HLA in ankylosing spondylitis: Is HLA-B27 the only MHC gene involved in disease pathogenesis?

Academic Article


  • Linkage analysis of HLA haplotypes, HLA-B27 subtypes, and a 9.2-kb Pvull B7 restriction fragment length polymorphism (RFLP) (shown previously to be associated with peripheral arthritis in ankylosing spondylitis [AS]) in 115 relatives from 12 multiplex spondyloarthropathy (SNSA) and 2 B27-positive control families showed AS to be linked to HLA-B27 haplotypes. The RFLP segregated with HLA-A3- and HLA-A9-bearing haplotypes (lod score, 10.98; odds in favor of linkage, 9.2 × 1010:1), although its linkage to AS or other SNSA per se was not seen. The association of HLA-A3/A9 with the RFLP was also seen in 52 AS patients and 92 controls, although no HLA-A, -B, -C, or -DR allele (other than HLA-B27) was significantly increased in frequency. The HLA-B27 subtype seen on all but one of the haplotypes studied was B*2705, the sole exception being HLA-B*2702. Although not ruling out a second HLA-A-linked gene influencing the clinical expression of AS, these data fail to support the role of a second MHC-associated gene in the pathogenesis of AS per se. © 1994.
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    Author List

  • Reveille JD; Suarez Almazor ME; Russell AS; Go RCP; Appleyard J; Bargert BO; Acton RT; Koopman WJ; McDaniel DO
  • Start Page

  • 295
  • End Page

  • 309
  • Volume

  • 23
  • Issue

  • 5