Predisposing factors to spondyloarthropathies

Brown, M.A. & Wordsworth, P. (1997) Predisposing factors to spondyloarthropathies. Current Opinion in Rheumatology, 9(4), pp. 308-314.

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Predisposition to ankylosing spondylitis is largely genetic, and epidemiologic studies suggest that the environmental trigger is ubiquitous. HLA-B27 and -B60 predispose to ankylosing spondylitis, but in neither case is the mechanism of effect known. Other major histocompatibility complex and non-major histocompatibility complex genes are likely to influence susceptibility to spondyloarthritis as well as the disease pattern. Spondyloarthritis occurs in genetically predisposed inviduals exposed to certain as yet undefined environmental triggers. Although genes within the major histocompatibility complex are clearly major determinants of susceptibility to spondyloarthritis, epidemiologic evidence suggests that their contribution accounts for less than 50% of the total. The mechanism of association of B27 with these diseases is unknown; we are currently unable to predict which E27 carriers will develop arthritis or which form of BP27-associated spondyloarthritis they will develop. Lessons from transgenic animal experiments and technical and statistical advances in the field of genetics have greatly increased our ability to investigate these questions.

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ID Code: 88003
Item Type: Journal Article
Refereed: Yes
Additional Information: No file attached.
Keywords: HLA B60 antigen, unclassified drug, ankylosing spondylitis, antigen presentation, disease predisposition, environmental factor, genetic predisposition, human, major histocompatibility complex, priority journal, protein transport, review, spondyloarthropathy, Humans, Joint Diseases, Risk Factors, Spinal Diseases
ISSN: 1040-8711
Divisions: Current > Schools > School of Biomedical Sciences
Current > Institutes > Institute of Health and Biomedical Innovation
Deposited On: 02 Oct 2015 01:44
Last Modified: 18 Oct 2015 22:59

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