@article{9715, keywords = {Arthritis, Rheumatoid, Epitopes, Genes, MHC Class II, HLA-DR4 Antigen, Histocompatibility Antigens Class II, Histocompatibility Testing, Humans, leprosy, Mycobacterium, Mycobacterium tuberculosis, Skin Tests}, author = {Ottenhoff T H and Torres P and De Las Aguas J T and Fernandez R and Eden W and Vries R R and Stanford J L}, title = {Evidence for an HLA-DR4-associated immune-response gene for Mycobacterium tuberculosis. A clue to the pathogenesis of rheumatoid arthritis?}, abstract = {

Antigens of Mycobacterium tuberculosis, M leprae, M scrofulaceum, and M vaccae were injected intradermally in 86 caucasoid leprosy patients, and skin responses (measured in mm of induration at 72 h) were analysed in relation to HLA class II phenotypes. HLA-DR4 was associated with high responsiveness to antigens specific to M tuberculosis but not to antigens shared with other mycobacteria (p = 0.0005). Because DR4 is associated with rheumatoid arthritis (RA) and because a role for M tuberculosis antigens has been suggested both in experimentally induced autoimmune arthritis in rats and in RA, the DR4 associated regulation of the immune response to M tuberculosis may be relevant to the pathogenesis of RA.

}, year = {1986}, journal = {Lancet (London, England)}, volume = {2}, pages = {310-3}, month = {1986 Aug 09}, issn = {0140-6736}, doi = {10.1016/s0140-6736(86)90004-8}, language = {eng}, }