PMID- 7738367 OWN - NLM STAT- MEDLINE DCOM- 19950602 LR - 20190723 IS - 0022-202X (Print) IS - 0022-202X (Linking) VI - 104 IP - 5 DP - 1995 May TI - Comparative genetic association of human leukocyte antigen class II and tumor necrosis factor-alpha with dermatitis herpetiformis. PG - 856-8 AB - Dermatitis herpetiformis is a chronic subepidermal vesicular autoimmune skin disease characterized by a strong association with the human leukocyte antigen A1-B8-DR3-DQ2 haplotype. Although the strongest major histocompatibility complex association has been shown to be with the DQw2 (DQB1*0201/DQA1*0501) heterodimer, recent evidence has suggested that there may be up to three susceptibility loci within the major histocompatibility complex. Tumor necrosis factor-alpha (TNF-alpha) is a cytokine with a broad range of proinflammatory, immunomodulating, and catabolic activities. We have recently described the first known polymorphism in the human TNF-alpha gene, which is biallelic and lies in the promoter region. The rare allele, TNF2, is in strong linkage disequilibrium with the human leukocyte antigen A1-B8-DR3-DQ2 haplotype. We therefore examined TNF-alpha genotypes in patients with dermatitis herpetiformis and controls and compared the association with that of the class II alleles. Although TNF2 is strongly associated with dermatitis herpetiformis, this was weaker than the association with the class II loci, with DQw2 (DQB1*0201/DQA1*0501) showing the strongest disease association. Of the four patients negative for this marker, only one carried the TNF2 allele. These results indicate that TNF2 is not a major disease susceptibility marker, although our results do not exclude a minor role. FAU - Wilson, A G AU - Wilson AG AD - University Department of Medicine, Royal Hallamshire Hospital, University of Sheffield, England. FAU - Clay, F E AU - Clay FE FAU - Crane, A M AU - Crane AM FAU - Cork, M J AU - Cork MJ FAU - Duff, G W AU - Duff GW LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Invest Dermatol JT - The Journal of investigative dermatology JID - 0426720 RN - 0 (HLA-DQ Antigens) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Alleles MH - Base Sequence MH - Dermatitis Herpetiformis/*genetics MH - Genotype MH - HLA-DQ Antigens/*genetics MH - Heterozygote MH - Histocompatibility Antigens Class II/*genetics MH - Homozygote MH - Humans MH - Leukocytes/*immunology MH - Molecular Sequence Data MH - Polymorphism, Genetic MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 1995/05/01 00:00 MHDA- 1995/05/01 00:01 CRDT- 1995/05/01 00:00 PHST- 1995/05/01 00:00 [pubmed] PHST- 1995/05/01 00:01 [medline] PHST- 1995/05/01 00:00 [entrez] AID - S0022-202X(15)42143-8 [pii] AID - 10.1111/1523-1747.ep12607031 [doi] PST - ppublish SO - J Invest Dermatol. 1995 May;104(5):856-8. doi: 10.1111/1523-1747.ep12607031.