2015
DOI: 10.1146/annurev-immunol-032414-112110
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Hla-B27

Abstract: Possession of the human leukocyte antigen (HLA) class I molecule B27 is strongly associated with ankylosing spondylitis (AS), but the pathogenic role of HLA-B27 is unknown. Two broad theories most likely explain the role of HLA-B27 in AS pathogenesis. The first is based on the natural immunological function of HLA-B27 of presenting antigenic peptides to cytotoxic T cells. Thus, HLA-B27-restricted immune responses to self-antigens, or arthritogenic peptides, might drive immunopathology. B27 can also "behave bad… Show more

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Cited by 218 publications
(190 citation statements)
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References 107 publications
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“…1 T cell response primed by cross-reactive microbial antigen(s), thus breaking selftolerance and perpetuating an autoimmune process leading to tissue damage [9]. In accordance with this hypothesis, HLA-B27-restricted CD8 1 T cells reactive against both selfpeptides and enterobacterial antigens were found in the synovial fluid of patients with AS and ReA [10].…”
Section: Introductionmentioning
confidence: 67%
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“…1 T cell response primed by cross-reactive microbial antigen(s), thus breaking selftolerance and perpetuating an autoimmune process leading to tissue damage [9]. In accordance with this hypothesis, HLA-B27-restricted CD8 1 T cells reactive against both selfpeptides and enterobacterial antigens were found in the synovial fluid of patients with AS and ReA [10].…”
Section: Introductionmentioning
confidence: 67%
“…First, the HLA-B27 displays an altered folding rate during the assembly into the ER [9,21,22]. This misfolding is a consequence of the particularly slow HLA-B27 maturation rate that triggers the endoplasmic reticulum (ER)-associated degradation (ERAD) of the heavy chains [22].…”
Section: Introductionmentioning
confidence: 99%
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“…The structure of MHC-I H-chain only dimers are also unclear, but there are global differences in the fold, and likely the dimer alters accessibility to the a3 domain. The strong association between HLA-B27 and spondyloarthropathies inspired models of how the interaction between misfolded soluble HLA-B27 and LILRB2 could trigger inflammation (32). Alternatively, because the activating LILRA1 also interacts with B27, it might be involved in promoting responses.…”
Section: Nonconventional Mhc-i Ligandsmentioning
confidence: 99%