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Molecular basis for the association between HLA DR4 and rheumatoid arthritis. From the shared epitope hypothesis to a peptidic model of rheumatoid arthritis

✍ Scribed by Salvatore Albani; Jean Roudier


Publisher
Elsevier Science
Year
1992
Tongue
English
Weight
354 KB
Volume
25
Category
Article
ISSN
0009-9120

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✦ Synopsis


Susceptibility to rheumatoid arthritis (RA) maps to residues QKRAA/QRRAA in the third hypervariable region of the HLA DRI31 chain. Peptides from the same area of MHC class II molecules are able to modulate the T-cell repertoire by deleting self-reactive T-cells. The Epstein Barr virus glycoprotein gp110 and the dna J heat-shock protein from E. coil mimic the third hypervariable region of HLA-Dw4DRI31. Thus, the same area of HLA DR[31 carries susceptibility to RA, modulates the T-cell repertoire and is mimicked by human pathogens. RA may originate from a particular shape imposed on the T-cell repertoire by the QKRAA/QRRAA sequence in the third hypervariable region of HLA DRy1.


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Objective. In Northern Europeans, rheumatoid arthritis (RA) is strongly associated with a relatively conserved pentapeptide sequence of HLA-DRP found notably in the HLA-DR4 subtypes Dw4 and Dw14 and in DRl. A previous serologic study of HLA class I1 polymorphism in a Greek population with RA failed

Association of DRB1 shared epitope genot
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## Abstract ## Objective To determine whether the HLA–DRB1 shared epitope (SE) is associated with early mortality and specific causes of death in rheumatoid arthritis (RA). ## Methods HLA–DRB1 genotyping was carried out on blood samples from 767 patients recruited for the Early RA Study (ERAS),