Abstract
Certain genetic markers in the major histocompatibility complex have been associated with increased risk of developing ankylosing spondylitis, rheumatoid arthritis, and systemic lupus erythematosus. These markers, however, do not appear in all patients with these diseases, suggesting that other gene products or environmental factors may play a role in disease expression. Current investigations using monoclonal antibody and peptide mapping techniques suggest that many gene products share similar protein sequences with known disease susceptibility genetic markers.
Keywords: family medicine, genetic markers of disease, rheumatology
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Selected References
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- Alvarellos A., Ahearn J. M., Provost T. T., Dorsch C. A., Stevens M. B., Bias W. B., Arnett F. C. Relationships of HLA-DR and MT antigens to autoantibody expression in systemic lupus erythematosus. Arthritis Rheum. 1983 Dec;26(12):1533–1535. doi: 10.1002/art.1780261222. [DOI] [PubMed] [Google Scholar]
- Bell D. A., Maddison P. J. Serologic subsets in systemic lupus erythematosus: an examination of autoantibodies in relationship to clinical features of disease and HLA antigens. Arthritis Rheum. 1980 Nov;23(11):1268–1273. doi: 10.1002/art.1780231107. [DOI] [PubMed] [Google Scholar]
- Brewerton D. A., Caffrey M., Nicholls A., Walters D., Oates J. K., James D. C. Reiter's disease and HL-A 27. Lancet. 1973 Nov 3;302(7836):996–998. doi: 10.1016/s0140-6736(73)91091-x. [DOI] [PubMed] [Google Scholar]
- Espinoza L. R., Vasey F. B., Gaylord S. W., Dietz C., Bergen L., Bridgeford P., Germain B. F. Histocompatibility typing in the seronegative spondyloarthropathies: a survey. Semin Arthritis Rheum. 1982 Feb;11(3):375–381. doi: 10.1016/0049-0172(82)90058-0. [DOI] [PubMed] [Google Scholar]
- Garlepp M. J., Dawkins R. L., Christiansen F. T. HLA antigens and acetylcholine receptor antibodies in penicillamine induced myasthenia gravis. Br Med J (Clin Res Ed) 1983 Jan 29;286(6362):338–340. doi: 10.1136/bmj.286.6362.338. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gregersen P. K., Silver J., Winchester R. J. The shared epitope hypothesis. An approach to understanding the molecular genetics of susceptibility to rheumatoid arthritis. Arthritis Rheum. 1987 Nov;30(11):1205–1213. doi: 10.1002/art.1780301102. [DOI] [PubMed] [Google Scholar]
- Griffin A. J., Wooley P., Panayi G. S., Batchelor J. R. HLA DR antigens and disease expression in rheumatoid arthritis. Ann Rheum Dis. 1984 Apr;43(2):218–221. doi: 10.1136/ard.43.2.218. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Griffing W. L., Moore S. B., Luthra H. S., McKenna C. H., Fathman C. G. Associations of antibodies to native DNA with HLA-DRw3. A possible major histocompatibility complex-linked human immune response gene. J Exp Med. 1980 Aug 1;152(2 Pt 2):319s–325s. [PubMed] [Google Scholar]
- Hirsch T. J., Enlow R. W., Bias W. B., Arnett F. C. HLA-D related (DR) antigens in various kinds of myositis. Hum Immunol. 1981 Oct;3(2):181–186. doi: 10.1016/0198-8859(81)90055-0. [DOI] [PubMed] [Google Scholar]
- Howard J. F., Sigsbee A., Glass D. N. HLA genetics and inherited predisposition to JRA. J Rheumatol. 1985 Feb;12(1):7–12. [PubMed] [Google Scholar]
- Karr R. W., Hahn Y., Schwartz B. D. Structural identity of human histocompatibility leukocyte antigen-B27 molecules from patients with ankylosing spondylitis and normal individuals. J Clin Invest. 1982 Feb;69(2):443–450. doi: 10.1172/JCI110468. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Khan M. A., Braun W. E., Kushner I., Grecek D. E., Muir W. A., Steinberg A. G. HLA B27 in ankylosing spondylitis: differences in frequency and relative risk in American Blacks and Caucasians. J Rheumatol Suppl. 1977;3:39–43. [PubMed] [Google Scholar]
- Miller M. L., Glass D. N. The major histocompatibility complex antigens in rheumatoid arthritis and juvenile arthritis. Bull Rheum Dis. 1981;31(5):21–25. [PubMed] [Google Scholar]
- Schiff B., Mizrachi Y., Orgad S., Yaron M., Gazit E. Association of HLA-Aw31 and HLA-DR1 with adult rheumatoid arthritis. Ann Rheum Dis. 1982 Aug;41(4):403–404. doi: 10.1136/ard.41.4.403. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schlosstein L., Terasaki P. I., Bluestone R., Pearson C. M. High association of an HL-A antigen, W27, with ankylosing spondylitis. N Engl J Med. 1973 Apr 5;288(14):704–706. doi: 10.1056/NEJM197304052881403. [DOI] [PubMed] [Google Scholar]
- Schur P. H. Complement and lupus erythematosus. Arthritis Rheum. 1982 Jul;25(7):793–798. doi: 10.1002/art.1780250715. [DOI] [PubMed] [Google Scholar]
- Schur P. H., Meyer I., Garovoy M., Carpenter C. B. Associations between systemic lupus erythematosus and the major histocompatibility complex: clinical and immunological considerations. Clin Immunol Immunopathol. 1982 Aug;24(2):263–275. doi: 10.1016/0090-1229(82)90237-9. [DOI] [PubMed] [Google Scholar]
- Schwartz B. D., Luehrman L. K., Rodey G. E. Public antigenic determinant on a family of HLA-B molecules. J Clin Invest. 1979 Oct;64(4):938–947. doi: 10.1172/JCI109560. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sontheimer R. D., Stastny P., Gilliam J. N. Human histocompatibility antigen associations in subacute cutaneous lupus erythematosus. J Clin Invest. 1981 Jan;67(1):312–316. doi: 10.1172/JCI110029. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stastny P. Association of the B-cell alloantigen DRw4 with rheumatoid arthritis. N Engl J Med. 1978 Apr 20;298(16):869–871. doi: 10.1056/NEJM197804202981602. [DOI] [PubMed] [Google Scholar]
- Whiteside T. L., Medsger T. A., Jr, Rodnan G. P. HLA-DR antigens in progressive systemic sclerosis (scleroderma). J Rheumatol. 1983 Feb;10(1):128–131. [PubMed] [Google Scholar]
- Wilson R. W., Provost T. T., Bias W. B., Alexander E. L., Edlow D. W., Hochberg M. C., Stevens M. B., Arnett F. C. Sjögren's syndrome. Influence of multiple HLA-D region alloantigens on clinical and serologic expression. Arthritis Rheum. 1984 Nov;27(11):1245–1253. doi: 10.1002/art.1780271106. [DOI] [PubMed] [Google Scholar]
- Yu D. T., Choo S. Y., Schaack T. Molecular mimicry in HLA-B27-related arthritis. Ann Intern Med. 1989 Oct 1;111(7):581–591. doi: 10.7326/0003-4819-111-7-581. [DOI] [PubMed] [Google Scholar]
