Celiac disease and HLA typing using real-time PCR with melting curve analysis

Tissue Antigens. 2011 Jul;78(1):31-7. doi: 10.1111/j.1399-0039.2011.01676.x. Epub 2011 Apr 27.

Abstract

Celiac disease (CD) is an autoimmune disease characterized by chronic diarrhea, inflammatory lesions of small bowel and nutritional malabsorption. CD is strongly associated with the presence of HLA-DQB*02, DQB*03:02 and DQA*05. The absence of any one of these three human leukocyte antigen (HLA) alleles rules out the diagnosis of CD in suspected patients. Here, we describe a novel method to detect the presence of these specific HLA alleles using real-time polymerase chain reaction (PCR) with melting curve analysis. Compared with current HLA typing assays, the real-time PCR method is faster, requires fewer handling steps and provides 100% sensitivity and specificity for typing of HLA-DQB*02, DQB*03:02 and DQA*05 alleles.

Publication types

  • Validation Study

MeSH terms

  • Celiac Disease / genetics*
  • Celiac Disease / immunology
  • Computer Systems
  • DNA / analysis
  • DNA Mutational Analysis / methods
  • HLA-DQ Antigens / analysis
  • HLA-DQ Antigens / genetics
  • HLA-DQ alpha-Chains
  • HLA-DQ beta-Chains
  • Histocompatibility Testing / methods*
  • Humans
  • Nucleic Acid Denaturation / genetics
  • Polymerase Chain Reaction / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Temperature
  • Transition Temperature

Substances

  • HLA-DQ Antigens
  • HLA-DQ alpha-Chains
  • HLA-DQ beta-Chains
  • HLA-DQA1 antigen
  • HLA-DQbeta antigen
  • DNA