RESEARCH ARTICLE


Role of Major Histocompatibility Complex Genes in the Susceptibility and Protection of Primary Open Angle Glaucoma and Primary Congenital Glaucoma



Félix Gil-Carrasco1, Marla Alvarez-Padilla1, Susana Hernández-Doño2, José Ponce-Coria2, 3, Rafael García-Silva2, Julio Granados2, *
1 Glaucoma Department, Asociación para Evitar la Ceguera en México (APEC), Mexico City, Mexico
2 Transplant Department, Immunogenetics Division, Instituto Nacional de Ciencias Medicas y Nutricion, Salvador Zubiran, Mexico
3 Departamento de Atención a la Salud, Universidad Autónoma Metropolitana Unidad Xochimilco, Mexico City, México


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Creative Commons License
© 2021 Gil-Carrasco et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Transplant Department, Immunogenetics Division, Instituto Nacional de Ciencias Medicas y Nutricion, Salvador Zubiran, Mexico; E-mail: julgrate@yahoo.com


Abstract

Introduction:

Glaucoma is a prevalent disease seen in the Ophthalmology department that includes a group of neurodegenerative eye pathologies associated with total loss of vision. It is known for its clinical diversity and secondary to this, it is assumed that multiple genes play a role in its pathogenesis. Among these, those that regulate the immune response which includes the HLA genes are of particular interest because they have been associated with a subgroup of glaucoma patients known as Primary Open Glaucoma.

Methods:

In this study, we studied 3 different groups of patients with glaucoma in whom HLA alleles were determined by sequence-specific primers (SSP) technique.

Results:

An association of HLA-DRB1*16 was found with the susceptibility to develop Primary Congenital Glaucoma. In addition, HLA-DRB1*14 was associated with glaucoma without angular dysgenesis, and HLA-DRB1*03 to glaucoma with iridocorneal dysgenesis.

Conclusion:

In conclusion, the data obtained allow us to suggest that glaucoma is a clinical and genetically heterogeneous disease in which one of the subgroups has an autoimmune mechanism in which the Mexican mestizo population shows genetic susceptibility and it differs from POAG with angular dysgenesis and POAG without dysgenesis.

Keywords: Glaucoma, Heterogeneous disease, POAG, Dysgenesis, HLA, Autoimmune mechanism.