HLA-B Gene: Structure, Function, and Clinical Significance

A comprehensive overview of the HLA-B gene, its protein product, associated diseases, and clinical relevance.

Gene Information Card

Symbol HLA-B
Full Name Major Histocompatibility Complex, Class I, B
Gene Type Protein coding
Chromosomal Location 6p21.33
NCBI Gene ID 3106 ncbi.nlm.nih.gov/gene/3106
Ensembl ID ENSG00000234745
UniProt ID P01889
OMIM ID 142830
HGNC ID 4932
Aliases AS, SPDA1, HLA-B*27, HLA-B27

Description

The HLA-B gene encodes the human leukocyte antigen class I (MHC class I) heavy chain, a highly polymorphic cell-surface glycoprotein essential for the adaptive immune system. Its primary function is to present endogenous (intracellular) peptides, including viral and tumor antigens, to CD8+ T lymphocytes (cytotoxic T cells). This presentation is crucial for immune surveillance and the elimination of infected or malignant cells. The extreme polymorphism of HLA-B allows the immune system to present a diverse array of peptides to T cells. HLA-B is also a major histocompatibility (transplantation) antigen, making it a critical factor in organ and hematopoietic stem cell transplantation matching. Certain HLA-B alleles are strongly associated with specific diseases, including autoimmune conditions like ankylosing spondylitis (HLA-B27) and severe drug hypersensitivity reactions like Stevens-Johnson syndrome (HLA-B*15:02).

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Ankylosing Spondylitis The HLA-B27 allele is the strongest known genetic risk factor. The mechanism is not fully understood but is thought to involve the presentation of arthritogenic peptides, the formation of misfolded HLA-B27 heavy chain homodimers that trigger pro-inflammatory responses, or the activation of autoreactive T cells. Strong genetic association (GWAS, case-control studies).
Stevens-Johnson Syndrome (SJS) / Toxic Epidermal Necrolysis (TEN) The HLA-B*15:02 allele is strongly associated with SJS/TEN induced by carbamazepine and other aromatic antiepileptic drugs. The mechanism is believed to be a direct, non-covalent interaction between the drug and the HLA-B*15:02 molecule, leading to an altered peptide repertoire and an inappropriate CD8+ T-cell response. Strong genetic association in specific populations (e.g., Han Chinese, Southeast Asian).
HIV/AIDS Certain HLA-B alleles, such as HLA-B*57 and HLA-B*27, are associated with slower progression to AIDS and better control of viral load. This is likely due to the effective presentation of highly conserved HIV epitopes, leading to a robust and broadly reactive CD8+ T-cell response. Strong genetic association (cohort studies).
Behçet's Disease HLA-B*51 is the most significant genetic risk factor for Behçet's disease, a systemic inflammatory disorder. The mechanism is not fully understood but is thought to involve altered antigen presentation leading to an exaggerated inflammatory response. Strong genetic association (case-control studies).
Graft-versus-Host Disease (GVHD) HLA-B is a major histocompatibility antigen. Mismatches in HLA-B between donor and recipient in allogeneic hematopoietic stem cell transplantation are a primary cause of acute GVHD, where donor T cells recognize recipient tissues as foreign. Clinical evidence (transplantation outcome studies).

Expression Profile

Tissue Expression
Tissue nTPM level
Whole Blood N/A High
Spleen N/A High
Lymph Node N/A High
Bone Marrow N/A High
Lung N/A Medium
Liver N/A Medium
Kidney N/A Medium
Skin N/A Medium
Brain N/A Low
Muscle N/A Low
Cell Line Expression
Cell Line nTPM Notes
B-lymphocyte (GM12878) N/A High expression
T-lymphocyte (Jurkat) N/A High expression
Monocyte (THP-1) N/A High expression
NK cell (NK-92) N/A High expression
HeLa (cervical cancer) N/A Medium expression
A549 (lung cancer) N/A Medium expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
HLA-B*27:05 Allelic Variant ~8% in Caucasian populations Strongly associated with Ankylosing Spondylitis. The mechanism is not fully defined but is thought to involve the presentation of specific self-peptides or the formation of misfolded heavy chains.
HLA-B*57:01 Allelic Variant ~5-10% in Caucasian populations Associated with abacavir hypersensitivity and with better control of HIV infection. The abacavir interaction is a direct, non-covalent binding to the antigen-binding cleft, altering the peptide repertoire.
HLA-B*15:02 Allelic Variant ~10-15% in Han Chinese populations Strongly associated with carbamazepine-induced Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN). The mechanism involves a direct drug-HLA interaction.
HLA-B*51:01 Allelic Variant ~10-20% in Middle Eastern and Asian populations Strongly associated with Behçet's disease. The mechanism is not fully understood but is thought to involve altered antigen presentation and an enhanced inflammatory response.
Mutation functional classification

Loss of Function (LOF)

Complete loss of function is rare and would likely result in severe immunodeficiency due to the absence of a functional MHC class I antigen presentation pathway. However, no common loss-of-function variants are known, as this would be highly deleterious.

Gain of Function (GOF)

Not applicable in the traditional sense. The 'function' of HLA-B is to present peptides. Allelic variants are not 'gain-of-function' but rather 'altered-function' or 'neofunction', where the new allele presents a different repertoire of peptides, which can be either beneficial (e.g., HIV control) or detrimental (e.g., autoimmunity or drug hypersensitivity).

Dominant Negative (DN)

Not applicable. HLA-B is co-dominantly expressed. Both alleles are expressed on the cell surface. A dominant-negative effect would require one allele to interfere with the function of the other, which is not a known mechanism for HLA-B.

Gene Ontology (GO)

• MHC class I protein complex • peptide antigen binding
• immune response • antigen processing and presentation of exogenous peptide antigen via MHC class I
• TAP-dependent peptide antigen presentation • positive regulation of T cell mediated cytotoxicity
• cell surface receptor signaling pathway • response to virus

Pathways

Antigen processing and presentation (KEGG hsa04612)
Allograft rejection (KEGG hsa05330)
Graft-versus-host disease (KEGG hsa05332)
Type I diabetes mellitus (KEGG hsa04940)
Viral myocarditis (KEGG hsa05416)
Autoimmune thyroid disease (KEGG hsa05320)

Protein Summary

The HLA-B protein is a single-pass type I membrane glycoprotein that forms a heterodimer with beta-2-microglobulin (B2M). It consists of three extracellular domains (alpha-1, alpha-2, and alpha-3), a transmembrane domain, and a short cytoplasmic tail. The alpha-1 and alpha-2 domains form the peptide-binding groove, a highly polymorphic region that determines the repertoire of peptides that can be presented. The alpha-3 domain is conserved and contains the binding site for the CD8 co-receptor on T cells. The protein is synthesized in the endoplasmic reticulum (ER), where it assembles with B2M and a peptide cargo. The peptide-loaded complex is then transported to the cell surface for presentation to CD8+ T cells. The extreme polymorphism of the peptide-binding groove is the basis for the diverse immune responses and disease associations seen with different HLA-B alleles.

Related Products

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HLA-B Knockout HEK293 Cell Line EDJ-KQ13753 Human 3106 Details Get a Quote
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HLA-B Knockout HeLa Cell Line EDJ-KQ43527 Human 3106 Details Get a Quote
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