HLA基因型与血液肿瘤发病风险及免疫检查点相关蛋白的关联研究
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南京医科大学公共卫生学院

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Association of HLA genotypes with the risk of hematological malignancies and immune checkpoint-related proteins
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    摘要:

    目的:系统评估人类白细胞抗原(human leukocyte antigen,HLA)基因型与血液系统恶性肿瘤(hematological malignancies,HM)发病风险的关联,并探索HM相关HLA与蛋白水平的相关性。方法:基于前瞻性队列英国生物样本库(UK Biobank,UKB)中438 464名参与者的数据,采用Cox比例风险回归模型评估HLA基因型与HM发病风险的关联,并通过多元线性回归模型评估HLA与血浆蛋白水平的相关性。所有模型均对年龄、性别、基因分型批次及前五个基因主成分(gene primary components,PCs)进行了调整。结果:鉴定出10种与HM发病风险相关的HLA基因型。淋巴系统恶性肿瘤(霍奇金淋巴瘤、非霍奇金淋巴瘤和淋巴细胞白血病)的发生受HLA-I类和II类分子的共同影响,其中,B*08:01、C*07:01、DQA1*05:01、DQB1*02:01、DRB1*03:01和DRB3*01:01六种等位基因均可增加上述三种淋巴系统血液肿瘤的发病风险,而多发性骨髓瘤的发病风险仅与HLA-I类分子,B*07:02(HR=1.30, 95% CI: 1.14~1.47, Padj=8.518×10-3)和C*07:02(HR=1.30, 95% CI: 1.15~1.47, Padj=8.518×10-3)有关。富集分析表明,HLA相关蛋白主要富集于细胞粘附分子互作,以及PI3K-Akt、MAPK和NF-κB等核心免疫信号途径。此外,HM易感HLA基因型与杀伤细胞免疫球蛋白样受体、白细胞免疫球蛋白样受体、程序性细胞死亡蛋白及TIGIT四类免疫检查点相关蛋白质的表达水平有关。结论:HLA基因型与HM的易感性密切相关,其潜在的生物学机制可能通过调控免疫检查点蛋白及相关信号通路来实现。不仅证实了HLA基因型作为评估HM高危人群关键生物标志物的价值,也从多组学角度为理解HLA遗传变异影响的肿瘤免疫逃逸机制提供了线索。

    Abstract:

    Objective: To systematically evaluate the association between human leukocyte antigen (HLA) genotypes and the risk of hematological malignancies (HM) and explore the correlation between HM-related HLA and protein levels. Methods: Based on data from 438 464 participants in the prospective cohort UK Biobank (UKB), the Cox proportional hazards regression model was used to assess the associations between HLA genotypes and the risk of incident HM, and the multiple linear regression model was used to evaluate the correlation between HLA and plasma protein levels. All models were adjusted for age, sex, genotyping batch, and the top five gene primary components (PCs). Results: Ten HLA genotypes were identified as significantly associated with the risk of HM. The development of lymphoid malignancies (Hodgkin lymphoma, non-Hodgkin lymphoma, and lymphocytic leukemia) was jointly influenced by both HLA-I and HLA-II loci. Specifically, B*08:01, C*07:01, DQA1*05:01, DQB1*02:01, DRB1*03:01, and DRB3*01:01 consistently increased the incidence risk of lymphoid malignancies. In contrast, the risk of multiple myeloma was exclusively associated with HLA-I locus B*07:02 (HR=1.30, 95% CI: 1.14~1.47, Padj=8.518×10-3) and C*07:02 (HR=1.30, 95% CI: 1.15~1.47, Padj=8.518×10-3). Enrichment analysis demonstrated that HLA-related proteins were significantly enriched in cell adhesion molecule interactions, as well as core immune signaling pathways including PI3K-Akt, MAPK, and NF-κB. Furthermore, HM-susceptible HLA genotypes significantly influenced the expression levels of four immune checkpoint-related protein families: killer cell immunoglobulin-like receptors, leukocyte immunoglobulin-like receptors, programmed cell death proteins, and TIGIT. Conclusion: The HLA genotype is closely related to the susceptibility to HM, and its potential biological mechanism may be realized by regulating immune checkpoint proteins and related signaling pathways. It not only confirms the value of HLA genotype as a key biomarker for assessing high-risk populations for HM but also provides multi-omics clues for understanding the tumor immune escape mechanism affected by HLA genetic variations.

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  • 收稿日期:2026-04-23
  • 最后修改日期:2026-06-05
  • 录用日期:2026-11-04
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