Abstract
HLA-B27 appears to play a direct role in the pathogenesis of ankylosing spondylitis and almost all patients with this disease have HLA-B27. Therefore, a diagnosis of ankylosing spondylitis can virtually be excluded in the absence of HLA-B27. Many techniques have been used for HLA-B*27 typing. Of these, molecular methods are the most sensitive and specific but require extracted DNA as the testing material. A technique where HLA-B*27 is amplified directly from whole blood using sequence specific primers has been developed. This technique uses small sample volumes, is not restricted by choice of anticoagulant or sample age up to at least six weeks, and can be applied to other clinical polymerase chain reaction based procedures.
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Selected References
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- Balas A., Santos S., García-Sánchez F., Lillo R., Merino J. L., Vicario J. L. Complete coding sequence of HLA-B*2712: a serologic B27-negative antigen associated to Bw6. Tissue Antigens. 1998 Apr;51(4 Pt 1):394–397. doi: 10.1111/j.1399-0039.1998.tb02980.x. [DOI] [PubMed] [Google Scholar]
- Bein G., Gläser R., Kirchner H. Rapid HLA-DRB1 genotyping by nested PCR amplification. Tissue Antigens. 1992 Feb;39(2):68–73. doi: 10.1111/j.1399-0039.1992.tb01909.x. [DOI] [PubMed] [Google Scholar]
- Brewerton D. A., Hart F. D., Nicholls A., Caffrey M., James D. C., Sturrock R. D. Ankylosing spondylitis and HL-A 27. Lancet. 1973 Apr 28;1(7809):904–907. doi: 10.1016/s0140-6736(73)91360-3. [DOI] [PubMed] [Google Scholar]
- Chung D. C., Rustgi A. K. DNA mismatch repair and cancer. Gastroenterology. 1995 Nov;109(5):1685–1699. doi: 10.1016/0016-5085(95)90660-6. [DOI] [PubMed] [Google Scholar]
- Hamamoto T., Yokozaki H., Semba S., Yasui W., Yunotani S., Miyazaki K., Tahara E. Altered microsatellites in incomplete-type intestinal metaplasia adjacent to primary gastric cancers. J Clin Pathol. 1997 Oct;50(10):841–846. doi: 10.1136/jcp.50.10.841. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayden J. D., Martin I. G., Cawkwell L., Quirke P. The role of microsatellite instability in gastric carcinoma. Gut. 1998 Feb;42(2):300–303. doi: 10.1136/gut.42.2.300. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lin J. T., Wu M. S., Shun C. T., Lee W. J., Wang J. T., Wang T. H., Sheu J. C. Microsatellite instability in gastric carcinoma with special references to histopathology and cancer stages. Eur J Cancer. 1995 Oct;31A(11):1879–1882. doi: 10.1016/0959-8049(95)00349-n. [DOI] [PubMed] [Google Scholar]
- Litt M., Hauge X., Sharma V. Shadow bands seen when typing polymorphic dinucleotide repeats: some causes and cures. Biotechniques. 1993 Aug;15(2):280–284. [PubMed] [Google Scholar]
- Liu B., Parsons R. E., Hamilton S. R., Petersen G. M., Lynch H. T., Watson P., Markowitz S., Willson J. K., Green J., de la Chapelle A. hMSH2 mutations in hereditary nonpolyposis colorectal cancer kindreds. Cancer Res. 1994 Sep 1;54(17):4590–4594. [PubMed] [Google Scholar]
- Martorell L., Johnson K., Boucher C. A., Baiget M. Somatic instability of the myotonic dystrophy (CTG)n repeat during human fetal development. Hum Mol Genet. 1997 Jun;6(6):877–880. doi: 10.1093/hmg/6.6.877. [DOI] [PubMed] [Google Scholar]
- Meltzer S. J., Yin J., Manin B., Rhyu M. G., Cottrell J., Hudson E., Redd J. L., Krasna M. J., Abraham J. M., Reid B. J. Microsatellite instability occurs frequently and in both diploid and aneuploid cell populations of Barrett's-associated esophageal adenocarcinomas. Cancer Res. 1994 Jul 1;54(13):3379–3382. [PubMed] [Google Scholar]
- Neumüller J., Fischer M., Eberl R. Failure of the serological determination of HLA-B27 due to antigen masking in patients with ankylosing spondylitis. Rheumatol Int. 1993;13(4):163–167. doi: 10.1007/BF00301265. [DOI] [PubMed] [Google Scholar]
- Neumüller J., Schwartz D. W., Dauber E., Mayr W. R. Evaluation of four monoclonal antibodies against HLA-B27 for their reliability in HLA-B27 typing with flow cytometry (FC): comparison with the classic microlymphocytotoxic test (MLCT). Cytometry. 1996 Sep 15;26(3):209–215. doi: 10.1002/(SICI)1097-0320(19960915)26:3<209::AID-CYTO5>3.0.CO;2-9. [DOI] [PubMed] [Google Scholar]
- Olerup O. HLA-B27 typing by a group-specific PCR amplification. Tissue Antigens. 1994 Apr;43(4):253–256. doi: 10.1111/j.1399-0039.1994.tb02334.x. [DOI] [PubMed] [Google Scholar]
- Panaccio M., Georgesz M., Lew A. M. FoLT PCR: a simple PCR protocol for amplifying DNA directly from whole blood. Biotechniques. 1993 Feb;14(2):238–243. [PubMed] [Google Scholar]
- Shinmura K., Tani M., Isogaki J., Wang Y., Sugimura H., Yokota J. RER phenotype and its associated mutations in familial gastric cancer. Carcinogenesis. 1998 Feb;19(2):247–251. doi: 10.1093/carcin/19.2.247. [DOI] [PubMed] [Google Scholar]
- Steffens-Nakken H. M., Zwart G., van den Bergh F. A. Validation of allele-specific polymerase chain reaction for DNA typing of HLA-B27. Clin Chem. 1995 May;41(5):687–692. [PubMed] [Google Scholar]
- Weissenbach J., Gyapay G., Dib C., Vignal A., Morissette J., Millasseau P., Vaysseix G., Lathrop M. A second-generation linkage map of the human genome. Nature. 1992 Oct 29;359(6398):794–801. doi: 10.1038/359794a0. [DOI] [PubMed] [Google Scholar]
