Molecular basis for the association between HLA DR4 and rheumatoid arthritis. From the shared epitope hypothesis to a peptidic model of rheumatoid arthritis
β 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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β¦ 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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Understanding the inheritance of rheumatoid arthritis (RA) has been the quest of intense investigation over the last decade. One major focus of these efforts has been the attempt to identify genes within the class I1 region of the major histocompatibility complex (MHC) that confer susceptibility for
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## Abstract ## Objective To determine whether the HLAβDRB1 shared epitope (SE) is associated with early mortality and specific causes of death in rheumatoid arthritis (RA). ## Methods HLAβDRB1 genotyping was carried out on blood samples from 767 patients recruited for the Early RA Study (ERAS),