Document Detail


Association of clinical manifestations with HLA-B alleles in Takayasu arteritis.
MedLine Citation:
PMID:  9951811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
HLA-DNA typing using PCR-SSOP and PCR-DCP methods was performed in 85 patients with Takayasu arteritis and 492 healthy controls who had been typed for HLA by serological method. Frequencies of HLA-B52 (B*5201) and B39 (B*3901 and B*3902) were significantly increased in the patients. Frequency of HLA-DRB1*1502 was also increased but it was suggested to be a reflection of its linkage disequilibrium with B52. Association of HLA-B52 and B39 with seven clinical manifestations--pulmonary infarction, ischemic heart disease, aortic regurgitation, systemic hypertension, renal artery stenosis, cerebrovascular disease, and visual disturbance--in 132 HLA-typed patients with Takayasu arteritis was studied. In HLA-B52 positive TA patients, aortic regurgitation (vs B52(-)-B39(+), OR=3.8, P<0.05, vs B52(-)-B39(-), OR=5.49, P<0.001), ischemic heart disease (vs B52(-)-B39(+), OR=12.05, P<0.05, vs B52(-)-B39(-), OR=2.85, P<0.05), and pulmonary infarction (vs B52(-)-B39(+), OR=5.74, P<0.03) were found to be significantly prevalent. On the other hand, in HLA-B39 positive TA patients, frequency of renal artery stenosis was significantly increased (vs B52(+)-B39(-), OR=12.14, P<0.001, vs B52(-)-B39(-), OR=5.21, P<0.03). These observations have suggested that HLA-B52 molecule and B39 molecule would contribute to different clinical manifestations by binding different antigenic peptides to cause inflammations. Thus HLA-B molecule may play an important role in pathogenesis or determining clinical manifestations of Takayasu arteritis.
Authors:
H Kitamura; Y Kobayashi; A Kimura; F Numano
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International journal of cardiology     Volume:  66 Suppl 1     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-04-13     Completed Date:  1999-04-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  S121-6     Citation Subset:  IM    
Affiliation:
Third Department of Internal Medicine, School of Medicine, Tokyo Medical and Dental University, Japan.
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MeSH Terms
Descriptor/Qualifier:
Alleles
DNA / analysis
DNA Primers / chemistry
Female
Gene Frequency
HLA-B Antigens / genetics*
HLA-DR Antigens / genetics
Histocompatibility Testing
Humans
Male
Polymerase Chain Reaction
Takayasu Arteritis / diagnosis,  genetics*
Chemical
Reg. No./Substance:
0/DNA Primers; 0/HLA-B Antigens; 0/HLA-B39; 0/HLA-B52; 0/HLA-DR Antigens; 128338-86-3/HLA-DRB1 antigen; 9007-49-2/DNA

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