2002
DOI: 10.1034/j.1399-0039.2002.600301.x
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HLA‐B27 and the pathogenesis of spondyloarthritis

Abstract: The association of HLA-B27 with ankylosing spondylitis and other spondyloarthropathies ranks among the strongest between any HLA antigen and a human disease. Yet, in spite of intense research and advanced knowledge of the biochemistry and biology of major histocompatibility complex molecules, the mechanism of this association remains unknown. This review attempts a critical assessment of current pathogenetic hypotheses from evidence concerning the epidemiology of HLA-B27 association with disease, its peptide-b… Show more

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Cited by 98 publications
(104 citation statements)
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“…HLA-B27 subtypes bind distinct but overlapping peptide repertoires, a feature that correlates with differential association of the subtypes with AS (16,26,27). However, since the identification of putative arthritogenic peptides remains elusive and the role of CD8 T cells in B27-associated disease in transgenic rats has been questioned (42), other alternatives must be considered.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…HLA-B27 subtypes bind distinct but overlapping peptide repertoires, a feature that correlates with differential association of the subtypes with AS (16,26,27). However, since the identification of putative arthritogenic peptides remains elusive and the role of CD8 T cells in B27-associated disease in transgenic rats has been questioned (42), other alternatives must be considered.…”
Section: Discussionmentioning
confidence: 99%
“…One way to test some of these hypotheses is to take advantage of the differential association between AS and natural B27 subtypes, which differ from each other by one or few amino acid residues as well as peptide specificity (16). HLA-B*2705, B*2702, and B*2704 are strongly associated with AS, but B*2706 and B*2709 are either not associated or are only weakly associated.…”
mentioning
confidence: 99%
“…Importantly, Cys 67 is a feature that is shared by a relatively small cohort of class I alleles, including subtypes of HLA-B14, -B15, -B38, -B39, and -B73 (49). It is unknown whether these subtypes also form HCdimeric structures, although it is interesting to note that HLA-B39 is also reportedly linked to SpA (50,51). In this report, we have demonstrated that HC-dimer formation can be prevented by replacement of the structural Cys 164 residue.…”
Section: Effect Of Reduced Temperature and Cysmentioning
confidence: 99%
“…Although the etiology of AS is unknown, several studies suggest T-cell autoreactivity, genetic and molecular associations, and infections contribute to its progression (14). Defects in coinhibitory molecules may cause autoimmune disorders.…”
Section: Discussionmentioning
confidence: 99%