Cingoz S.Agilkaya S.Oztura I.Eroglu S.Karadeniz D.Evlice A.Altungoz O.Yilmaz H.Baklan B.2024-07-222024-07-22201419450265http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16679Background: The HLA-DQB1*06:02 allele across all ethnic groups and the rs5770917 variation between CPT1B and CHKB genes in Japanese and Koreans are common genetic susceptibility factors for narcolepsy. This comprehensive genetic study sought to assess variations in CHKB and CPT1B susceptibility genes and HLA-DQB1*06:02 allele status in Turkish patients with narcolepsy and healthy persons. Methods: CHKB/CPT1B genes were sequenced in patients with narcolepsy (n=37) and healthy persons (n=100) to detect variations. The HLA-DQB1*06:02 allele status was determined by sequence specific polymerase chain reaction. Results: The HLA-DQB1*06:02 allele was significantly more frequent in narcoleptic patients than in healthy persons (p=2×10-7) and in patients with narcolepsy and cataplexy than in those without (p=0.018). The mean of the multiple sleep latency test, sleep-onset rapid eye movement periods, and frequency of sleep paralysis significantly differed in the HLA-DQB1*06:02-positive patients. rs5770917, rs5770911, rs2269381, and rs2269382 were detected together as a haplotype in three patients and 11 healthy persons. In addition to this haplotype, the indel variation (rs144647670) was detected in the 5′ upstream region of the human CHKB gene in the patients and healthy persons carrying four variants together. Conclusion: This study identified a novel haplotype consisting of the indel variation, which had not been detected in previous studies in Japanese and Korean populations, and observed four single-nucleotide polymorphisms in CHKB/CPT1B. The study confirmed the association of the HLA-DQB1*06:02 allele with narcolepsy and cataplexy susceptibility. The findings suggest that the presence of HLA-DQB1*06:02 may be a predictor of cataplexy in narcoleptic patients and could therefore be used as an additional diagnostic marker alongside hypocretin. © 2014 Mary Ann Liebert, Inc.EnglishAll Open Access; Green Open AccessAllelesBase SequenceCarnitine O-PalmitoyltransferaseCase-Control StudiesCholine KinaseDNA PrimersElectrophoresis, Agar GelFemaleGenetic VariationHaplotypesHLA-DQ beta-ChainsHumansMaleNarcolepsyPolymerase Chain ReactionTurkeyHLA DQB1 antigencarnitine palmitoyltransferaseCHKB protein, humancholine kinaseCPT1B protein, humanHLA DQ antigenHLA-DQB1 antigenprimer DNA5' untranslated regionadolescentadultallelearticlechkb geneclinical articlecontrolled studyCPT1b genefemalegenegene frequencygene sequencegenetic susceptibilitygenetic variabilityhaplotypehumanindel mutationmalemiddle agednarcolepsyparasomniaREM sleepsingle nucleotide polymorphismTurkey (republic)young adultagar gel electrophoresisallelecase control studygenetic variabilitygeneticsnarcolepsynucleotide sequencepolymerase chain reactionTurkeyArticle10.1089/gtmb.2013.0391