Skip to main content

Advertisement

Log in

HLA-DRβ1*04 typing by simple in-house PCR-SSP technique for rheumatoid arthritis patients

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

A strong association between rheumatoid arthritis (RA) and human leukocyte antigen (HLA) has been observed in many different populations and that accounts for approximately one-third of the genetic component of RA susceptibility. The greatest effect comes from DRβ1 gene where the strongest association has been found with DRβ1*04 (DR4) allele. As serology has some disadvantages over polymerase chain reaction (PCR)-based techniques and commercially available PCR-based kits are expensive, this study was aimed to standardize simple in-house PCR-SSP technique. Accuracy of this test was further checked with standard PCR-SSOP (RLS) results. The frequency HLA-DRβ1*04 was significantly increased among RA patients when compared with normal controls. In this study, a very simple, convenient and more cost-effective in-house PCR-SSP technique was standardized for HLA-DRβ1*04 typing that is helpful to RA diagnosis in developing countries like India, which can be used as a good screening test.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Laivoranta-Nyman S, Mottonen T, Luukkainen R, Hakala M, Yli-Kerttula U, Hannonen P, Tuokko J, Toivanen A, Ilonen J (2000) Immunogenetic differences between patients with familial and non-familial rheumatoid arthritis. Ann Rheum Dis 59:173–177

    Article  PubMed  CAS  Google Scholar 

  2. Lefevre S, Knedla A, Tennie C, Kampmann A, Wunrau C, Dinser R (2009) Synovial fibroblasts spread rheumatoid arthritis to unaffected joints. Nat Med 15(12):1414–1422

    Article  PubMed  CAS  Google Scholar 

  3. Thorsby E (1997) Invited anniversary review: HLA associated diseases. Hum Immunol 53:1–11

    Article  PubMed  CAS  Google Scholar 

  4. Turesson C, Matteson EL (2006) Genet Rheum Arthr. Mayo Clin Proc 81:94–101

    Article  PubMed  CAS  Google Scholar 

  5. Stastny P (1978) Association of the B-cell alloantigen DRw4 with rheumatoid arthritis. N Engl J Med 298(16):869–871

    Article  PubMed  CAS  Google Scholar 

  6. Singwe-Ngandeu M, Finckh A, Bas S, Tiercy JM, Gabay C (2010) Diagnostic value of anti-cyclic citrullinated peptides and association with HLA-DRB1 shared epitope alleles in African rheumatoid arthritis patients. Arthr Res Therapy 12:R36

    Article  Google Scholar 

  7. Wordsworth BP, Lanchburyt JSS, Sakkast LI, Welsht KI, Panayit GS, Bell JI (1989) HLA-DR4 Subtype frequencies in rheumatoid arthritis indicate that DRB1 is the major susceptibility locus within the HLA class II region. Proc Natl Acad Sci USA 86:10049–10053

    Article  PubMed  CAS  Google Scholar 

  8. Kim TG, Choi HB, Park SH, Kim HY, Han H (1999) DQCAR 113 and DQCAR 115 in combination with HLA-DRB1 alleles are significant markers of susceptibility to rheumatoid arthritis in the Korean population. Tissue Antigens 54:552–559

    Article  PubMed  CAS  Google Scholar 

  9. Hong GH, Park MH, Takeuchi F, Oh MD, Song YW, Nabeta H, Nakano K, Ito K, Park KS (1996) Association of specific amino acid sequence of HLA-DR with rheumatoid arthritis in Koreans and its diagnostic value. J Rheumatol 23:1699–1703

    PubMed  CAS  Google Scholar 

  10. Takeuchi F, Nakano K, Matsuta K, Nabeta H, Bannai M, Tanimoto K (1996) Positive and negative association of DRB genotypes with Japaneese patients with early rheumatoid arthritis. Clin Exp Rheumatol 14:17–22

    PubMed  CAS  Google Scholar 

  11. Higami K, Hakoda M, Matsuda Y, Ueda H (1997) Lack of association of DRB1 genotype with radiologic progression in Japanese patients with early rheumatoid arthritis. Arthr Rheum 40:2241–2247

    Article  CAS  Google Scholar 

  12. Laivoranta-Nyman S, Mottonen T, Hermann R, Tuokko J, Luukkainen R, Hakala M, Honnonen P (2004) HLA-DR-DQ haplotypes and genotypes in Finnish patients with rheumatoid arthritis. Ann Rheum Dis 63:1406–1412

    Article  PubMed  CAS  Google Scholar 

  13. Mehra NK, Vaidya MC, Taneja V, Agarwal A, Malaviya AN (1996) HLA-DR antigens in rheumatoid arthritis in North India. Hum Immunol 46:35–41

    Article  PubMed  Google Scholar 

  14. Taneja V, Mehra NK, Kailash S, Anand C, Malaviya AN (1992) Protective and risk DR phenotypes in Asian Indian patients with rheumatoid arthritis. Ind J Med Res 96:16–23

    CAS  Google Scholar 

  15. Jun KR, Choi SE, Cha C-H, Oh H-B, Heo Y-S, Lee K-j, Ahn H-y (2007) Meta-analysis of the association between HLA-DRB1 allele and rheumatoid arthritis susceptibility in Asian populations. J Korean Med Sci 22:973–980

    Article  PubMed  CAS  Google Scholar 

  16. Jaini R, Kaur G, Mehra NK (2002) Heterogeneity of HLA-DRB1*04 and its associated haplotypes in the North Indian population. Hum Immunol 63(1):24–29

    Article  PubMed  CAS  Google Scholar 

  17. Jun KR, Choi SE, Cha CH, Oh HB, Heo YS (2007) Meta analysis of the association between HLA-DRB1 allele and rheumatoid arthritis susceptibility in Asian populations. J Korean Med Sci 22:973–980

    Article  PubMed  CAS  Google Scholar 

  18. Gregersen PK, Silver J, Winchester RJ (1987) The shared epitope hypothesis. An approach to understanding the molecular genetics of susceptibility to rheumatoid arthritis. Arthr Rheum 30:1205–1213

    Article  CAS  Google Scholar 

  19. de Vries N, Tijssen H, van Reil PL, van de Putte LB (2002) Reshaping the shared epitope hypothesis: HLA-associated risk for rheumatoid arthritis is encoded by amino acid substitution at position 67-74 of the HLA-DRB1 molecule. Arthr Rheum 46:921–928

    Article  Google Scholar 

  20. Gorman JD, Lum RF, Chen JJ, Suarez-Almazor ME, Thomson G, Criswell LA (2004) Impact of shared epitope genotype and ethnicity on erosive disease: a meta-analysis of 3,240 rheumatoid arthritis patients. Arthr Rheum 50:400–412

    Article  Google Scholar 

  21. Tiwari JL, Terasaki PI (1985) HLA and disease associations. Springer, New York

    Book  Google Scholar 

  22. Terasaki PI, McClelland JD (1964) Micro droplet assay for human cytotoxins. Nature 204:998–1000

    Article  PubMed  CAS  Google Scholar 

  23. Olerup O, Zetterquist H (1992) HLA-DR typing by PCR amplification with sequence-specific primers (PCR-SSP) in 2 hours. An alternative to serological DR typing in clinical practice including donor-recipient matching in cadaveric transplantations. Tissue Antigens 39:225–235

    Article  PubMed  CAS  Google Scholar 

  24. Aletaha D, Neogi T, Silman A, Hobbs K, Symmons D (2010) Rheumatoid arthritis classification criteria, an American college of rheumatology/European league against rheumatism collaborative initiative. Arthr Rheum 62:2569–2581

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kanjaksha Ghosh.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Parasannanavar, D.J., Yeola, A., Pradhan, V. et al. HLA-DRβ1*04 typing by simple in-house PCR-SSP technique for rheumatoid arthritis patients. Rheumatol Int 33, 867–870 (2013). https://doi.org/10.1007/s00296-012-2448-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-012-2448-7

Keywords

Navigation