4.7 Article

The HLA profiles of mixed connective tissue disease differ distinctly from the profiles of clinically related connective tissue diseases

期刊

RHEUMATOLOGY
卷 54, 期 3, 页码 528-535

出版社

OXFORD UNIV PRESS
DOI: 10.1093/rheumatology/keu310

关键词

mixed connective tissue disease; connective tissue diseases; genetics; HLA; humans; SLE; myositis; systemic sclerosis; U1 small nuclear ribonucleoprotein

资金

  1. Norwegian Rheumatism Association
  2. Scandinavian Rheumatology Research Foundation

向作者/读者索取更多资源

Objective. The Norwegian nationwide MCTD cohort was established to obtain unbiased data on key disease issues, and thereby reappraise the concept of MCTD. In the current study, the aims were to obtain detailed HLA profile data on the large Norwegian MCTD cohort and compare these with the HLA profiles of ethnically matched healthy controls and related CTD controls. Methods. HLA profiles, determined by sequence-based typing of HLA-B-star and DRB1(star), were compared between four control groups of Norwegian ancestry, SLE (n = 96), SSc (n = 95), PM/DM (n = 84), healthy individuals (n = 282), the complete MCTD cohort (n = 155) and MCTD subsets defined by key clinical parameters. Results. HLA-B-star 08 [odds ratio (OR) 2.05, P = 1.31 x 10(-4)) and DRB1(star) 04: 01 (OR 2.82, P = 3.64 x 10(-8)) were identified as risk alleles for MCTD, while DRB1(star) 04: 04, DRB1(star) 13: 01 and DRB1(star) 13: 02 were protective. Risk alleles for SLE and PM/DM were B(star)08 and DRB1(star)03:01. SSc risk was associated with DRB1(star) 08: 01. Analyses of MCTD subsets identified B(star)18 [OR 3.32 (95% CI 1.38, 8.01)] and DRB1(star)03: 01 [OR 1.83 (95% CI 1.03, 3.25)] as independent risk factors for lung fibrosis. Conclusion. Novel HLA alleles associated with MCTD and disease subsets were identified and DRB1(star) 04: 01 was confirmed as a major risk allele. Altogether, the data reinforce the notion of MCTD as a disease entity distinct from SLE, SSc and PM/DM.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据