HLA alleles have been determined in individuals from the Republic of Macedo
nia by DNA typing and sequencing. HLA-A, -B, DR, -DQ allele frequencies and
extended haplotypes have been for the first time determined and the result
s compared to those of other Mediterraneans, particularly with their neighb
ouring Greeks. Genetic distances, neighbor-joining dendrograms and correspo
ndence analysis have been performed. The following conclusions have been re
ached: 1) Macedonians belong to the "older" Mediterranean substratum, like
Iberians (including Basques), North Africans, Italians, French, Cretans, Je
ws, Lebanese, Turks (Anatolians), Armenians and Iranians, 2) Macedonians ar
e not related with geographically close Greeks, who do not belong to the "o
lder" Mediterranenan substratum, 3) Greeks are found to have a substantial
relatedness to sub-Saharan (Ethiopian) people, which separate them from oth
er Mediterranean groups. Both Greeks and Ethiopians share quasi-specific DR
B1 alleles, such as *0305, *0307, *0411, *0413, *0416, *0417, *0420, *1110,
*1112, *1304 and *1310. Genetic distances are closer between Greeks and Et
hiopian/subSaharan groups than to any other Mediterranean group and finally
Greeks cluster with Ethiopians/sub-Saharans in both neighbour joining dend
rograms and correspondence analyses. The time period when these relationshi
ps might have occurred was ancient but uncertain and might be related to th
e displacement of Egyptian-Ethiopian people living in pharaonic Egypt.