Seronegative spondyloarthropathies and HLA-B27 subtypes: A study in Asian Indians.

被引:38
作者
Kanga, U [1 ]
Mehra, NK [1 ]
Larrea, CL [1 ]
Lardy, NM [1 ]
Kumar, A [1 ]
Feltkamp, TEW [1 ]
机构
[1] ALL INDIA INST MED SCI,DEPT HISTOCOMPATIBIL & IMMUNOGENET,NEW DELHI 29,INDIA
关键词
HLA-B27; subtypes; ankylosing spondylitis; seronegative; spondyloarthropathies;
D O I
10.1007/BF03342638
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this study, 60 HLA-B27 + ve SSA patients and 17 healthy controls belonging to North India were analyzed to ascertain heterogeneity of the B27 molecule in this population. ID-IEF and PCR-SSOP technologies were used to analyze polymorphism in exon 2 and 3 of the HLA-B27 gene. Four different subtypes were encountered: B*2702,04,05 and 07. Other subtypes of B27 viz B*2701, 03, 06 and 08 were not encountered. B*2704 (common oriental subtype) and B*2705 (common Caucasian subtype) were the most common subtypes in the control and patient groups. B*2704 was less frequently encountered in both groups and B*2702 was found in only one AAU patient. B*2704 was the predominant subtype in the AS group (70.8%) compared to its frequency of 47% in healthy controls (RR=2.73) while in the undiff SpA group, B*2705 occurred most frequently (73.1%, RR=3.05). B27 subtypes segregated differently in males and females. 12 of the 17 male AS patients carried B*2704 as compared to 1 of 8 healthy males (X(2)=3.9, P < 0.05), On the other hand, in the undiff SpA, B*2705 was significantly raised in female patients (100%) as compared to healthy females (22.2%, X(2)=4.9, P < 0.05). Subtype distribution is indicative of racial admixture in the Asian Indian population.
引用
收藏
页码:13 / 18
页数:6
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