this work aims to investigate role of HLA-DRB1 alleles and anti-HLA-G in the development of acute leukemia in Egypt, patients and methods, (40) patients with acute leukemia aged from 4 to 60 years (23 male and 17 female), and 20 healthy subjects of the same age and sex as a control, ethical review board approved the work , , results there was an allelic association between HLA-DRB1,and AML, difference between DRB1*13 and was significant p = 0.006 , p = 0.016 respectively, HLA-DRB1*01 not detected in any AML patients in relation to ALL patients, the HLA-DRB1*13 show high frequency in controls in relative to AML patient (P = 0.006 , 0.001), anti-HLA-G showed no significant values in leukemic patients and control. Conclusion, HLA-DRB1*13, and HLA-DRB1*15 alleles were protective while HLA-DRB*06 and –DRB1*14 were predisposing factor for AML .