[HLA and narcolepsy. Apropos of 28 cases including 2 negative HLA-DR2]

Rev Neurol (Paris). 1988;144(5):327-31.
[Article in French]

Abstract

Association between narcolepsy and HLA-DR2 antigen is the strongest so far described between an HLA antigen and a disease. Among 28 narcoleptic patients, we found two HLA-DR2 negative cases: a caucasoid woman also suffering from dystrophia myotonica and a negroid. All of our patients were HLA-DQW1 positive. An hypothetical narcolepsy susceptibility gene could be located in the HLA region, closer to the DQ than to the DR gene. It could be a pathologic allele of a sleep controlling gene in linkage disequilibrium with DQW1. Presence of DQW1 is a quasi-requisite for the expression of narcolepsy. It is not sufficient as it is observed in 70 p. 100 of controls.

Publication types

  • Case Reports
  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • DNA / genetics
  • Female
  • HLA-D Antigens / analysis*
  • HLA-DQ Antigens / analysis
  • HLA-DR Antigens / analysis*
  • HLA-DR Antigens / genetics
  • HLA-DR2 Antigen
  • Humans
  • Male
  • Middle Aged
  • Narcolepsy / genetics
  • Narcolepsy / immunology*
  • Narcolepsy / physiopathology
  • Polymorphism, Genetic

Substances

  • HLA-D Antigens
  • HLA-DQ Antigens
  • HLA-DQ1 antigen
  • HLA-DR Antigens
  • HLA-DR2 Antigen
  • DNA