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.
Similar content being viewed by others
References
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
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
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
Khan MA (2000) Update: the twenty subtypes of HLA-B27. Curr Opin Rheumatol 12:235–238. doi:10.1097/00002281-200007000-00001
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
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
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
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
Sims AM, Wordsworth BP, Brown MA (2004) Genetic susceptibility to ankylosing spondylitis. Curr Mol Med 4:13–20. doi:10.2174/1566524043479284
Khan MA (2002) Update on spondyloarthropathies. Ann Intern Med 136:896–907
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
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
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
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
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
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
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
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
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
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
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
Toubert A, Tieng V, Boisgerault F (1998) Subtypes of the HLA B27 molecule and association with spondyloarthropathies. Ann Med Interne (Paris) 149(3):145
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
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
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
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
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
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
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
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
Author information
Authors and Affiliations
Corresponding author
Rights 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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00296-009-1018-0