Although diversity within the HLA-DRB region is predominantly focused
in the DRB1 gene, the second expressed DRB loci, DRB3, DRB4, and DRB5,
also exhibit variation. Within DRB115 or DRB1*16 haplotypes, four ne
w variants were identified: 1) two new DRB5 alleles, DRB50104 and DRB
50204, 2) a haplotype carrying a DRB1*15 or *16 allele without the us
ual accompanying DRB5 allele, and 3) a haplotype carrying a DRB50101
allele without a DRB115 or *16 allele. The evolutionary origins of th
ese haplotypes were postulated based on their associations with the DR
B6 pseudogene. Within HLA haplotypes which carry DRB3, a new DRB30205
allele and one unusual DRB3 association were identified. Finally, two
new null DRB4 alleles are described: DRB40201N, which exhibits a del
etion in the second exon, and a second allele, DRB4null, which lacks
the second exon completely. Gene conversion-like events and variation
in the number of functional genes through reciprocal recombination and
inactivation contribute to the diversity observed in the second expre
ssed HLA-DRB loci.