HLA-DR1


HLA-DR1 is a HLA-DR serotype that recognizes the DRB1*01 gene products. It has been observed to be common among centenarians.

Serology

The serology for the most common DR1 alleles is excellent. The serology for alleles,,,,,, and is unknown.

Disease associations

By serotype

DR1 is associated with seronegative-rheumatoid arthritis, penicillamine-induced myasthenia, and schizophrenia. DR1 is increased in patients with systemic sclerosis and arthritis and in ulcerative colitis with patients that have articular manifestations.

By allele

DRB1*01:01 is associated with rheumatoid arthritis, in anti-Jk mediated hemolytic transfusion reactions, foliaceous pemphigus, HTLV-1-associated myelopathy/tropical spastic paraparesis, and lichen planus. In lyme disease arthritis, *01:01 appears to play a role in
presentation of triggering microbial antigens.
DRB1*01:02 is associated with rheumatoid arthritis, in anti-Jk mediated hemolytic transfusion reactions, psoriasis vulgaris, and recurrent respiratory papillomatosis
DRB1*01:03 is associated with colonic Crohn's disease and ulcerative colitis.

By genotype

DRB1*01:01/*0404 and *01:01/*0401 increases risk of mortality in rheumatoid arthritis, with ischemic heart disease and smoking. these same genotypes are associated with rheumatoid vasculitis.
Image:DR beta 1 SEI topdown.JPG|240px|left|ligand within the binding pocket of DR αβ101

By haplotype

DRB1*01:02:DQB1*05:01 is associated with psoriasis vulgaris and tubulointerstitial nephritis & uveitis syndrome, but is relatively protective against juvenile diabetes.
DR1-DQ5 is associated with tubulointerstitial nephritis & uveitis syndrome.

Rheumatoid arthritis

There frequency of DR4-DQ8 haplotypes reach extreme nodal levels. Arthritis has been identified in a pre-Columbian remains from Italy, the affected individual bearing the DRB1*01:01 allele. DRB1*01:01 and most DR4 have in common a 'shared epitope'. In this hypothesis a common region of the beta chain, positions 67 to 74, are common and may be integral to presenting auto-immunological peptides.

Genetic linkage

HLA-DR1 is not genetically linked to DR51, DR52 or DR53, but is linked to HLA-DQ1 and DQ5 serotypes.