Increased frequency of Gm(1,2;21) phenotype in HLA-DR4 positive seropositive rheumatoid arthritis

J Rheumatol. 1986 Oct;13(5):858-63.

Abstract

Ninety-four patients with seropositive rheumatoid arthritis (RA) were typed for HLA-A, B, C and DR antigens and for immunoglobulin G (Gm) allotypes. Isolated IgG from patient serum was used to avoid interference of IgM rheumatoid factor (RF) with Gm typing in sera with high IgM-RF titer. Besides the association of seropositive RA with the antigen DR4 and an earlier disease onset in DR3/DR4 heterozygotes, we found the uncommon Gm phenotype Gm(1,2;21) significantly more often in our patient group than in healthy controls. Combination of HLA-DR and Gm data shows that individuals with both DR4 and Gm(1,2;21) are at a particularly high disease risk.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Arthritis, Rheumatoid / genetics
  • Arthritis, Rheumatoid / immunology*
  • Female
  • Gene Frequency
  • HLA-D Antigens / immunology*
  • HLA-DR Antigens / genetics
  • HLA-DR Antigens / immunology*
  • HLA-DR4 Antigen
  • Humans
  • Immunoglobulin Gm Allotypes / genetics
  • Immunoglobulin Gm Allotypes / immunology
  • Immunoglobulin M / immunology
  • Male
  • Middle Aged
  • Phenotype
  • Rheumatoid Factor / immunology

Substances

  • HLA-D Antigens
  • HLA-DR Antigens
  • HLA-DR4 Antigen
  • Immunoglobulin Gm Allotypes
  • Immunoglobulin M
  • Rheumatoid Factor