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ArticleClinical rheumatology2025

Association study of the HLA class I system with psoriatic arthritis in Southern Tunisia: a case-control study.

Mariem Maaloul, Aida Charfi, Afef Feki, Zouhour Gassara, Feiza Hakim, Lilia Gaddour, Hela Fourati, Sofien Baklouti, Arwa Kamoun, Nadia Mahfoudh

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Article in Clinical rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Mariem MaaloulImmunology and Histocompatibility Department, Hedi Chaker University Hospital, Sfax, Tunisia. mariem94mm@live.fr.ORCID https://orcid.org/0009-0005-5472-3209
Aida CharfiImmunology and Histocompatibility Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Afef FekiRheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Zouhour GassaraRheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Feiza HakimImmunology and Histocompatibility Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Lilia GaddourImmunology and Histocompatibility Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Hela FouratiRheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Sofien BakloutiRheumatology Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Arwa KamounImmunology and Histocompatibility Department, Hedi Chaker University Hospital, Sfax, Tunisia.
Nadia MahfoudhImmunology and Histocompatibility Department, Hedi Chaker University Hospital, Sfax, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectivesPsoriatic arthritis (PsA) is a chronic inflammatory rheumatism belonging to the spondyloarthritis family. It is a multifactorial disease whose genetic determinism is still poorly understood. It is favored by environmental factors in genetically predisposed individuals. This study aims to investigate the association of HLA-A, HLA-B, and HLA-C alleles with PsA and its various manifestations in patients from Southern Tunisia. PATIENTS AND

methodsA case-control association study was conducted involving 48 PsA patients and 123 controls. HLA-A and HLA-B typing was performed using microlymphocytotoxicity complement-dependent assays, and HLA-C typing was done using polymerase chain reaction-sequence specific primer.

resultsPositive associations were confirmed for HLA-B27 and -C*06 alleles with PsA in our Southern Tunisian population with a more pronounced association in cases of -C*06 homozygosity. The HLA-B*27-C*02 and HLA-B*50-C*06 haplotypes were significantly more frequent in PsA patients, whereas the HLA-B*35-C*04 haplotype was negatively associated with PsA. Specific HLA alleles were linked to disease manifestations: -C04 with female sex, -B27 with familial spondyloarthritis, and -B17 with sporadic PsA. Cervical spine involvement was associated with -C02, and hip involvement with -B35 and -C02. Uveitis was linked to -C02 and -B27. A negative association was observed between a BASFI score > 4 and the presence of -B45 and -C07.

conclusionThe HLA class I system contributes to PsA susceptibility in the Southern Tunisian population. Key Points • This is the first study exploring the association between HLA class I alleles and psoriatic arthritis in Southern Tunisia. • HLA-B27 and -C06 alleles are strongly associated with PsA, with a more pronounced effect in -C06 homozygosity. • Specific HLA alleles are linked to clinical manifestations: -B27 is associated with familial PsA, -B17 with sporadic PsA, and -B35 with hip involvement. • These findings provide insights into the genetic contribution to PsA pathophysiology in Southern Tunisia and highlight the role of HLA alleles in specific disease features.

Indexed as

Arthritis, PsoriaticHLA-B27 AntigenHLA-B AntigensHLA-C AntigensAdultAgedAllelesCase-Control StudiesFemaleGene FrequencyGenetic Predisposition to DiseaseHaplotypesHLA-A AntigensHumansMaleMiddle AgedHLA-A AntigensHLA-B27 AntigenHLA-B AntigensHLA-C AntigensAssociation studyHLAPsoriatic arthritis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.