PMID- 26002027 OWN - NLM STAT- MEDLINE DCOM- 20160216 LR - 20191008 IS - 1531-6963 (Electronic) IS - 1040-8711 (Print) IS - 1040-8711 (Linking) VI - 27 IP - 4 DP - 2015 Jul TI - Endoplasmic reticulum aminopeptidase 1 and rheumatic disease: functional variation. PG - 357-63 LID - 10.1097/BOR.0000000000000188 [doi] AB - PURPOSE OF REVIEW: To review the recent developments in our understanding of endoplasmic reticulum (ER) aminopeptidase 1 (ERAP1) function in relation to its role in major histocompatibility complex (MHC) class I peptide presentation and human leukocyte antigen (HLA) class I-associated diseases. RECENT FINDINGS: ERAP1 polymorphisms exhibiting loss-of-function have been associated with protection from AS. The aminopeptidase function of ERAP1 optimizes peptides for binding and presentation by MHC class I. Most of the studies have revealed reduced MHC class I expression in situations of reduced ERAP1 function. Under these circumstances, the presented peptides are often N-terminally extended, and cell surface complexes are unstable and fall apart more readily. In contrast, peptides presented by HLA-B*27 : 05 when ERAP1 is silenced are frequently extended on the C-terminus. Recent work has emphasized on the importance of assessing the function of allotypes encoded by ERAP1 haplotypes, rather than effects of single amino acid substitutions. The allotypes found in a series of AS patients were poorer at restoring HLA-B27 expression than allotypes found in unaffected controls, which may seem contrary to the genetic data linking loss-of-function to protection. SUMMARY: More work is needed to understand how ERAP1 variants associated with risk and protection influence the quality and quantity of peptides available for binding to HLA class I molecules in the ER. Moreover, we need to determine allele-specific effects of ERAP1 variants in the context of HLA-B*51 and HLA-Cw*6, which are associated with Behcet's disease and psoriasis, respectively. FAU - Tran, Tri M AU - Tran TM AD - Pediatric Translational Research Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, Maryland, USA. FAU - Colbert, Robert A AU - Colbert RA LA - eng GR - Z99 AR999999/Intramural NIH HHS/United States GR - Z01 AR041184/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Review PL - United States TA - Curr Opin Rheumatol JT - Current opinion in rheumatology JID - 9000851 RN - 0 (HLA-B27 Antigen) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Minor Histocompatibility Antigens) RN - EC 3.4.11.- (Aminopeptidases) RN - EC 3.4.11.- (ERAP1 protein, human) SB - IM MH - Aminopeptidases/*genetics/physiology MH - Genetic Predisposition to Disease MH - HLA-B27 Antigen/immunology MH - Haplotypes MH - Histocompatibility Antigens Class I/metabolism MH - Humans MH - Minor Histocompatibility Antigens MH - Polymorphism, Single Nucleotide MH - Rheumatic Diseases/*genetics/immunology PMC - PMC4495904 MID - NIHMS701012 EDAT- 2015/05/24 06:00 MHDA- 2016/02/18 06:00 PMCR- 2016/07/01 CRDT- 2015/05/24 06:00 PHST- 2015/05/24 06:00 [entrez] PHST- 2015/05/24 06:00 [pubmed] PHST- 2016/02/18 06:00 [medline] PHST- 2016/07/01 00:00 [pmc-release] AID - 10.1097/BOR.0000000000000188 [doi] PST - ppublish SO - Curr Opin Rheumatol. 2015 Jul;27(4):357-63. doi: 10.1097/BOR.0000000000000188.