PMID- 6950686 OWN - NLM STAT- MEDLINE DCOM- 19820512 LR - 20071115 IS - 0091-7370 (Print) IS - 0091-7370 (Linking) VI - 12 IP - 1 DP - 1982 Jan-Feb TI - The major histocompatibility complex. PG - 16-22 AB - The major histocompatibility complex on the sixth chromosome controls expression of a complex series of cell surface antigens which comprise the human leukocyte antigen (HLA) system. These markers, beyond their importance in human organ transplantation, have been demonstrated to occur with an increased prevalence in certain disease states. The group of conditions showing the closest association with specific HLA antigens are the "spondyloarthropathies." These include ankylosing spondylitis (AS), Reiter's syndrome (RS), psoriatic arthritis (PsA), and the arthritis of inflammatory bowel disease (AIBD). Clinical and radiographic studies were made of 310 unrelated caucasoid patients with seronegative arthritis. HLA-A, B, C, and DR typing were performed using the microdroplet lymphocyte cytotoxicity test. Statistically increased prevalences of A26, B27, and Bw38 were observed, while B27 was associated with spinal involvement regardless of diagnosis (90 percent in AS p less than 0.0001). Experiments found A26 (23 percent p less than 0.001) and Bw38 (38 percent p less than 0.0001) in patients with PsA. Spondyloarthritis patients with spinal involvement who lacked B27 frequently had B7. The HLA DR typing for seven specificities was carried out in 196 patients. It was found that DRw4 (52 percent p less than 0.03) and DRw7 (39 percent p less than 0.04) were increased in the PsA patients. This study further confirms the close association of HLA antigens and the spondylarthropathies. FAU - Vasey, F B AU - Vasey FB FAU - Espinoza, L R AU - Espinoza LR FAU - Bocanegra, T S AU - Bocanegra TS FAU - Germain, B F AU - Germain BF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Ann Clin Lab Sci JT - Annals of clinical and laboratory science JID - 0410247 RN - 0 (HLA Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-C Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Arthritis/immunology MH - Arthritis, Reactive/immunology MH - HLA Antigens/immunology MH - HLA-B Antigens MH - HLA-C Antigens MH - HLA-DR Antigens MH - Histocompatibility Antigens Class II/immunology MH - Humans MH - Inflammation/immunology MH - Intestinal Diseases/immunology MH - *Major Histocompatibility Complex MH - Psoriasis/immunology MH - Spondylitis, Ankylosing/immunology EDAT- 1982/01/01 00:00 MHDA- 1982/01/01 00:01 CRDT- 1982/01/01 00:00 PHST- 1982/01/01 00:00 [pubmed] PHST- 1982/01/01 00:01 [medline] PHST- 1982/01/01 00:00 [entrez] PST - ppublish SO - Ann Clin Lab Sci. 1982 Jan-Feb;12(1):16-22.