Influence of HLA-DR alleles on rheumatoid arthritis: Susceptibility and severity in Argentine patients

Objective. To determine the frequency of shared epitopes in our population of patients with rheumatoid arthritis (RA) and to investigate whether the presence of these alleles is associated with a more aggressive form of disease. Methods. Demographic and clinical data were obtained from 140 patients...

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Autor principal: Citera, G.
Otros Autores: Padulo, L.A, Fernandez, G., Lazaro, M.A, Rosemffet, M.G, Maldonado Cocco, J.A
Formato: Capítulo de libro
Lenguaje:Inglés
Publicado: 2001
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Acceso en línea:Registro en Scopus
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024 7 |2 scopus  |a 2-s2.0-0034932012 
024 7 |2 cas  |a Epitopes; HLA-DR Antigens; HLA-DR11 antigen; HLA-DR3 Antigen 
040 |a Scopus  |b spa  |c AR-BaUEN  |d AR-BaUEN 
030 |a JRHUA 
100 1 |a Citera, G. 
245 1 0 |a Influence of HLA-DR alleles on rheumatoid arthritis: Susceptibility and severity in Argentine patients 
260 |c 2001 
270 1 0 |m Maldonado Cocco, J.A.; Department of Rheumatology, Inst. Rehab. Psicofis. Echever. 955, Buenos Aires 1428, Argentina 
506 |2 openaire  |e Política editorial 
504 |a Pincus, T., Rheumatoid arthritis: A medical emergency? (1994) Scand J Rheumatol, 23 (SUPPL. 100), pp. 21-30 
504 |a Wolf, F., The natural history of rheumatoid arthritis (1996) J Rheumatol, 23 (SUPPL. 44), pp. 13-22 
504 |a Pincus, T., Callahan, L., How many types of patients meet classification criteria for rheumatoid arthritis? (1994) J Rheumatol, 21, pp. 1385-1389 
504 |a Van der Heijde, D.M.F.M., Van Riel, P.L.C.M., Van Rijswijk, M.H., Van de Putte, L.B.A., Influence of prognostic features on the final outcome in rheumatoid arthritis. A review of the literature (1988) Semin Arthritis Rheum, 17, pp. 284-292 
504 |a Stastny, P., Association of B cell alloantigen DRw4 with rheumatoid arthritis (1978) N Engl J Med, 298, pp. 869-871 
504 |a Nepom, G.T., Gersuk, V., Nepom, B., Prognostic implications of HLA genotyping in the early assessment of patients with rheumatoid arthritis (1996) J Rheumatol, 23 (SUPPL. 44), pp. 5-9 
504 |a Weyand, C.M., Hicok, K.C., Conn, D.L., Goronzy, J.Z., The influence of HLA-DRB1 genes on disease severity in rheumatoid arthritis (1992) Ann Intern Med, 117, pp. 801-806 
504 |a Suárez Almazor, M.E., Tao, S., Moustarah, F., Russell, A.S., Maksymowych, W., HLA DR1, DR4 and DRB1 disease related subtypes in rheumatoid arthritis: Association with susceptibility but not severity in a city wide community based study (1995) J Rheumatol, 22, pp. 2027-2033 
504 |a Teller, K., Budhai, L., Zhang, M., Haramati, N., Keiser, H.D., Davidson, A., HLA-DRB1 and DQB typing of Hispanic American patients with rheumatoid arthritis: The "shared epitope" hypothesis may not apply (1996) J Rheumatol, 23, pp. 1363-1368 
504 |a González, A., Nicovani, S., Massardo, L., Bull, P., Rodríguez, L., Jacobelli, S., Novel genetic markers of rheumatoid arthritis in Chilean patients, by DR serotyping and restriction fragment length polymorphism analysis (1992) Arthritis Rheum, 35, pp. 282-289 
504 |a Arnett, F.C., Edworthy, S.N., Bloch, D.A., The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis (1988) Arthritis Rheum, 31, pp. 315-324 
504 |a Bland, J.M., Altman, D.D., Statistical methods for assessing agreement between two methods of clinical measurement (1986) Lancet, 8476, pp. 307-310 
504 |a Larsen, A., Dale, K., Eck, M., Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films (1977) Acta Radiol, 18, pp. 481-491 
504 |a Svejgarard, A., Jersild, C., Nielsen, L.S., Bodner, W.F., HLA antigens and disease: Statistical and genetical considerations (1974) Tissue Antigens, 4, pp. 95-105 
504 |a Drosos, A.A., Lanchbury, J.S., Panayi, G.S., Moutsopoulos, H.M., Rheumatoid arthritis in Greek and British patients (1992) Arthritis Rheum, 35, pp. 745-748 
504 |a McDaniel, D.O., Alarcón, G.S., Pratt, P.W., Reveille, J.D., Most African-American patients with rheumatoid arthritis do not have the rheumatoid antigenic determinant (epitope) (1995) Ann Intern Med, 123, pp. 181-187 
504 |a Massardo, L., Jacobelli, S., Rodríguez, L., Rivero, S., González, A., Marchetti, R., Weak association between HLA-DR4 and rheumatoid arthritis in Chilean patients (1990) Ann Rheum Dis, 49, pp. 290-292 
504 |a González, A., Nicovani, S., Massardo, L., Influence of the HLA-DRB shared epitope on susceptibility to and clinical expression of rheumatoid arthritis in Chilean patients (1997) Ann Rheum Dis, 56, pp. 191-193 
504 |a Massardo, L., Aguirre, V., García, M.E., Clinical expression of rheumatoid arthritis in Chilean patients (1995) Semin Arthritis Rheum, 25, pp. 203-213 
504 |a Del Rincón, Y., Castro, M., Escalante, A., Sensitivity and specificity of HLA-DRB 1 alleles in the susceptibility to rheumatoid arthritis in Mexican-Americans (1997) Arthritis Rheum, 40 (SUPPL.), pp. S156 
504 |a Cerna, M., Falco, M., Friedman, H., Differences in HLA class II alleles of isolated South American Indian populations from Brazil and Argentina (1993) Human Immunol, 37, pp. 213-220 
504 |a Vullo, C.M., Pesoa, S.A., Onetti, C.M., Riera, C.M., Rheumatoid arthritis and its association with HLA-DR antigens. I. Cell mediated immune response against connective tissue antigens (1987) J Rheumatol, 14, pp. 221-225 
504 |a Salvarani, C., Macchioni, P.L., Mantovani, W., HLA-DRB1 alleles associated with rheumatoid arthritis in Northern Italy: Correlation with disease severity (1998) Br J Rheumatol, 37, pp. 165-169 
504 |a Ferraccioli, G.F., Sari, M., Association between DR antigens, rheumatoid arthritis with and without extra-articular features and systemic lupus erythematosus in Northern Italy (1988) J Rheumatol, 15, pp. 51-53 
504 |a Eberbardt, K., Fex, E., Johnson, U., Wollheim, F.A., Associations of HLA-DRB and DQB genes with two and five year outcome in rheumatoid arthritis (1996) Ann Rheum Dis, 55, pp. 34-39 
504 |a Higami, K., Hakoda, M., Matsuda, J., Ueda, H., Kashiwasaki, S., Lack of association of HLA-DRB1 genotype with radiologic progression in Japanese patients with early rheumatoid arthritis (1997) Arthritis Rheum, 40, pp. 2241-2247 
504 |a Van Jaarsveld, C.H.M., Otten, H.G., Jacobs, J.W.G., Kruize, A.A., Brus, H.L.M., Bijlsma, J.W.J., Association of HLA-DR with susceptibility to and clinical expression of rheumatoid arthritis: Re-evaluation by means of genomic tissue typing (1998) Br J Rheumatol, 37, pp. 411-416 
504 |a Combe, B., Eliaou, J.F., Daures, J.P., Meyer, O., Clot, J., Sany, J., Prognostic factors in rheumatoid arthritis, Comparative study of two subsets of patients according to severity of articular damage (1995) Br J Rheumatol, 34, pp. 529-534 
504 |a Saag, K.G., Low-dose corticosteroid therapy in rheumatoid arthritis: Balancing the evidence (1997) Am J Med, 103 (SUPPL. 6A), pp. 31S-39S 
504 |a Van der Horst-Bruinsama, I.E., De Vries, R.R.P., Hazes, J.M.W., Reevaluating the role of HLA in rheumatoid arthritis: Some DRB1 alleles prevent disease onset (1997) Arthritis Rheum, 40 (SUPPL.), pp. S156 
520 3 |a Objective. To determine the frequency of shared epitopes in our population of patients with rheumatoid arthritis (RA) and to investigate whether the presence of these alleles is associated with a more aggressive form of disease. Methods. Demographic and clinical data were obtained from 140 patients with RA, 123 female, mean age 49.9 ± 11.7 years and mean disease duration 9.4 ± 6.3 years. Radiographs of both hands were taken and scored by Larsen's method. HLA-DR alleles were determined by PCR-SSP. The control group comprised 202 healthy ethnic-matched subjects. Results. DR4 was significantly more frequent in patients with RA than controls, and was observed in 70/140 patients (50%) versus 47/202 controls (23.27%) (odds ratio 3.25, CI 1.99-5.35, Pcorr 5 × 10-5). Within DR4 subtypes *0404 and *0401 were the most commonly found (37.7 and 29%, respectively). DR3 and DR11 exerted a protective effect with significantly higher frequency in controls than in patients with RA. When patients were divided into 2 groups according to disease severity (radiographic score) the frequency of alleles with QKRAA and QRRAA sequences was similar in both groups. Although with lower frequency, subtype *1001 alone was significantly more frequent in the severe-condition group [7 (13.5 %) vs 3 (3.4 %), p = 0.03]. Conclusion. These results are in accordance with findings observed in Caucasians and differ from other Latin American populations. However shared epitope alleles failed to correlate with more severe disease with the exception of subtype *1001 which, although infrequent, was significantly more frequent in patients with relevant radiological damage.  |l eng 
593 |a Department of Rheumatology, Inst. Rehab. Psicofis. Echever. 955, Buenos Aires 1428, Argentina 
690 1 0 |a DISEASE SEVERITY 
690 1 0 |a HLA-DR ALLELES 
690 1 0 |a RHEUMATOID ARTHRITIS 
690 1 0 |a SHARED EPITOPE 
690 1 0 |a EPITOPE 
690 1 0 |a HLA DR ANTIGEN 
690 1 0 |a HLA DR11 ANTIGEN 
690 1 0 |a HLA DR3 ANTIGEN 
690 1 0 |a HLA DR4 ANTIGEN 
690 1 0 |a UNCLASSIFIED DRUG 
690 1 0 |a ADULT 
690 1 0 |a AGED 
690 1 0 |a ALLELISM 
690 1 0 |a ARTICLE 
690 1 0 |a CONTROLLED STUDY 
690 1 0 |a DISEASE DURATION 
690 1 0 |a DISEASE PREDISPOSITION 
690 1 0 |a DISEASE SEVERITY 
690 1 0 |a FEMALE 
690 1 0 |a HAND RADIOGRAPHY 
690 1 0 |a HUMAN 
690 1 0 |a MAJOR CLINICAL STUDY 
690 1 0 |a MALE 
690 1 0 |a POLYMERASE CHAIN REACTION 
690 1 0 |a PRIORITY JOURNAL 
690 1 0 |a RHEUMATOID ARTHRITIS 
690 1 0 |a SCORING SYSTEM 
690 1 0 |a ADULT 
690 1 0 |a AGED 
690 1 0 |a ALLELES 
690 1 0 |a ARTHRITIS, RHEUMATOID 
690 1 0 |a EPITOPES 
690 1 0 |a FEMALE 
690 1 0 |a GENETIC PREDISPOSITION TO DISEASE 
690 1 0 |a GENOTYPE 
690 1 0 |a HLA-DR ANTIGENS 
690 1 0 |a HLA-DR3 ANTIGEN 
690 1 0 |a HUMANS 
690 1 0 |a MALE 
690 1 0 |a MIDDLE AGED 
690 1 0 |a SEVERITY OF ILLNESS INDEX 
651 4 |a ARGENTINA 
651 4 |a ARGENTINA 
700 1 |a Padulo, L.A. 
700 1 |a Fernandez, G. 
700 1 |a Lazaro, M.A. 
700 1 |a Rosemffet, M.G. 
700 1 |a Maldonado Cocco, J.A. 
773 0 |d 2001  |g v. 28  |h pp. 1486-1491  |k n. 7  |p J. Rheumatol.  |x 0315162X  |t Journal of Rheumatology 
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