HLA-A, B, DR, and DQ antigens in black patients with severe chronic rheumatic heart disease
| Autor: | Leary Wp, Michael G. Hammond, B Appadoo, Pudifin Dj, Breminand Maharaj |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Heart disease Black People Human leukocyte antigen Pathogenesis South Africa Antigen HLA Antigens HLA-DQ Antigens Physiology (medical) medicine Humans Typing Child HLA-D Antigens HLA-A Antigens business.industry Rheumatic Heart Disease HLA-DR Antigens Middle Aged medicine.disease Cardiac surgery HLA-A HLA-B Antigens Relative risk Chronic Disease Immunology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation. 76:259-261 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | To determine whether genetic factors could be involved in the pathogenesis of rheumatic heart disease, we performed HLA-A and HLA-B typing in 120 black patients with severe chronic rheumatic heart disease requiring cardiac surgery, and HLA-DR and HLA-DQ typing in 103 and 97 of these patients, respectively. The HLA typing was done by a standard microlymphocytotoxicity method. Patients were 12 to 60 years old (mean 27.6 +/- 14.5). No differences in HLA-A, HLA-B, and HLA-DQ frequencies between patients and controls were noted. HLA-DR 1 antigen was present in 12.6% of patients compared with 2.7% of normal control subjects (corrected p less than .045; relative risk = 5.2) and the HLA-DRw6 antigen was present in 31.1% of patients compared with 15% of control subjects (corrected p less than .045; relative risk = 2.6). These findings suggest that genetically determined immune-response factors may play a role in the pathogenesis of severe chronic rheumatic heart disease. |
| Databáze: | OpenAIRE |
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