Histocompatibility antigens (HLA) and uveitis

Surv Ophthalmol. 1980 Jan-Feb;24(4):220-8. doi: 10.1016/0039-6257(80)90043-0.

Abstract

The studies of histocompatibility (HLA) antigens have contributed to the understanding of the pathogenesis of uveitis. Acute anterior uveitis is associated with rheumatic disorders such as ankylosing spondylitis. HLA-B 27 antigen is present in 98% of these cases. There are genetic and environmental factors influencing the activity of the disease. HLA-B 27 was found to be associated with 43% of cases of acute anterior uveitis without systemic disease. In juvenile chronic polyarthritis with acute anterior uveitis HLA-B 27 helps in differentiating between ankylosing spondylitis and Still's disease. Specific HLA antigens were also found in other forms of uveitis such as Reiter's disease (HLA-B 27), Behcet's syndrome (HLA-B 5), VKH syndrome (HLA-Bw 22J) and ocular histoplasmosis (HLA-B 7). Despite these new findings, there are still many obscure factors and further studies are required to elucidate the pathogenesis of uveitis and to achieve its prevention.

Publication types

  • Review

MeSH terms

  • Adult
  • Arthritis, Reactive / immunology
  • Eye Diseases / immunology
  • Female
  • HLA Antigens / analysis*
  • HLA Antigens / genetics
  • Humans
  • Male
  • Sarcoidosis / immunology
  • Spondylitis, Ankylosing / complications
  • Spondylitis, Ankylosing / genetics
  • Spondylitis, Ankylosing / immunology*
  • Uveitis / immunology*
  • Uveitis, Anterior / complications
  • Uveitis, Anterior / genetics
  • Uveitis, Anterior / immunology*

Substances

  • HLA Antigens