Abstract
An underlying complex genetic susceptibility exists in multiple sclerosis (MS), and an association with the
HLA-DRB1*1501-DQB1*0602
haplotype has been repeatedly demonstrated in high-risk (northern European) populations. It is unknown whether the effect is explained by the
HLA-DRB1
or the
HLA-DQB1
gene within the susceptibility haplotype, which are in strong linkage disequilibrium (LD). African populations are characterized by greater haplotypic diversity and distinct patterns of LD compared with northern Europeans. To better localize the HLA gene responsible for MS susceptibility, case-control and family-based association studies were performed for
DRB1
and
DQB1
loci in a large and well-characterized African American data set. A selective association with
HLA-DRB1*15
was revealed, indicating a primary role for the
DRB1
locus in MS independent of
DQB1*0602
. This finding is unlikely to be solely explained by admixture, since a substantial proportion of the susceptibility chromosomes from African American patients with MS displayed haplotypes consistent with an African origin.