Major histocompatibility complex, class II, DQ alpha 1

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Major Histocompatibility Complex, Class II, DQ Alpha 1 (HLA-DQA1) is a protein that in humans is encoded by the HLA-DQA1 gene. This gene is part of the human leukocyte antigen (HLA) system, which plays a crucial role in the immune system by presenting peptides derived from extracellular proteins. HLA Class II molecules are primarily involved in the immune response to extracellular pathogens. The DQ alpha 1 chain pairs with the DQ beta chain to form the DQ heterodimer, which is expressed on the surface of antigen-presenting cells such as B cells, dendritic cells, and macrophages.

Structure[edit | edit source]

The HLA-DQA1 gene is located on the short arm of chromosome 6 (6p21.3) in a region known as the HLA complex. The protein encoded by this gene is a 34 kDa alpha chain that is non-covalently associated with a beta chain (encoded by a separate gene, such as HLA-DQB1) to form the DQ heterodimer. Each chain in the heterodimer has two domains: an N-terminal domain that participates in peptide binding and an immunoglobulin-like domain that contributes to cell surface expression and molecule stability.

Function[edit | edit source]

HLA-DQA1 is involved in the presentation of foreign peptides to T cells, specifically CD4+ T cells, which are a subset of T cells involved in the immune response. The presentation of peptides by HLA-DQA1 is crucial for the activation of CD4+ T cells, which can then help coordinate the immune response through the production of antibodies by B cells or the activation of other cells of the immune system. The specificity of peptide binding to HLA-DQA1 is determined by the sequence and structure of the peptide-binding groove, which varies among different HLA-DQ alleles, contributing to the diversity of the immune response.

Genetic Variability and Disease Association[edit | edit source]

The HLA-DQA1 gene exhibits a high degree of polymorphism, which is the presence of multiple alleles in the population. This genetic variability is beneficial for the immune system as it increases the range of peptides that can be presented to T cells, enhancing the ability to respond to a wide variety of pathogens. However, certain alleles of the HLA-DQA1 gene have been associated with susceptibility to or protection against various autoimmune diseases, such as type 1 diabetes, celiac disease, and rheumatoid arthritis. The mechanism behind these associations often involves the presentation of self-peptides or altered peptide ligands, leading to an inappropriate immune response.

Clinical Significance[edit | edit source]

Understanding the role of HLA-DQA1 in disease has implications for diagnosis, prognosis, and treatment. For example, genetic testing for specific HLA-DQA1 alleles can help predict susceptibility to certain autoimmune diseases. Additionally, therapies that modulate the immune response by targeting HLA-DQ molecules are being explored as potential treatments for autoimmune conditions.


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Contributors: Prab R. Tumpati, MD