PMID- 6967490 OWN - NLM STAT- MEDLINE DCOM- 19801027 LR - 20181113 IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 66 IP - 3 DP - 1980 Sep TI - Early-onset pauciarticular juvenile rheumatoid arthritis associated with human leukocyte antigen-DRw5, iritis, and antinuclear antibody. PG - 426-9 AB - Evidence has been sought for a genetically determined predisposition among children with juvenile rheumatoid arthritis (JRA) who are also at particular risk for the development of inflammatory eye disease.45 unrelated Caucasian patients (41 female) with early-onset pauciarticular JRA were human leukocyte antigen (HLA) types. 28 of the study group were found to be HLA-DRw5 compared with 16 of 84 controls (X(2), 24.3, P = <0.001). 9 patients were HLA-DRw8 compared with 4 of 84 controls (X(2), 7.51, P = <0.01). Iritis developed in 24 of the 45 children studied, 17 of whom were typed as HLA-DRw5 when compared to controls (X(2), 26.76, P = <0.001) and 6 with iritis typed as HLA-DRw8 (X(2), 9.10, P = <0.01). Antinuclear antibody was found in the serum of 17 of the 28 patients typing as HLA-DRw5 compared with 4 of the 17 who did not have this antigen (X(2), 5.88, P = <0.02). No such association was seen in patients with HLA-DRw8. In a study of linked genes, a delta value of 0.090 was found for HLA-DRw5 with HLA-B12, of 0.070 for DRw5 with HLA-Cw4, and a value of 0.050 for DRw5 and HLA-Bw35. This suggests a linkage disequilibrium between HLA-DRw5 and these two B series alleles, a conclusion which was supported by haplotype analysis in families of 11 of the disease probands. HLA-DRw5 has not previously been reported to be increased in any rheumatic disease group. It is proposed that HLA-DRw5 is a genetic marker defining those at risk for early-onset pauciarticular JRA with iritis. FAU - Glass, D AU - Glass D FAU - Litvin, D AU - Litvin D FAU - Wallace, K AU - Wallace K FAU - Chylack, L AU - Chylack L FAU - Garovoy, M AU - Garovoy M FAU - Carpenter, C B AU - Carpenter CB FAU - Schur, P H AU - Schur PH LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Antibodies, Antinuclear) RN - 0 (HLA Antigens) SB - IM MH - Antibodies, Antinuclear/*analysis MH - Arthritis, Juvenile/complications/genetics/*immunology MH - Female MH - HLA Antigens/*analysis/classification MH - Haploidy MH - Humans MH - Iritis/*etiology/genetics/immunology MH - Male PMC - PMC371669 EDAT- 1980/09/01 00:00 MHDA- 1980/09/01 00:01 PMCR- 1980/09/01 CRDT- 1980/09/01 00:00 PHST- 1980/09/01 00:00 [pubmed] PHST- 1980/09/01 00:01 [medline] PHST- 1980/09/01 00:00 [entrez] PHST- 1980/09/01 00:00 [pmc-release] AID - 10.1172/JCI109872 [doi] PST - ppublish SO - J Clin Invest. 1980 Sep;66(3):426-9. doi: 10.1172/JCI109872.