Evidence map›Paper›PMID 42163120›Full record

ArticleBMC immunology2026

Genetic susceptibility and HLA association in autoimmune hepatitis among Yemeni patients.

Waleed Qassem Farie, Saleh Salem Bahaj, Anwar Kassem Al-Madhagi, Sarosh Sher Ali, Aref Noman, Waleed Yahya Alkassar

Abstract read
In one paragraph

Article in BMC immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Waleed Qassem FarieDepartment of Microbiology and Immunology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen.
Saleh Salem BahajDepartment of Microbiology and Immunology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen. salehbahaj2025@gmail.com.ORCID 0000-0001-6582-907X
Anwar Kassem Al-MadhagiDepartment of Microbiology and Immunology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen.
Sarosh Sher AliDepartment of Pediatric and Child Health, Aga Khan University, Karachi, Pakistan.
Aref NomanDepartment of Microbiology and Immunology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen.
Waleed Yahya AlkassarDepartment of Microbiology and Immunology, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmune hepatitis (AIH) is a chronic, immune-mediated liver disease characterized by the progressive destruction of hepatocytes, often leading to cirrhosis and liver failure. Genetic predisposition, particularly the involvement of human leukocyte antigen (HLA) alleles, is well-documented in the pathogenesis of AIH. However, the specific HLA associations in the Yemeni population remain unexplored, despite increasing clinical evidence of AIH in this region.

objectiveThis study aims to elucidate the distribution of HLA class alleles in Yemeni patients (aged ≥ 18 years) with AIH and assess their association with disease susceptibility, contributing to the growing body of immunogenetic research in Middle Eastern populations.

methodsThis case-control study included 93 AIH patients and 280 healthy controls (total N = 373), all of Yemeni origin. We conducted high-resolution HLA typing and compared the frequencies of HLA alleles with global data. Allelic distributions were analyzed for associations with AIH susceptibility, and findings were interpreted in the context of previously identified genetic markers of autoimmune liver disease.

resultsThe most frequent allele in Yemeni AIH patients was HLA-DRB1*03:01 (42.5% vs. 15.5% in controls, OR = 4.0, 95% CI = 2.8-5.8, p = 0.01), followed by HLA-DRB1*04:01 (21.5% vs. 16.9%, OR = 1.3, 95% CI = 1.1-2.0, p = 0.04) and HLA-A*02 (31.7% vs. 27.9%, OR = 1.2, 95% CI = 1.1-1.3, p = 0.001). Protective alleles such as HLA-DRB1*13:01 were significantly more frequent in controls (13.2% vs. 3.8%, OR = 0.3, 95% CI = 0.1-0.6, p = 0.001). Our results demonstrate a genetic predisposition to AIH in Yemen, primarily associated with the HLA-DRB1*03:01 and HLA-DRB1*04:01 alleles. The observed distribution aligns with international trends but also reveals distinct ethnic-specific patterns that warrant further investigation.

conclusionThis study highlights the critical role of HLA-DRB1* alleles, particularly DRB1*03:01 and DRB1*04:01, in the genetic susceptibility to AIH in the Yemeni population. These findings not only enhance the understanding of genetic factors in AIH but also establish a foundation for future immunogenetic research in the Middle East. The identification of region-specific HLA associations could inform both diagnostic and therapeutic strategies for AIH in Yemen and similar populations. This study was restricted to adults (≥ 18 years); therefore, findings may not apply to pediatric AIH.

Indexed as

Genetic Predisposition to DiseaseHepatitis, AutoimmuneHLA AntigensHLA-DRB1 ChainsAdolescentAdultAgedAllelesCase-Control StudiesFemaleGene FrequencyGenetic Association StudiesGenotypeHumansMaleMiddle AgedHLA AntigensHLA-DRB1 ChainsAutoimmune hepatitisGenetic susceptibilityHLA-DRB1 allelesHuman leukocyte antigenImmunogeneticsYemeni population

Identifiers

PMID42163120
PMCPMC13192006

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.