Extrinsic Allergic Alveolitis: A Systematic Review of HLA-DR in Pigeon Breeder’s Disease

Authors

Dylan Thibaut, University of Central Florida; Lake Erie College of Osteopathic Medicine, BradentonFollow
Ryan A. Witcher, Lake Erie College of Osteopathic Medicine, BradentonFollow
Anitha Kunnath, Lake Erie College of Osteopathic Medicine, BradentonFollow
James Toldi, Lake Erie College of Osteopathic Medicine, BradentonFollow

Author Credentials

Dylan Thibaut - BA

Ryan Witcher - BA

Anitha Kunnath - BA

James Toldi - D.O.

Author ORCID Identifier

Dylan Thibaut - 0000-0002-8739-9688

Ryan Witcher - 0000-0001-5234-3636

Anitha Kunnath - 0000-0003-2385-2102

James Toldi - 0000-0002-5304-4555

Abstract

Abstract

Introduction: Pigeon Breeder’s Pneumonitis (PBP) results due to a complex pathophysiology that includes exposure to avian antigens. Susceptibility has been linked to human leukocyte antigen (HLA) class II, though consensus has not been reached. The goal of this systematic review is to further elucidate the association between PBP and HLA-DR subtypes.

Methods: Databases utilized included PubMed, Google Scholar, ScienceDirect, and Cochrane Library. Inclusion required a minimum of three studies in English presenting HLA-DR alleles of PBP and control subgroups. Exclusion was due to insufficient data or non-feasible control groups. Forest plots were created for HLA-DR subtypes’ association with PBP. The NIH Bias assessment tool and LFK index assessed bias.

Results: 4 studies were included in the meta-analysis. HLA-DR3 was associated with the pooled PBP subgroups (OR=1.86 [1.13, 3.05], p

Discussion: Limitations included limited sources, with multiple study methodology unacceptable to this review. These findings expand on previous research on HLA variants and PBP frequency, and offer further clarity supporting novel approaches in treatment of PBP.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

Recommended Citation

Thibaut D, Witcher RA, Kunnath A, Toldi J. Extrinsic Allergic Alveolitis: A Systematic Review of HLA-DR in Pigeon Breeder’s Disease. Advances in Clinical Medical Research and Healthcare Delivery. 2023; 3(2). doi: 10.53785/2769-2779.1150.

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