (1997). "HLA class II associations in juvenile Graves' disease: indication of a strong protective role of the DRB1*0701,DQA1*0201 haplotype". Tissue Antigens. 50 (6): 639–41. doi:10.1111/j.1399-0039.1997.tb02922.x. PMID9458117.
^Czaja A, Strettell M, Thomson L, Santrach P, Moore S, Donaldson P, Williams R (1997). "Associations between alleles of the major histocompatibility complex and type 1 autoimmune hepatitis". Hepatology. 25 (2): 317–23. doi:10.1002/hep.510250211. PMID9021941. S2CID42248704.
^Sivakumar K, Semino-Mora C, Dalakas M (1997). "An inflammatory, familial, inclusion body myositis with autoimmune features and a phenotype identical to sporadic inclusion body myositis. Studies in three families". Brain. 120 (4): 653–61. doi:10.1093/brain/120.4.653. PMID9153127.
^Montano Loza AJ, Czaja AJ (2007). "Current therapy for autoimmune hepatitis". Nature Clinical Practice Gastroenterology & Hepatology. 4 (4): 202–14. doi:10.1038/ncpgasthep0768. PMID17404588. S2CID24280843.
^Parsons K, Kwok W, Gaur L, Nepom G (2000). "Increased frequency of HLA class II alleles DRB1*0301 and DQB1*0201 in Lambert-Eaton myasthenic syndrome without associated cancer". Hum Immunol. 61 (8): 828–33. doi:10.1016/S0198-8859(00)00135-X. PMID10980394.
^Grubić R, Žunec T, Peroš-Golubičić J, et al. (2007). "HLA class I and class II frequencies in patients with sarcoidosis from Croatia: role of HLA-B8, −DRB1*0301, and −DQB1*0201 haplotype in clinical variations of the disease". Tissue Antigens. 70 (4): 301–6. doi:10.1111/j.1399-0039.2007.00904.x. PMID17767551.
^Jean S, Quelvennec E, Alizadeh M, Guggenbuhl P, Birebent B, Perdriger A, Grosbois B, Pawlotsky P, Semana G (1998). "DRB1*15 and DRB1*03 extended haplotype interaction in primary Sjögren's syndrome genetic susceptibility". Clin Exp Rheumatol. 16 (6): 725–8. PMID9844767.