Strong association of MuSK antibody-positive myasthenia gravis and HLA-DR14-DQ5

被引:92
作者
Niks, E. H.
Kuks, J. B. M.
Roep, B. O.
Haasnoot, G. W.
Verduijn, W.
Ballieux, B. E. P. B.
De Baets, M. H.
Vincent, A.
Verschuuren, J. J. G. M.
机构
[1] Leiden Univ, Med Ctr, Dept Neurol, NL-2300 RC Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Dept Immunohaematol & Blood Transfus, NL-2300 RC Leiden, Netherlands
[3] Leiden Univ, Med Ctr, Dept Clin Chem, NL-2300 RC Leiden, Netherlands
[4] Univ Groningen, Med Ctr, Dept Neurol, Groningen, Netherlands
[5] Maastricht Univ, Med Ctr, Dept Neurol, Maastricht, Netherlands
[6] Univ Oxford, Dept Clin Neurol, Neurosci Grp, Oxford, England
关键词
D O I
10.1212/01.wnl.0000218159.79769.5c
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors studied the HLA profile of 23 white Dutch patients with muscle-specific kinase antibody-positive myasthenia gravis (MuSK Ab + MG) and found an association with HLA-DR14-DQ5 ( odds ratio 8.5; 95% CI 3.9 to 18.7; p = 4.9 x 10(-5)). Fifty-two percent of the patients carried the DR14 allele compared with 5% of the controls ( p = 1.0 x 10(-8)). This association between MuSK Ab + MG and a relatively rare HLA haplotype differs from the previously described association of early-onset acetylcholine receptor Ab + MG with HLA-B8-DR3.
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收藏
页码:1772 / 1774
页数:3
相关论文
共 10 条
[1]   MAJOR HISTOCOMPATIBILITY COMPLEX HAPLOTYPES AND CLASS-II GENES IN NON-JEWISH PATIENTS WITH PEMPHIGUS VULGARIS [J].
AHMED, AR ;
WAGNER, R ;
KHATRI, K ;
NOTANI, G ;
AWDEH, Z ;
ALPER, CA ;
YUNIS, EJ .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1991, 88 (11) :5056-5060
[2]   CORRELATION OF PEPTIDE SPECIFICITY AND IGG SUBCLASS WITH PATHOGENIC AND NONPATHOGENIC AUTOANTIBODIES IN PEMPHIGUS-VULGARIS - A MODEL FOR AUTOIMMUNITY [J].
BHOL, K ;
NATARAJAN, K ;
NAGARWALLA, N ;
MOHIMEN, A ;
AOKI, V ;
AHMED, AR .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1995, 92 (11) :5239-5243
[3]   Pemphigus vulgaris autoantibody response is linked to HLA-DQB1*0503 in Pakistani patients [J].
Delgado, JC ;
Hameed, A ;
Yunis, JJ ;
Bhol, K ;
Rojas, AI ;
Rehman, SB ;
Khan, AA ;
Ahmad, M ;
Alper, CA ;
Ahmed, AR ;
Yunis, EJ .
HUMAN IMMUNOLOGY, 1997, 57 (02) :110-119
[4]   Clinical correlates with anti-MuSK antibodies in generalized seronegative myasthenia gravis [J].
Evoli, A ;
Tonali, PA ;
Padua, L ;
Lo Monaco, M ;
Scuderi, F ;
Batocchi, AP ;
Marino, M ;
Bartoccioni, E .
BRAIN, 2003, 126 :2304-2311
[5]   Linkage of HLA to myasthenia gravis and genetic heterogeneity depending on anti-titin antibodies [J].
Giraud, M ;
Beaurain, G ;
Yamamoto, AM ;
Eymard, B ;
Tranchant, C ;
Gajdos, P ;
Garchon, HJ .
NEUROLOGY, 2001, 57 (09) :1555-1560
[6]   A susceptibility region for myasthenia gravis extending into the HLA-class I sector telomeric to HLA-C [J].
Janer, M ;
Cowland, A ;
Picard, J ;
Campbell, D ;
Pontarotti, P ;
Newsom-Davis, J ;
Bunce, M ;
Welsh, K ;
Demaine, A ;
Wilson, AG ;
Willcox, N .
HUMAN IMMUNOLOGY, 1999, 60 (09) :909-917
[7]   HLA TYPE IS NOT INDICATIVE FOR THE EFFECT OF THYMECTOMY IN MYASTHENIA-GRAVIS [J].
KUKS, JBM ;
LEMS, SPM ;
OOSTERHUIS, HJGH .
JOURNAL OF NEUROIMMUNOLOGY, 1992, 36 (2-3) :217-224
[8]   Detection and characterization of MuSK antibodies in seronegative myasthenia gravis [J].
McConville, J ;
Farrugia, ME ;
Beeson, D ;
Kishore, U ;
Metcalfe, R ;
Newsom-Davis, J ;
Vincent, A .
ANNALS OF NEUROLOGY, 2004, 55 (04) :580-584
[9]   HLA gene and haplotype frequencies in Dutch blood donors [J].
Schipper, RF ;
Schreuder, GMT ;
Oudshoorn, M .
TISSUE ANTIGENS, 1996, 48 (05) :562-574
[10]   BIOTINYLATED DRB SEQUENCE-SPECIFIC OLIGONUCLEOTIDES - COMPARISON TO SEROLOGIC HLA-DR TYPING OF ORGAN DONORS IN EUROTRANSPLANT [J].
VERDUYN, W ;
DOXIADIS, IIN ;
ANHOLTS, J ;
DRABBELS, JJM ;
NAIPAL, A ;
DAMARO, J ;
PERSIJN, GG ;
GIPHART, MJ ;
SCHREUDER, GMT .
HUMAN IMMUNOLOGY, 1993, 37 (01) :59-67