PMID- 12427368 OWN - NLM STAT- MEDLINE DCOM- 20030505 LR - 20211203 IS - 1523-3774 (Print) IS - 1523-3774 (Linking) VI - 4 IP - 6 DP - 2002 Dec TI - The role of infection in the pathogenesis of spondyloarthropathies with special reference to human leukocyte antigen-B27. PG - 518-24 AB - Spondyloarthropathies consist of many inflammatory diseases that are closely associated with human leukocyte antigen (HLA)-B27. One of these diseases is reactive arthritis (ReA), which is a joint inflammation that occurs after infections that are caused by certain gram-negative bacteria. The importance of these infections as causative agents of ReA has been clearly established. It is not clear, however, whether these infections contribute to the development of other forms of spondyloarthropathies. The exact mechanism by which HLA-B27 influences disease susceptibility in spondyloarthropathies remains to be determined. The role of HLA-B27 as an antigen-presenting molecule is certainly important in the pathogenesis of these diseases; however, recent data indicate that this molecule may exhibit other functions unrelated to antigen presentation, which may be important in the pathogenesis of ReA. In this paper, the authors summarize the current knowledge of the role of infection in the spondyloarthropathies. FAU - Penttinen, Markus A AU - Penttinen MA AD - Department in Turku, National Public Health Institute, Kiinamyllynkatu 13, Turku FIN-20520, Finland. markus.penttinen@utu.fi FAU - Liu, Yi AU - Liu Y FAU - Granfors, Kaisa AU - Granfors K LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Rheumatol Rep JT - Current rheumatology reports JID - 100888970 RN - 0 (HLA-B27 Antigen) RN - 0 (PHB2 protein, human) RN - 0 (Prohibitins) SB - IM MH - Arthritis, Reactive/*etiology/immunology MH - Gram-Negative Bacterial Infections/*complications/immunology MH - HLA-B27 Antigen/*immunology MH - Humans MH - Prohibitins MH - Spondylarthropathies/*etiology/immunology/physiopathology MH - T-Lymphocytes/immunology RF - 50 EDAT- 2002/11/13 04:00 MHDA- 2003/05/06 05:00 CRDT- 2002/11/13 04:00 PHST- 2002/11/13 04:00 [pubmed] PHST- 2003/05/06 05:00 [medline] PHST- 2002/11/13 04:00 [entrez] AID - 10.1007/s11926-002-0060-7 [doi] PST - ppublish SO - Curr Rheumatol Rep. 2002 Dec;4(6):518-24. doi: 10.1007/s11926-002-0060-7.