Evidence map›Paper›PMID 40693714›Full record

ArticleInvestigative ophthalmology & visual science2025

Association of Human Leukocyte Antigen Polymorphisms With Moderate-to-Severe Dry Eye With and Without Sjögren's Syndrome.

Zhiqing Chen, Dan Jiang, Qinxiang Zheng, Shilai Xing, Jinyang Li, Lei Lin, Li Ren, Hanlu Xu, Xiaoguang Yu, Louis Tong and 1 more

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Zhiqing ChenNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Dan JiangNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Qinxiang ZhengNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Shilai XingInstitute of PSI Genomics, Wenzhou Global Eye & Vision Innovation Center, Wenzhou, China.
Jinyang LiNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Lei LinNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Li RenNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Hanlu XuNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Xiaoguang YuInstitute of PSI Genomics, Wenzhou Global Eye & Vision Innovation Center, Wenzhou, China.
Louis TongCornea and External Eye Disease Service, Singapore National Eye Center, Singapore; Ocular Surface Research Group, Singapore Eye Research Institute, Singapore; Eye-Academic Clinical Program, Duke - National University of Singapore, Singapore, Singapore.
Wei ChenNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Sjögren's syndrome dry eye (SSDE) has been described in relation to human leukocyte antigen (HLA) polymorphisms. It is unknown whether non-Sjögren's syndrome dry eye (NSDE) is related to HLA. This study aimed to evaluate the genetic association of HLA polymorphism with dry eye disease (DED). This was a cross-sectional study. Methods: Patients with moderate-to-severe DED with and without Sjögren's syndrome (SS) were included. Oral swab samples were collected and HLA genotyping was performed using single-molecule real-time sequencing. The normal healthy population was used as the control group for the susceptibility alleles identification. The signs and symptoms of DED were compared between patients with and without susceptibility alleles. Results: Sixty-four (64) patients with NSDE (mean age = 47.55 years, 92.2% female) and 40 patients with SSDE (mean age = 52.68 years, 90% female) were included. HLA-B*40:01 allele frequency in the NSDE group was significantly higher than in the reference population (odds ratio [OR] = 2.42, P < 0.001). We identified a trend toward worsening of the ocular surface condition with HLA-B*40:01 carrier. This was manifested by a higher Oxford score (P < 0.0001) and more meibomian gland dropout (P = 0.030) and worse visual acuity (P = 0.006). Further analysis revealed that higher severe rate of NSDE was associated with HLA-B*40:01 carrier status (67.39% vs. 42.68%, P = 0.007). In addition, patients with SSDE showed a significantly higher frequency of HLA-B*40:01, HLA-C*07:02, HLA-DQB1*06:01, and HLA-DRB1*16:02. Patients with SSDE carrying HLA-B*40:01 had less tear secretion. Conclusions: Significant associations exist between HLA alleles and moderate-to-severe DED. HLA polymorphisms were associated with the clinical features of moderate-to-severe DED, possibly via modulating the ocular surface immune function.

Indexed as

Dry Eye SyndromesHLA AntigensPolymorphism, GeneticSjogren's SyndromeAdultAgedAllelesCross-Sectional StudiesFemaleGene FrequencyGenetic Predisposition to DiseaseGenotypeHumansMaleMiddle AgedSeverity of Illness IndexHLA Antigens

Identifiers

PMID40693714
PMCPMC12302039

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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.