PMID- 2105500 OWN - NLM STAT- MEDLINE DCOM- 19900314 LR - 20220311 IS - 0027-8424 (Print) IS - 1091-6490 (Electronic) IS - 0027-8424 (Linking) VI - 87 IP - 3 DP - 1990 Feb TI - Heritable major histocompatibility complex class II-associated differences in production of tumor necrosis factor alpha: relevance to genetic predisposition to systemic lupus erythematosus. PG - 1233-7 AB - We report on the production of tumor necrosis factor (TNF)-alpha and TNF-beta by mitogen-activated peripheral blood lymphocytes or enriched monocyte subpopulations from human leukocyte antigen (HLA)-typed healthy subjects. The results indicate that HLA-DR2- and DQw1-positive donors frequently exhibit low production of TNF-alpha, whereas DR3- and DR4-positive subjects show high levels of TNF-alpha production. No correlation between TNF-alpha levels and HLA-A, -B, and -C genotype was found. The relevance of this quantitative polymorphism to the genetic predisposition to lupus nephritis in systemic lupus erythematosus (SLE) patients was investigated. DR2, DQw1-positive SLE patients show low levels of TNF-alpha inducibility; this genotype is also associated with an increased incidence of lupus nephritis. DR3-positive SLE patients, on the other hand, are not predisposed to nephritis, and these patients have high TNF-alpha production. DR4 haplotype is associated with high TNF-alpha inducibility and is negatively correlated with lupus nephritis. These data may help explain the strong association between HLA-DR2, DQw1 in SLE patients and their susceptibility to nephritis. FAU - Jacob, C O AU - Jacob CO AD - Department of Microbiology and Immunology, Stanford University School of Medicine, CA 94305-5402. FAU - Fronek, Z AU - Fronek Z FAU - Lewis, G D AU - Lewis GD FAU - Koo, M AU - Koo M FAU - Hansen, J A AU - Hansen JA FAU - McDevitt, H O AU - McDevitt HO LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Lymphotoxin-alpha) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Alleles MH - Female MH - *Genes, MHC Class I MH - *Genes, MHC Class II MH - Humans MH - Lupus Erythematosus, Systemic/genetics/*immunology MH - Lymphocyte Activation MH - Lymphocytes/immunology MH - Lymphotoxin-alpha/biosynthesis MH - Male MH - Pedigree MH - Reference Values MH - Tumor Necrosis Factor-alpha/*biosynthesis PMC - PMC53445 EDAT- 1990/02/01 00:00 MHDA- 1990/02/01 00:01 PMCR- 1990/08/01 CRDT- 1990/02/01 00:00 PHST- 1990/02/01 00:00 [pubmed] PHST- 1990/02/01 00:01 [medline] PHST- 1990/02/01 00:00 [entrez] PHST- 1990/08/01 00:00 [pmc-release] AID - 10.1073/pnas.87.3.1233 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 1990 Feb;87(3):1233-7. doi: 10.1073/pnas.87.3.1233.