PMID- 10682977 OWN - NLM STAT- MEDLINE DCOM- 20000223 LR - 20220309 IS - 0002-9394 (Print) IS - 0002-9394 (Linking) VI - 129 IP - 2 DP - 2000 Feb TI - The human leukocyte antigen complex and chronic ocular inflammatory disorders. PG - 235-43 AB - PURPOSE: To review the role of gene products from the human leukocyte antigen (HLA) complex in the normal functioning of the immune system, ocular inflammation, and models of autoimmunity. METHOD: A review of recently published reports. RESULTS: Many chronic ocular inflammatory diseases are associated with specific alleles of the HLA complex. Understanding how HLA gene products function normally provides clues to the mechanism of disease associations. In the thymus, these molecules control the shape of the developing T-cell repertoire, leading to self-tolerance. In the periphery, HLA molecules bind and present peptide fragments to T cells, leading to a variety of effector functions. Although effector functions are for the most part beneficial, models are reviewed in which peptide-HLA interactions lead to T-cell responses with pathologic consequences. Herpes stromal keratitis is an informative animal model highlighting the role of self-tolerance, infection, and molecular mimicry in the development of autoimmunity. CONCLUSIONS: Human leukocyte antigen gene products may be associated with chronic inflammatory disorders through the unique presentation of "disease-inducing" peptides or the development of a T-cell repertoire prone to autoreactivity and molecular mimicry. FAU - Davey, M P AU - Davey MP AD - Department of Veteran Affairs Medical Center, Department of Medicine, Oregon Health Sciences University, Portland 97201, USA. daveym@ohsu.edu FAU - Rosenbaum, J T AU - Rosenbaum JT LA - eng GR - EY06477/EY/NEI NIH HHS/United States GR - EY06484/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Am J Ophthalmol JT - American journal of ophthalmology JID - 0370500 RN - 0 (HLA Antigens) SB - IM MH - Animals MH - Autoimmune Diseases/*immunology MH - Autoimmunity/*immunology MH - Chronic Disease MH - Genes, MHC Class I/physiology MH - Genes, MHC Class II/physiology MH - HLA Antigens/*physiology MH - Humans MH - Immune System/physiology MH - Keratitis, Herpetic/*immunology MH - T-Lymphocytes/immunology MH - Uveitis/*immunology RF - 56 EDAT- 2000/02/22 09:00 MHDA- 2000/02/26 09:00 CRDT- 2000/02/22 09:00 PHST- 2000/02/22 09:00 [pubmed] PHST- 2000/02/26 09:00 [medline] PHST- 2000/02/22 09:00 [entrez] AID - S000293949900433X [pii] AID - 10.1016/s0002-9394(99)00433-x [doi] PST - ppublish SO - Am J Ophthalmol. 2000 Feb;129(2):235-43. doi: 10.1016/s0002-9394(99)00433-x.