Log in

The association of HLA-B*27 subtypes with ankylosing spondylitis in Wuhan population of China

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

The aim of this study was to investigate the association of the B27 subtypes with ankylosing spondylitis (AS) in the Wuhan population of China. We selected 317 HLA-B27-positive individuals (145 controls and 172 patients with ankylosing spondylitis). The B27 subtypes were characterized using a PCR-SSP method. Six B27 subtypes were determined: B*2702, 03, 04, 05, 06 and B*13. HLA-B*2704 and HLA-B*2705 were the two high frequency genotypes in controls and patients. Compared with the controls, the AS patients had high frequency of B*2704 (patients 69.2% vs. controls 53.8%) and low frequency of B*2705 (patients 23.8% vs. controls 33.1%). B*2703 was detected in 10 (5.8%) patients and in 13 (8.9%) controls. B*2702, 06 and B*2713 were relatively rare. Our results show that the allele conferring risk to AS in the Wuhan population of China was B*2704 and B*2705. B*2704 is strongly associated with AS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Schlosstein L, Terasaki PI, Bluestones R, Pearson CM (1973) High association of an HL-A antigen, 27, with ankylosing spondylitis. N Engi J Med 288:704

    Article  CAS  Google Scholar 

  2. Brewerton DA, Caffrey M, Hart FD, James DCO, Nicholls A, Sturrock RD (1973) Ankylosing spondylitis and HL-A27. Lancet 1:904. doi:10.1016/S0140-6736(73)91360-3

    Article  CAS  PubMed  Google Scholar 

  3. Muhammad AK, Alessandro M, Rosa S, Nurullah A (2007) The pathogenetic role of HLA-B27 and its subtypes. Autoimmun Rev 6:183–189. doi:10.1016/j.autrev.2006.11.003

    Article  CAS  Google Scholar 

  4. Khan MA (2000) Update: the twenty subtypes of HLA-B27. Curr Opin Rheumatol 12:235–238. doi:10.1097/00002281-200007000-00001

    Article  CAS  PubMed  Google Scholar 

  5. Akkoc N, Khan MA (2005) HLA-B27 and ankylosing spondylitis. APLAR J Rheumatol 8:146–153. doi:10.1111/j.1479-8077.2005.00152.x

    Article  Google Scholar 

  6. Taurog JD (2007) The mystery of HLA-B27: if it isn’t one thing, it’s another. Arthritis Rheum 56:2478–2481. doi:10.1002/art.22807

    Article  CAS  PubMed  Google Scholar 

  7. Shankarkumar U, Ghosh K, Mohanty D (2002) HLA B27 polymorphism in Western India. Tissue Antigens 60:98–101. doi:10.1034/j.1399-0039.2002.600115.x

    Article  CAS  PubMed  Google Scholar 

  8. Armas JB, Gonzales S, Martinez-Borra J, Laranjeira F, Ribeiro E, Correia J, Ferraira ML, Toste M, Lopez-Vazquez A, Lopez-Larrea C (1999) Susceptibility to ankylosing spondylitis is independent of the Bw4 and Bw6 epitopes of HLA-B27 alleles. Tissue Antigens 53:237–243. doi:10.1034/j.1399-0039.1999.530303.x

    Article  CAS  PubMed  Google Scholar 

  9. Sims AM, Wordsworth BP, Brown MA (2004) Genetic susceptibility to ankylosing spondylitis. Curr Mol Med 4:13–20. doi:10.2174/1566524043479284

    Article  CAS  PubMed  Google Scholar 

  10. Khan MA (2002) Update on spondyloarthropathies. Ann Intern Med 136:896–907

    PubMed  Google Scholar 

  11. Paladini F, Taccari E, Fiorillo MT, Cauli A, Passiu G, Mathieu A (2005) Distribution of HLA-B27 subtypes in Sardinia and continental Italy and their association with spondylarthropathies. Arthritis Rheum 52:3319–3321. doi:10.1002/art.21308

    Article  CAS  PubMed  Google Scholar 

  12. Ma HJ, Hu FP (2006) Diversity of human leukocyte antigen-B27 alleles in Han population of Hunan province, southern China. Tissue Antigens 68:163–166. doi:10.1111/j.1399-0039.2006.00638.x

    Article  CAS  PubMed  Google Scholar 

  13. Chou CT, Chen JM, Chang MH, Chen SJ (2003) HLA-B27 and its subtypes in 4 Taiwanese aborigine tribes: a comparison to Han Chinese patients with ankylosing spondylitis. J Rheumatol 30:321–325

    CAS  PubMed  Google Scholar 

  14. Yang KL, Chen IH, Hsiao CK, Cherng JM, Yang KZ, Chang CC, Yeh CC, Lin PY (2004) Polymorphism of HLA-B27 in Taiwanese Chinese. Tissue Antigens 63:476–479. doi:10.1111/j.0001-2815.2004.00197.x

    Article  CAS  PubMed  Google Scholar 

  15. Dowing J, Coates E, Street J, Hammond L, Rees TJ, Pepperall J, Darke C (2006) A high-resolution polymerase chain reaction-sequence-specific primer HLA-B*27 ty** set and its application in routine HLA-B27 testing. Genet Test 10:98–103. doi:10.1089/gte.2006.10.98

    Article  Google Scholar 

  16. Downing J, Guttridge MG, Thompson J, Darke C (2004) Five-locus HLA ty** of haematopoietic stem cell donor volunteers by PCR using sequence specific primers. Genet Test 8:301–312. doi:10.1089/gte.2004.8.301

    Article  CAS  PubMed  Google Scholar 

  17. Van der Linden S, Valkenberg HA, Cats A (1984) Evaluation of diagnostic criteria for ankylosing spondylitis: a proposal for modification of the New York criteria. Arthritis Rheum 27:361–368. doi:10.1002/art.1780270401

    Article  PubMed  Google Scholar 

  18. Miller SA, Dikes DED, Polesky HF (1988) A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res 16:1215. doi:10.1093/nar/16.3.1215

    Article  CAS  PubMed  Google Scholar 

  19. Blanco-Gelaz MA, Lopez-Vazquez A, Sl Garcia-Fernandez (2001) Genetic variability, molecular evolution, and geographic diversity of HLA B27. Hum Immunol 62:1042–1050. doi:10.1016/S0198-8859(01)00299-3

    Article  CAS  PubMed  Google Scholar 

  20. Hill AVS, Allsopp CEM, Kwiatkowski D (1991) HLA class I ty** by PCR:HLA B27 and an African subtype. Lancet 337:640–642. doi:10.1016/0140-6736(91)92452-8

    Article  CAS  PubMed  Google Scholar 

  21. Lopez-Larrea C, Sujirachato K, Mehra NK (1995) HLA B27 subtypes in Asian patients with ankylosing spondylitis. Tissue Antigens 45:169–176. doi:10.1111/j.1399-0039.1995.tb02436.x

    Article  CAS  PubMed  Google Scholar 

  22. Toubert A, Tieng V, Boisgerault F (1998) Subtypes of the HLA B27 molecule and association with spondyloarthropathies. Ann Med Interne (Paris) 149(3):145

    CAS  Google Scholar 

  23. Garcia-Fernandez S, Gonzalez S, Mina Blanco A (2001) New insights regarding HLA-B27 diversity in the Asian population. Tissue Antigens 58:259–262. doi:10.1034/j.1399-0039.2001.580407.x

    Article  CAS  PubMed  Google Scholar 

  24. Gonzalez-Roces S, Alvarez MV, Gonzalez S (1997) HLA-B27 polymorphism and worldwide susceptibility to ankylosing spondylitis. Tissue Antigens 49:116–123. doi:10.1111/j.1399-0039.1997.tb02724.x

    Article  CAS  PubMed  Google Scholar 

  25. Chen IH, Yang KL, Lee A, Huang HH, Lin PY, Lee TD (2002) Low frequency of HLA-B*2706 in Taiwanese patients with ankylosing spondylitis. Eur J Immunogenet 29:435–438. doi:10.1046/j.1365-2370.2002.00353.x

    Article  CAS  PubMed  Google Scholar 

  26. Birinci A, Bilgici A, Kuru O, Durupinar B (2006) HLA-B27 polymorphism in Turkish patients with ankylosing spondylitis. Rheumatol Int 26:285–287. doi:10.1007/s00296-005-0614-x

    Article  CAS  PubMed  Google Scholar 

  27. Lee SH, Choi IA, Lee YA, Park EK, Kim YH, Kim KS, Hong SJ, Yoo MC, Yang HI (2008) Human leukocyte antigen-B*2705 is the predominant subtype in the Korean population with ankylosing spondylitis, unlike in other Asians. Rheumatol Int 29:43–46. doi:10.1007/s00296-008-0602-z

    Article  CAS  PubMed  Google Scholar 

  28. Choo SY, St John T, Orr HT (1988) Molecular analysis of the variant alloantigen HLA-B27d (HLA-B*2703) identifies a unique single amino acid substitution. Hum Immunol 21:209–219. doi:10.1016/0198-8859(88)90072-9

    Article  CAS  PubMed  Google Scholar 

  29. Gul A, Uyar FA, Inanc M (2002) A weak association of HLA-B*2702 with Behcet’s disease. Genes Immun 3:368–372. doi:10.1038/sj.gene.6363863

    Article  CAS  PubMed  Google Scholar 

  30. Ren EC, Koh WH, Sim D, Boey ML, Wee GB, Chan SH (1997) Possible protective role of HLA-B*2706 for ankylosing spondylitis. Tissue Antigens 49:67–69. doi:10.1111/j.1399-0039.1997.tb02713.x

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Li-Hua Hu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Liu, X., Hu, LH., Li, YR. et al. The association of HLA-B*27 subtypes with ankylosing spondylitis in Wuhan population of China. Rheumatol Int 30, 587–590 (2010). https://doi.org/10.1007/s00296-009-1018-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-009-1018-0

Keywords

Navigation