Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1977 Mar 26;1(6064):798–800. doi: 10.1136/bmj.1.6064.798

HLA patterns in pernicious anaemia.

B Ungar, J D Mathews, B D Tait, D C Cowling
PMCID: PMC1606137  PMID: 856385

Abstract

The pattern of HLA antigens was studied in 127 patients with Addisonian pernicious anaemia. The pattern in the whole group of patients differed significantly from that in 586 controls. But different subgroups of the patients had different HLA antigens. Among 27 patients with anaemia associated with endocrine disease there was an increased frequency of HLA-B8, B18, and BW15. The remaining 100 patients, who did not have endocrine disease, showed increased frequencies of HLA-B7 and B12. The positive association with HLA-B12 among this subgroup was confined to 62 patients with severly impaired vitamin B12 absorption, including 13 patients with vitamin B12 neuromyelopathy, who had the highest frequencies of HLA-B7 and B12. The significant heterogeneity in HLA patterns in different clinical subgroups of these patients indicates genetic heterogeneity in pernicious anaemia and explains previous discrepancies in the associations between HLA antigens and pernicious anaemia.

Full text

PDF
799

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cudworth A. G., Woodrow J. C. Genetic susceptibility in diabetes mellitus: analysis of the HLA association. Br Med J. 1976 Oct 9;2(6040):846–848. doi: 10.1136/bmj.2.6040.846. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Eastmond C. J., Woodrow J. C. Lack of association between the HL-A system and pernicious anaemia. Br J Haematol. 1976 May;33(1):113–116. doi: 10.1111/j.1365-2141.1976.tb00977.x. [DOI] [PubMed] [Google Scholar]
  3. Goldstone A. H., Voak D., Cawley J. C., Irvine W. J. HLA antigens in pernicious anaemia. Clin Exp Immunol. 1976 Aug;25(2):352–354. [PMC free article] [PubMed] [Google Scholar]
  4. Horton M. A., Oliver R. T. HLA antigen (A & B loci) frequency in Addisonian pernicious anaemia. Tissue Antigens. 1976 Apr;7(4):239–242. doi: 10.1111/j.1399-0039.1976.tb01061.x. [DOI] [PubMed] [Google Scholar]
  5. Mawhinney H., Lawton J. W., White A. G., Irvine W. J. HL-A3 and HL-A7 in pernicious anaemia and autoimmune atrophic gastritis. Clin Exp Immunol. 1975 Oct;22(1):47–53. [PMC free article] [PubMed] [Google Scholar]
  6. McDevitt H. O., Bodmer W. F. HL-A, immune-response genes, and disease. Lancet. 1974 Jun 22;1(7869):1269–1275. doi: 10.1016/s0140-6736(74)90021-x. [DOI] [PubMed] [Google Scholar]
  7. Mittal K. K., Mickey M. R., Singal D. P., Terasaki P. I. Serotyping for homotransplantation. 18. Refinement of microdroplet lymphocyte cytotoxicity test. Transplantation. 1968 Nov;6(8):913–927. doi: 10.1097/00007890-196811000-00006. [DOI] [PubMed] [Google Scholar]
  8. Nerup J., Platz P., Andersen O. O., Christy M., Lyngsoe J., Poulsen J. E., Ryder L. P., Nielsen L. S., Thomsen M., Svejgaard A. HL-A antigens and diabetes mellitus. Lancet. 1974 Oct 12;2(7885):864–866. doi: 10.1016/s0140-6736(74)91201-x. [DOI] [PubMed] [Google Scholar]
  9. Strickland R. G., Mackay I. R. A reappraisal of the nature and significance of chronic atrophic gastritis. Am J Dig Dis. 1973 May;18(5):426–440. doi: 10.1007/BF01071995. [DOI] [PubMed] [Google Scholar]
  10. Svejgaard A., Platz P., Ryder L. P., Nielsen L. S., Thomsen M. HL-A and disease associations--a survey. Transplant Rev. 1975;22:3–43. doi: 10.1111/j.1600-065x.1975.tb01550.x. [DOI] [PubMed] [Google Scholar]
  11. Terasaki P. I., Vredevoe D. L., Mickey M. R. Serotyping for homotransplantation. X. Survival of 196 grafted kidneys subsequent to typing. Transplantation. 1967 Jul;5(4 Suppl):1057–1070. doi: 10.1097/00007890-196707001-00041. [DOI] [PubMed] [Google Scholar]
  12. Ungar B., Francis C. M., Cowling D. C. Antibody to parietal cells in patients with duodenal ulcer, and relationship to pernicious anaemia. Med J Aust. 1976 Dec 11;2(24):900–902. doi: 10.5694/j.1326-5377.1976.tb115487.x. [DOI] [PubMed] [Google Scholar]
  13. Ungar B., Stocks A. E., Martin F. I., Whittingham S., Mackay I. R. Intrinsic-factor antibody, parietal-cell antibody, and latent pernicious anaemia in diabetes mellitus. Lancet. 1968 Aug 24;2(7565):415–417. doi: 10.1016/s0140-6736(68)90462-5. [DOI] [PubMed] [Google Scholar]
  14. Whittingham S., Ungar B., Mackay I. R., Mathews J. D. The genetic factor in pernicious anaemia. A family study in patients with gastritis. Lancet. 1969 May 10;1(7602):951–954. doi: 10.1016/s0140-6736(69)91856-x. [DOI] [PubMed] [Google Scholar]
  15. Whittingham S., Youngchaiyud U., Mackay I. R., Buckley J. D., Morris P. J. Thyrogastric autoimmune disease. Studies on the cell-mediated immune system and histocompatibility antigens. Clin Exp Immunol. 1975 Feb;19(2):289–299. [PMC free article] [PubMed] [Google Scholar]
  16. Zittoun R., Zittoun J., Seignalet J., Dausset J. Letter: HL-A and pernicious anemia. N Engl J Med. 1975 Dec 18;293(25):1324–1324. doi: 10.1056/NEJM197512182932517. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES