2011
DOI: 10.1155/2011/486856
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Pathogenicity of Misfolded and Dimeric HLA-B27 Molecules

Abstract: The association between HLA-B27 and the group of autoimmune inflammatory arthritic diseases, the spondyloarthropathies (SpAs) which include ankylosing spondylitis (AS) and Reactive Arthritis (ReA), has been well established and remains the strongest association between any HLA molecule and autoimmune disease. The mechanism behind this striking association remains elusive; however animal model and biochemical data suggest that HLA-B27 misfolding may be key to understanding its association with the SpAs. Recent … Show more

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Cited by 14 publications
(17 citation statements)
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“…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%
See 1 more Smart Citation
“…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%
“…Another peculiarity of the HLA-B27 is related to its expression on the cell surface as a non-canonical form made by b2m-free homodimers [9,21,28]. The formation of homodimers arises from endosomal recycling compartments and is caused by the impaired and highly reactive cysteine 67 (Cys67) located into the B pocket of the peptide groove [29].…”
Section: Introductionmentioning
confidence: 99%
“…Generally, peptide presentation, formed from intracellular antigens, to CD8+ cytotoxic T cells and acting as a ligand for Natural Killer cells are crucial functions of MHC class I molecules. MHC class I molecules, which are glycoproteins which can fold within the lumen of the endoplasmic environment, in ER, are comprised a heavy chain noncovalently associated with the light chain beta-2-microglobulin (β2m) and loaded with a 8-13 amino acid long peptide [21,22].…”
Section: Hla-b27 Er Stress and Spondyloarthropathiesmentioning
confidence: 99%
“…Generally, SpAs are classified as autoinflammatory disease rather than autoimmune disease and proinflammatory cytokine production related with HLA-B27 misfolding and ER stress is an interesting fact for HLA-B27 misfolding and SpAsassociation [22]. Autoinflammatory disorders are manifested with inflammation without autoantibodies and antigen specific T cells, which are two important conditions that SpAs surprisingly have [42].…”
Section: Hla-b27 Misfolding Hypothesis and Upr Activationmentioning
confidence: 99%
“…16 ER stress, buffered by the activation of the UPR, is a homeostatic signalling network that orchestrates the restoration of ER function. 17 UPR activation leads to upregulation of expression of pro-inflammatory cytokines, such as TNF, IL17 and IL23, which are also known to be pathogenic in AS. Studies in the HLA-B27-transgenic rat model have implicated the association of HLA-B27 misfolding and ER-stress-dependent activation of UPR in spondyloarthritis.…”
Section: Introductionmentioning
confidence: 99%