Although unusual associations of HLA-DR and HLA-DQ alleles seen in anc
estral haplotypes have indicated that recombination between these gene
s occurred in the past, an actual crossover event between DR and DQ ha
s never been shown within a family. In a study of families with Graves
' disease we have identified an individual from a three generation fam
ily who inherited a maternal haplotype that is the result of a recombi
national event between the HLA-DR and the HLA-DQ loci on her chromosom
es. Family members were typed for HLA class I by the lymphocyte microc
ytotoxicity test and for HLA class II by polymerase chain reaction (PC
R) with sequence-specific primers or with sequence-specific oligonucle
otide probes after PCR. Based on linkage disequilibrium it is likely t
hat the recombinant haplotype is present in the proband rather than hi
s brother. This haplotype was subsequently inherited by one of the pro
band's sons. The data presented support the conclusion that the recomb
inant haplotype resulted from a crossover event between the mother's D
RB1 and DQA1 genes. Thus, recombination between the HLA-DR and HLA-DQ
genes has been demonstrated within this family; a recombination event
not previously described. (C) American Society for Histocompatibility
and Immunogenetics, 1997. Published by Elsevier Science Inc.