HLA-DRB1 and anti-cyclic citrullinated peptide antibody production in rheumatoid arthritis

被引:11
作者
Senkpiehl, K
Marget, M
Wedler, M
Jenisch, S
Georgi, J
Kabelitz, D
Steinmann, J
机构
[1] Univ Kiel, Dept Immunol, D-2300 Kiel, Germany
[2] Ostseeklin Damp, Damp, Germany
关键词
rheumatoid arthritis; HLA-DR4; antigen; peptides; HLA-DR1; citrulline; antigen presentation;
D O I
10.1159/000086463
中图分类号
R392 [医学免疫学];
学科分类号
100102 [免疫学];
摘要
Anti-cyclic citrullinated peptide antibodies (anti-CCP) are a new diagnostic marker for rheumatoid arthritis (RA), which shows a specificity of 97% and a sensitivity of 81% in the second generation assay. About 61% of RA patients express HLA-DRB1*0401. In a cohort of patients with RA we investigated whether the expression of anti-CCP correlates with the carriage of certain genes on the HLA-DRB1 locus. Our data reveal a highly significant association between anti-CCP and HLA-DR4, and a weaker but still significant association with HLA-DR1. HLA-DRB1 *0401 is not a prerequisite for anti-CCP production, but if HLA-DRB1*0401 was present, 90% of our RA patients were anti-CCP positive. Copyright (C) 2005 S. Karger AG, Basel.
引用
收藏
页码:315 / 318
页数:4
相关论文
共 22 条
[1]
A combination of autoantibodies to cyclic citrullinated peptide (CCP) and HLA-DRB1 locus antigens is strongly associated with future onset of rheumatoid arthritis [J].
Berglin, E ;
Padyukov, L ;
Sundin, U ;
Hallmans, G ;
Stenlund, H ;
van Venrooij, WJ ;
Klareskog, L ;
Dahlqvist, SR .
ARTHRITIS RESEARCH & THERAPY, 2004, 6 (04) :R303-R308
[2]
Bizzaro N, 2001, CLIN CHEM, V47, P1089
[3]
Phototyping: Comprehensive DNA typing for HLA-A, B, C, DRB1, DRB3, DRB4, DRB5 & DQB1 by PCR with 144 primer mixes utilizing sequence-specific primers (PCR-SSP) [J].
Bunce, M ;
ONeill, CM ;
Barnardo, MCNM ;
Krausa, P ;
Browning, MJ ;
Morris, PJ ;
Welsh, KI .
TISSUE ANTIGENS, 1995, 46 (05) :355-367
[4]
Rheumatoid arthritis associated autoantibodies in patients with synovitis of recent onset [J].
Goldbach-Mansky, R ;
Lee, J ;
McCoy, A ;
Hoxworth, J ;
Yarboro, C ;
Smolen, JS ;
Steiner, G ;
Rosen, A ;
Zhang, C ;
Ménard, HA ;
Zhou, ZJ ;
Palosuo, T ;
Van Venrooij, WJ ;
Wilder, RL ;
Klippel, JH ;
Schumacher, HR ;
El-Gabalawy, HS .
ARTHRITIS RESEARCH, 2000, 2 (03) :236-243
[5]
Structure of a complex of the human α/β T cell receptor (TCR) HA1.7, influenza hemagglutinin peptide, and major histocompatibility complex class II molecule, HLA-DR4 (DRA*0101 and DRB1*0401):: Insight into TCR cross-restriction and alloreactivity [J].
Hennecke, J ;
Wiley, DC .
JOURNAL OF EXPERIMENTAL MEDICINE, 2002, 195 (05) :571-581
[6]
Cutting edge: The conversion of arginine to citrulline allows for a high-affinity peptide interaction with the rheumatoid arthritis-associated HLA-DRB1*0401 MHC class II molecule [J].
Hill, JA ;
Southwood, S ;
Sette, A ;
Jevnikar, AM ;
Bell, DA ;
Cairns, E .
JOURNAL OF IMMUNOLOGY, 2003, 171 (02) :538-541
[7]
Kroot EJJA, 2000, ARTHRITIS RHEUM, V43, P1831, DOI 10.1002/1529-0131(200008)43:8<1831::AID-ANR19>3.0.CO
[8]
2-6
[9]
The major synovial targets of the rheumatoid arthritis-specific antifilaggrin autoantibodies are deiminated forms of the α- and β-chains of fibrin [J].
Masson-Bessière, C ;
Sebbag, M ;
Girbal-Neuhauser, E ;
Nogueira, L ;
Vincent, C ;
Senshu, T ;
Serre, G .
JOURNAL OF IMMUNOLOGY, 2001, 166 (06) :4177-4184
[10]
Meyer JM, 1999, J RHEUMATOL, V26, P1024