HLA DQA1*05 (rs2097432) testing for anti-TNF biological therapy

Test covered by the reimbursement:
YES
Gender:
Woman/Man
Material:
Peripheral blood, Buccal swab
Turnover time:
3 weeks
STATIM:
1 week

Material:

Peripheral blood | 1x 3 ml of whole blood in K3 EDTA tube
Storage after examination: week after the report is issued 2 – 8°C
Buccal swab | 2x swab stick for buccal swab collection
Storage after examination: week after the report is issued 2 – 8°C
Isolated DNA from blood | 10–100 ng/μL of isolated DNA from blood in a PCR tube of at least 15 μL.
Storage after examination: stored in a DNA archive without restriction 15°C

Quick test description:

Detection of rs2097432 (HLA DQA1*05 allele) by real-time PCR diagnostic kit.

Test details:

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.