Rodríguez-Reyna T S, Zúñiga-Ramos J, Salgado N, Hernández-Martínez B, Vargas-Alarcón G, Reyes-López P A, Granados J
Department of Immunology and Rheumatology, Instituto Nacional de la Nutrición Salvador Zubirán, Tlalpan, Mexico.
Int J Cardiol. 1998 Oct 1;66 Suppl 1:S135-8; discussion S139. doi: 10.1016/s0167-5273(98)00161-2.
We studied Major Histocompatibility Complex (MHC) Class I and Class II genes in seven Mexican Mestizo patients with Takayasu arteritis. Takayasu arteritis is an uncommon condition in Mexican Mestizo, however, previous studies report association of the disease in this population with Human Leukocyte Antigen (HLA)-B39 and HLA-DRB11301. The results in the present study show that the haplotypes of the Mexican Mestizo patients with Takayasu arteritis are very heterogeneous, even when the disease is much more rare in Mexico than in Japan. The sequence analysis of HLA-B39 shows that Mexican patients exhibit the HLA-B39061 and HLA-B39062 subtypes. These subtypes are more common in Mexico than in Japan, where the predominant subtype is HLA-B3901. Interestingly, HLA-B39061 and B-39062 share the 3' end of intron 2 and the 5' end of exon 3 with HLA-B5101 and B*52012, alleles associated to Takayasu arteritis in Japanese. This fact suggests that Takayasu arteritis patients may share a specific sequence rather than a specific allele, even when the gene involved in the susceptibility to develop Takayasu arteritis may be a neighboring gene located between the genes related at present time with the disease, i.e. a gene located between MHC Class I and Class II regions.
我们研究了7名患有大动脉炎的墨西哥混血患者的主要组织相容性复合体(MHC)I类和II类基因。大动脉炎在墨西哥混血人群中并不常见,然而,先前的研究报告了该疾病在这一人群中与人类白细胞抗原(HLA)-B39和HLA-DRB11301相关。本研究结果表明,患有大动脉炎的墨西哥混血患者的单倍型非常多样化,即便该疾病在墨西哥比在日本更为罕见。HLA-B39的序列分析显示,墨西哥患者表现出HLA-B39061和HLA-B39062亚型。这些亚型在墨西哥比在日本更为常见,在日本主要的亚型是HLA-B3901。有趣的是,HLA-B39061和B-39062与HLA-B5101和B*52012共享内含子2的3'端和外显子C的5'端,这两个等位基因在日本与大动脉炎相关。这一事实表明,大动脉炎患者可能共享一个特定序列而非特定等位基因,即便参与大动脉炎易感性的基因可能是一个位于目前与该疾病相关基因之间的邻近基因,即一个位于MHC I类和II类区域之间的基因。