Clinical course of respiratory tuberculosis relapses in the Kazakh population depending on HLA-DRB1 gene alleles

Daniyar S. Dilmagambetov, Galiya N. Tanzharykova,Svetlana K. Sakhanova, Amangeldy A. Zhangireyev, Altyn S. Almagambetova

VirusDisease(2024)

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摘要
The study aimed to ascertain the prevalence and frequency of relapses of respiratory tuberculosis (TB) and examine the characteristics of its clinical progression in members of the Kazakh population based on the alleles of the HLA-DRB1 gene. Methods of clinical and genetic research, statistical processing and analysis of the obtained data were used to achieve this goal. The research led to an analysis of the statistical processing of clinical and genetic investigations that found out how often TB in the respiratory tract is found and how different HLA-DRB1 gene alleles affect the disease's progression. To find out how exposure to certain HLA-DRB1 gene alleles affects the chance of relapse, the number of times they were found was compared between people who had relapsed and people who had just been diagnosed with TB. The impact of these alleles on the progression of the disease was assessed based on their frequency of detection of different clinical forms of TB (infiltrative, fibro-cavernous, generalised, disseminated), unilateral and bilateral lung damage, lung tissue deterioration, and the presence of bacterial secretions. The highest detection rate for all comparisons had gene alleles HLA-DRB1*01 (9.5
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关键词
Allele frequency,Lung tissue decay,Bacterial release,Multidrug resistance,Genetic predisposition
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