| HLA haplotype in a patient with systemic lupus erythematosus triggered by hepatitis B vaccine. | |
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MedLine Citation:
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PMID: 20630136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: Find an association between hepatitis B vaccine-related systemic lupus erythematosus and HLA. Material: A 27-year-old woman who developed a lupus nephritis after the administration of hepatitis B vaccine. METHODS: We studied HLA antigen expression on lymphocytes and genomic haplotype. Class I-II HLA antigen typing was performed by the microlymphocytotoxicity test with the standard NIH method, and Class I-II HLA allele typing by polymerase chain reaction, using single-strand oligonucleotide dot-blot kits. RESULTS: The serological haplotype was HLA A24/25, B18 (Bw6)/-, C-/-, DQ7/-, DR11(5)/52. The genomic haplotype was A*2403/2504, B*1825/1825, C*1207/ 1207, DRB1*1102/1132, DRB3*0202/0202, DQA1*0505/0505, DQB1*0301/0301. Then we sought for analogies with haplotypes known to be related to other systemic AID. Since we have found HLA alleles typical both of systemic lupus erythematosus and Sjogren's syndrome, the persistence of ENA-SSA positivity was highly suspicious for a possible overlap syndrome. CONCLUSIONS: Hepatitis B vaccine can potentially trigger both the onset or the exacerbations of several autoimmune disorders, including systemic lupus erythematosus, by reduced immune complex clearance or molecular mimicry. This study represents the first report on the association between hepatitis B vaccine related systemic lupus erythematosus and HLA. Probably autoimmune reactions triggered by vaccines occur only in predisposed subjects, in which antigen presentation influenced by HLA haplotypes leads to the autoimmune cascade. More studies are needed to corroborate our hypothesis. They could disclose new pathways in the field of prevention. |
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Authors:
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D Santoro; G Vita; R Vita; A Mallamace; V Savica; G Bellinghieri; S Benvenga; S Gangemi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical nephrology Volume: 74 ISSN: 0301-0430 ISO Abbreviation: Clin. Nephrol. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-15 Completed Date: 2010-09-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0364441 Medline TA: Clin Nephrol Country: Germany |
Other Details:
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Languages: eng Pagination: 150-3 Citation Subset: IM |
Affiliation:
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Unit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, Messina, Italy. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Alleles Female Genetic Predisposition to Disease HLA Antigens / genetics, immunology* Haplotypes Hepatitis B Vaccines / adverse effects* Humans Lupus Nephritis / etiology*, genetics, immunology* Polymerase Chain Reaction |
| Chemical | |
Reg. No./Substance:
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0/HLA Antigens; 0/Hepatitis B Vaccines |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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