Non‐inherited maternal HLA alleles are associated with rheumatoid arthritis

Background. Rheumatoid arthritis (RA) is strongly associated with a series of HLA‐DRB1 alleles that encode a conserved sequence of amino acids (70Q/R K/R R A A74) in the DRβ1 chain, known as the shared epitope (SE). However 30% of patients are negative for DRB1*04 and 15% are SE‐negative. Exposure t...

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Published in:British journal of rheumatology 2003-01, Vol.42 (1), p.171-174
Main Authors: Harney, S., Newton, J., Milicic, A., Brown, M. A., Wordsworth, B. P.
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recordid cdi_proquest_miscellaneous_72945066
title Non‐inherited maternal HLA alleles are associated with rheumatoid arthritis
format Article
creator Harney, S.
Newton, J.
Milicic, A.
Brown, M. A.
Wordsworth, B. P.
subjects Alleles
Arthritis, Rheumatoid - immunology
Biological and medical sciences
Cohort Studies
Diseases of the osteoarticular system
Epitope Mapping
Fathers
Female
Gene Frequency
Genes, MHC Class II
Genetic Markers
HLA
HLA-DR Antigens - genetics
HLA-DRB1 Chains
Humans
Inflammatory joint diseases
Male
Medical sciences
Mothers
Non‐inherited maternal alleles
Odds Ratio
Rheumatoid arthritis
Shared epitope
ispartof British journal of rheumatology, 2003-01, Vol.42 (1), p.171-174
description Background. Rheumatoid arthritis (RA) is strongly associated with a series of HLA‐DRB1 alleles that encode a conserved sequence of amino acids (70Q/R K/R R A A74) in the DRβ1 chain, known as the shared epitope (SE). However 30% of patients are negative for DRB1*04 and 15% are SE‐negative. Exposure to these alleles as non‐inherited maternal antigens (NIMA) might explain this discrepancy. We undertook a family study to investigate the role of NIMA in RA. Methods. One hundred families, including the RA proband and both parents, were recruited. HLA‐DRB1 genotyping was performed using an allele‐specific polymerase chain reaction by standard methods. The frequencies of NIMA and non‐inherited paternal antigens (NIPA) were compared using contingency tables and a two‐tailed P test. We then reviewed four previously published studies of NIMA in RA and conducted an analysis of the combined data Results. We identified 36 families in which the proband was DRB1*04‐negative and 13 in which the proband lacked the SE. There was an excess of DRB1*04 and SE NIMA (P=0.05) compared with NIPA. Combined analysis with previous studies showed that 53/231 mothers (23%) versus 25/205 fathers (12%) had a non‐inherited DRB1*04 (P=0.003) and 30/99 mothers versus 18/101 fathers had a non‐inherited SE allele (P=0.03). Conclusion. A role for HLA NIMA in RA is suggested by these results.
language eng
source AUTh Library subscriptions: Oxford University Press; Alma/SFX Local Collection
identifier ISSN: 1462-0324
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1460-2172
1462-0332
1460-2172
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A. ; Wordsworth, B. P.</creator><creatorcontrib>Harney, S. ; Newton, J. ; Milicic, A. ; Brown, M. A. ; Wordsworth, B. P.</creatorcontrib><description>Background. Rheumatoid arthritis (RA) is strongly associated with a series of HLA‐DRB1 alleles that encode a conserved sequence of amino acids (70Q/R K/R R A A74) in the DRβ1 chain, known as the shared epitope (SE). However 30% of patients are negative for DRB1*04 and 15% are SE‐negative. Exposure to these alleles as non‐inherited maternal antigens (NIMA) might explain this discrepancy. We undertook a family study to investigate the role of NIMA in RA. Methods. One hundred families, including the RA proband and both parents, were recruited. HLA‐DRB1 genotyping was performed using an allele‐specific polymerase chain reaction by standard methods. The frequencies of NIMA and non‐inherited paternal antigens (NIPA) were compared using contingency tables and a two‐tailed P test. We then reviewed four previously published studies of NIMA in RA and conducted an analysis of the combined data Results. We identified 36 families in which the proband was DRB1*04‐negative and 13 in which the proband lacked the SE. There was an excess of DRB1*04 and SE NIMA (P=0.05) compared with NIPA. Combined analysis with previous studies showed that 53/231 mothers (23%) versus 25/205 fathers (12%) had a non‐inherited DRB1*04 (P=0.003) and 30/99 mothers versus 18/101 fathers had a non‐inherited SE allele (P=0.03). Conclusion. A role for HLA NIMA in RA is suggested by these results.</description><identifier>ISSN: 1462-0324</identifier><identifier>ISSN: 1460-2172</identifier><identifier>EISSN: 1462-0332</identifier><identifier>EISSN: 1460-2172</identifier><identifier>DOI: 10.1093/rheumatology/keg059</identifier><identifier>PMID: 12509632</identifier><identifier>CODEN: BJRHDF</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Alleles ; Arthritis, Rheumatoid - immunology ; Biological and medical sciences ; Cohort Studies ; Diseases of the osteoarticular system ; Epitope Mapping ; Fathers ; Female ; Gene Frequency ; Genes, MHC Class II ; Genetic Markers ; HLA ; HLA-DR Antigens - genetics ; HLA-DRB1 Chains ; Humans ; Inflammatory joint diseases ; Male ; Medical sciences ; Mothers ; Non‐inherited maternal alleles ; Odds Ratio ; Rheumatoid arthritis ; Shared epitope</subject><ispartof>British journal of rheumatology, 2003-01, Vol.42 (1), p.171-174</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Jan 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-82bfec0a8e177414522fae6a072ef679732521dd491a3b025f2b445caa18065d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,787,791,4046,27984,27985,27986</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14468286$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12509632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harney, S.</creatorcontrib><creatorcontrib>Newton, J.</creatorcontrib><creatorcontrib>Milicic, A.</creatorcontrib><creatorcontrib>Brown, M. A.</creatorcontrib><creatorcontrib>Wordsworth, B. P.</creatorcontrib><title>Non‐inherited maternal HLA alleles are associated with rheumatoid arthritis</title><title>British journal of rheumatology</title><addtitle>Rheumatology</addtitle><description>Background. Rheumatoid arthritis (RA) is strongly associated with a series of HLA‐DRB1 alleles that encode a conserved sequence of amino acids (70Q/R K/R R A A74) in the DRβ1 chain, known as the shared epitope (SE). However 30% of patients are negative for DRB1*04 and 15% are SE‐negative. Exposure to these alleles as non‐inherited maternal antigens (NIMA) might explain this discrepancy. We undertook a family study to investigate the role of NIMA in RA. Methods. One hundred families, including the RA proband and both parents, were recruited. HLA‐DRB1 genotyping was performed using an allele‐specific polymerase chain reaction by standard methods. The frequencies of NIMA and non‐inherited paternal antigens (NIPA) were compared using contingency tables and a two‐tailed P test. We then reviewed four previously published studies of NIMA in RA and conducted an analysis of the combined data Results. We identified 36 families in which the proband was DRB1*04‐negative and 13 in which the proband lacked the SE. There was an excess of DRB1*04 and SE NIMA (P=0.05) compared with NIPA. Combined analysis with previous studies showed that 53/231 mothers (23%) versus 25/205 fathers (12%) had a non‐inherited DRB1*04 (P=0.003) and 30/99 mothers versus 18/101 fathers had a non‐inherited SE allele (P=0.03). Conclusion. A role for HLA NIMA in RA is suggested by these results.</description><subject>Alleles</subject><subject>Arthritis, Rheumatoid - immunology</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Epitope Mapping</subject><subject>Fathers</subject><subject>Female</subject><subject>Gene Frequency</subject><subject>Genes, MHC Class II</subject><subject>Genetic Markers</subject><subject>HLA</subject><subject>HLA-DR Antigens - genetics</subject><subject>HLA-DRB1 Chains</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mothers</subject><subject>Non‐inherited maternal alleles</subject><subject>Odds Ratio</subject><subject>Rheumatoid arthritis</subject><subject>Shared epitope</subject><issn>1462-0324</issn><issn>1460-2172</issn><issn>1462-0332</issn><issn>1460-2172</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNqFkc9u1DAQxi1ERUvhCZBQhFRuofb4X3ysVpQFbeECAvVizSaTrltvUuxEbW88As_Ik5DVLi3igubgkeb3fSPPx9gLwd8I7uRxWtG4xqGP_cXd8RVdcO0esQOhDJRcSnh834PaZ09zvuScayGrJ2xfgObOSDhgZx_77tePn6FbUQoDNcXkSKnDWMwXJwXGSJFygYkKzLmvA26YmzCsij_rQzONh9WkDvkZ22sxZnq-ew_Zl9O3n2fzcvHp3fvZyaKsFdihrGDZUs2xImGtEkoDtEgGuQVqjXVWggbRNMoJlEsOuoWlUrpGFBU3upGH7PXW9zr130fKg1-HXFOM2FE_Zm_BKc2N-S8IXPPpSm4CX_0DXvbj5g7ZC6fNVIpPkNxCdepzTtT66xTWmO684H6Tif87E7_NZFK93FmPyzU1D5pdCBNwtAMw1xjbhF0d8gOnlKmg2nym3HIhD3R7P8d05Y2VVvv5t3M_O1f6g3FfPcjfmG-ogw</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Harney, S.</creator><creator>Newton, J.</creator><creator>Milicic, A.</creator><creator>Brown, M. 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P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non‐inherited maternal HLA alleles are associated with rheumatoid arthritis</atitle><jtitle>British journal of rheumatology</jtitle><addtitle>Rheumatology</addtitle><date>2003-01</date><risdate>2003</risdate><volume>42</volume><issue>1</issue><spage>171</spage><epage>174</epage><pages>171-174</pages><issn>1462-0324</issn><issn>1460-2172</issn><eissn>1462-0332</eissn><eissn>1460-2172</eissn><coden>BJRHDF</coden><notes>istex:AAE222CD22544CA09A72CFF6A28BCD44F4ADA255</notes><notes>local:420171</notes><notes>PII:1460-2172</notes><notes>ark:/67375/HXZ-CZ45J69W-2</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background. Rheumatoid arthritis (RA) is strongly associated with a series of HLA‐DRB1 alleles that encode a conserved sequence of amino acids (70Q/R K/R R A A74) in the DRβ1 chain, known as the shared epitope (SE). However 30% of patients are negative for DRB1*04 and 15% are SE‐negative. Exposure to these alleles as non‐inherited maternal antigens (NIMA) might explain this discrepancy. We undertook a family study to investigate the role of NIMA in RA. Methods. One hundred families, including the RA proband and both parents, were recruited. HLA‐DRB1 genotyping was performed using an allele‐specific polymerase chain reaction by standard methods. The frequencies of NIMA and non‐inherited paternal antigens (NIPA) were compared using contingency tables and a two‐tailed P test. We then reviewed four previously published studies of NIMA in RA and conducted an analysis of the combined data Results. We identified 36 families in which the proband was DRB1*04‐negative and 13 in which the proband lacked the SE. There was an excess of DRB1*04 and SE NIMA (P=0.05) compared with NIPA. Combined analysis with previous studies showed that 53/231 mothers (23%) versus 25/205 fathers (12%) had a non‐inherited DRB1*04 (P=0.003) and 30/99 mothers versus 18/101 fathers had a non‐inherited SE allele (P=0.03). Conclusion. A role for HLA NIMA in RA is suggested by these results.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>12509632</pmid><doi>10.1093/rheumatology/keg059</doi><oa>free_for_read</oa></addata></record>