Wegener S
DRK-Blutspendedienst Mecklenburg-Vorpommern, Institut für Transfusionsmedizin Rostock.
Infusionsther Transfusionsmed. 1994 Jun;21(3):213-9.
Even though HLA associations meanwhile are known to be existent in more than 40 diseases, practical application of HLA typing for diagnostic and prognostic purposes is limited to only a few diseases (for instance HLA-B27 typing in ankylosing spondylitis). Still, new aspects were found for genetics, etiology as well as for pathogenesis of numerous diseases. Knowledge about the structure of HLA antigens and their biological function has led to a better understanding of the immunomechanisms. Using molecular biological techniques it was possible, in some diseases, to define those alleles and aminoacid sequences within the HLA molecule which are primarily responsible for the disease association. Thereby the topic of HLA and disease developed into a research field that is equally interesting for hemogeneticists, immunologists and clinicians and also has connections to the clinical praxis.
尽管目前已知HLA关联存在于40多种疾病中,但HLA分型在诊断和预后方面的实际应用仅限于少数几种疾病(例如强直性脊柱炎中的HLA - B27分型)。不过,在许多疾病的遗传学、病因学以及发病机制方面仍发现了新的情况。对HLA抗原结构及其生物学功能的了解使人们对免疫机制有了更好的认识。利用分子生物学技术,在某些疾病中能够确定HLA分子内那些主要与疾病关联相关的等位基因和氨基酸序列。由此,HLA与疾病这一主题发展成为一个对血液遗传学家、免疫学家和临床医生都同样有吸引力的研究领域,并且与临床实践也存在联系。