HLA Antigens and Nontuberculous Mycobacterial Lung Disease in Korean Patients

Background  Human leukocyte antigen (HLA) molecules are known to play an important role in host-defense mechanisms. The aim of this study was to evaluate the association between HLA alleles and lung disease caused by nontuberculous mycobacteria (NTM) in Korean patients. Methods  Seventy-eight patients with NTM lung disease (48 patients with Mycobacterium avium-intracellulare complex MAC] infection and 30 patients with Mycobacterium abscessus infection) were included in the study. HLA-A, -B, and -DRB1 genotyping was performed by polymerase chain reaction using sequence-specific primers. Data from 485 healthy Korean individuals were used as a control. Results  When compared to controls, patients with NTM lung disease showed an increased frequency of DRB1*11 (OR = 1.91, 95% confidence interval CI] = 1.01–3.64, p = 0.045, corrected p pC] > 0.05). In the subgroup analysis, patients with MAC lung disease had an increased frequency of B*46 (OR = 2.23, 95% CI = 1.05–4.73, p = 0.044, pC > 0.05). Conclusions  Our data suggest that in a Korean population, patients with NTM lung disease and healthy subjects differ in the frequencies of some HLA alleles. However, when considering corrected p values, our findings are inconclusive. S.-W. Um and C.-S. Ki contributed equally to this work.