HLA DQA1*05 (rs2097432) testing for anti-TNF biological therapy
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The HLA-DQA1*05A>G (rs2097432) allele variant is associated with a significantly higher incidence and faster progression of the formation of anti-TNF antibodies. Up to 91% of patients develop antibodies within one year of treatment. This genetic testing may help with the personalised selection of anti-TNF therapy and the need to combine it with immunomodulators that reduce the risk of antibody formation in carriers of the HLA-DQA1*05A>G (rs2097432) allele when compared to wild genotype patients. Approximately 79% of antidrug antibody (ADA) patients are reported to carry the HLA-DQA1*05A>G (rs2097432) allele. The remaining 21% of patients produce these antibodies without carrying this allele.
The test detects the HLA-DQA1*05 allele by real-time PCR. In case of positive findings, genotyping of variant rs2097432 by Sanger sequencing follows.