Graves’ disease (GD) is an autoimmune disease that primarily affects the thyroid
gland. It is the most common cause of hyperthyroidism. Genetic studies have
shown that human leukocyte antigen (HLA) plays an important role in the
development of GD. In this article, we performed a meta-analysis determined to
evaluate the relationship between HLA-DRB1 alleles and GD. This meta-analysis
included 9 studies (3582 cases in the case group and 23070 cases in the control
group) and 27 alleles was performed. The combined results showed that, compared
with the control group, GD patients have a significant increase in the frequency
of DRB1*1403 (OR=2.50, 95% CI=1.78–3.51, pc<0.0001) and have a significant
decrease in frequencies of DRB1* 0101 (OR=0.45, 95% CI=0.34–0.59, pc<0.0001)
and DRB1*0701 (OR=0.44, 95% CI=0.35–0.55, pc<0.0001). The meta-analysis
indicated that, in Asian populations, DRB1*1403 is a risk allele for GD, and
DRB1*0101 and DRB1*0701 are protective against the occurrence of GD. We
surprisingly discovered that the susceptibility alleles for GD in Asian
populations are completely different from Caucasians and the protective alleles
for GD in Asians are quite similar to those of Caucasians. The results of our
study may provide new opportunities for gene-targeted therapy for GD in Asian
populations.