HLA-DRB1 and anti-cyclic citrullinated peptide antibody production in rheumatoid arthritis

Autor: Joachim Georgi, Ilka Senkpiehl, Martina Wedler, Jörg Steinmann, Matthias Marget, Dietrich Kabelitz, Stefan Jenisch
Rok vydání: 2005
Předmět:
Zdroj: International archives of allergy and immunology. 137(4)
ISSN: 1018-2438
Popis: Anti-cyclic citrullinated peptide antibodies (anti-CCP) are a new diagnostic marker for rheumatoid arthritis (RA), which shows a specificity of 97% and a sensitivity of 81% in the second generation assay. About 61% of RA patients express HLA-DRB1*0401. In a cohort of patients with RA we investigated whether the expression of anti-CCP correlates with the carriage of certain genes on the HLA-DRB1 locus. Our data reveal a highly significant association between anti-CCP and HLA-DR4, and a weaker but still significant association with HLA-DR1. HLA-DRB1*0401 is not a prerequisite for anti-CCP production, but if HLA-DRB1*0401 was present, 90% of our RA patients were anti-CCP positive.
Databáze: OpenAIRE