Evidence map›Paper›PMID 40072812›Full record

ArticleBiochemical genetics2026

Effects of HLA-DRA, HLA-DQA1 and IL-6 Gene Variations to Glatiramer Acetate Resistance in Multiple Sclerosis Patients.

Aysegul Sahbaz, Busranur Oguz Selcuk, Fusun Mayda Domac, Serkan Demir, Mesrure Koseoglu, Ebru Hatun Uludasdemir, Gulsah Koc, Bayram Yılmaz, Deniz Kirac

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Article in Biochemical genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Aysegul SahbazDepartment of Medical Biology, Faculty of Medicine, Yeditepe University, Istanbul, Turkey. aysegulkaptan@yahoo.com.ORCID http://orcid.org/0000-0002-9483-6778
Busranur Oguz SelcukDepartment of Neurology, Erenkoy Mental and Neurological Diseases Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-2363-7568
Fusun Mayda DomacDepartment of Neurology, Erenkoy Mental and Neurological Diseases Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5039-7101
Serkan DemirDepartment of Neurology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-4395-5141
Mesrure KoseogluDepartment of Neurology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-0469-0064
Ebru Hatun UludasdemirDepartment of Neurology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0009-0009-0535-1364
Gulsah KocDepartment of Medical Biology, Faculty of Medicine, Istanbul Aydın University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-9678-5652
Bayram YılmazDepartment of Physiology, Faculty of Medicine, Yeditepe University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-2674-6535
Deniz KiracDepartment of Medical Biology, Faculty of Medicine, Yeditepe University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-3599-7344

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is among the most common autoimmune disorders and is characterized by inflammation and degeneration affecting the central nervous system. Glatiramer acetate (GA) is an immunomodulatory drug utilized for treating relapsing-remitting MS. However, a considerable number of patients do not exhibit an appropriate response to this drug. This condition is known as GA resistance. This study aimed to investigate the relationship between nucleotide variations in the HLA-DRA, HLA-DQA1 and IL-6 genes and GA resistance. Additionally, the relationship of environmental factors with MS was investigated. One hundred thirty-nine MS patients were enrolled in this study. Patients were divided into two groups: non-responders (n = 58) and responders (n = 81). After DNA was isolated from peripheral blood, the rs3135388 and rs3135391 variations in HLA-DRA, the rs9272346 variation in HLA-DQA1, and the rs1800795 and rs1900796 variations in IL-6 were analyzed by Real-Time Polymerase Chain Reaction (RT-PCR). At the end of the study, it was found that the number of females was approximately 3 times greater in responders and 4 times greater in non-responders than in males. When nucleotide variations and allele distributions were compared between the groups, no significant relationships were found. Similarly, no significant relationship was found between risk factors and nucleotide variations. However, in non-responders, the expanded disability status scale and lesion load were found to be significantly high. In conclusion, by increasing the number of patients, more meaningful results can be achieved in future studies. Elucidating the pharmacogenetic characteristics (the drug-gene relationship) of MS patients using GA could lead to the development of personalized treatment strategies.

Indexed as

Drug ResistanceGlatiramer AcetateHLA-DQ alpha-ChainsHLA-DR alpha-ChainsInterleukin-6Multiple SclerosisAdultFemaleHumansMaleMiddle AgedPolymorphism, Single NucleotideYoung AdultGlatiramer AcetateHLA-DQA1 antigenHLA-DQ alpha-ChainsHLA-DR alpha-ChainsIL6 protein, humanInterleukin-6Glatiramer acetateHLA-DQA1HLA-DRAIL-6MS

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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.