Skip to main content
Log in

HLA and rheumatic fever in Turkish children

  • Original Articles
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Summary

We report the results of research on human leukocyte allo-antigen (HLA) and rheumatic fever (RF), the first published study to be carried out among Turkish children with RF. Ninety-three Turkish children, aged between 6 and 16 years(mean: 8±2.6), with RF participated in the study. Of the total, 26 patients had their first attack and 39 had acute rheumatic activity at the time of registration. The results demonstrate (1) negative but not significant association between HLA-A2 and RF; (2) a positive association between HLA-DR4 and RF (p<0.001); (3) a significant association between HLA-DR4 and carditis, but not with isolated arthritis. These results corroborate the concept of race-specific genetically determined familial susceptibility to the development of rheumatic heart disease.

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.

Similar content being viewed by others

References

  1. American Heart Association (1984) Jones criteria (revised) for guidence in the diagnosis of rheumatic fever.Circulation 69:204A-208A

    Google Scholar 

  2. Amoils B, Morrison RC, Wadee AA, Marcus R, Ninin D, King P, Sareli P, Levin S, Rabson AR (1986) Aberrant expression of HLA-DR antigen on valvular fibroblast from patients with active rheumatic carditis.Clin Exp Immunol 66:88–94

    PubMed  Google Scholar 

  3. Amos B (1979–80) Cytotoxicity testing. In:National Institute of Allergy and Infection Diseases manual of tissue typing techniques. U.S. Department of Health, Education and Welfare, Public Health Service National Institute of Health Publications, pp 42–45, 80–545

  4. Anastasiou-Nana MI, Anderson JL, Carliquist JF, Nanas JN (1986) HLA-DR typing and lymphocyte subset evaluation in rheumatic heart disease: A search for immune response factors.Am Heart J 112:992–997

    PubMed  Google Scholar 

  5. Ayoub EM, Barret DJ, Maclaren NK, Kricher JP (1986) Association of class II human histocompatibility leucocyte antigens with rheumatic fever.J Clin Invest 77:2019–2026

    PubMed  Google Scholar 

  6. Caughey DE, Douglas R, Wilson W, Hassal IB (1975) HLA antigens in Europeans and Maories with rheumatic fever and rheumatic heart disease.J Rheumatol 2:319–322

    PubMed  Google Scholar 

  7. Carpenter AB, Kahl LE, Bartwiak CD, Duquesnoy RJ, Eisenbeis CHJ (1988) Adult rheumatic arthritis is associated with MCI, a new HLA-D encoded determinant.J Rheumatol 15:395–399

    PubMed  Google Scholar 

  8. Clombani J, Lepage V (1984) HLA monoclonal antibody registry: Third listing.Tissue Antigens 24:209–214

    PubMed  Google Scholar 

  9. Cohen L, Holiday M (1983) Statistics for social scients. Laughborough University of Technology. Harper & Row. London, pp 233–235, 243–244, 255–256

    Google Scholar 

  10. Disciasico G, Taranta A (1980) Rheumatic fever in children.Am Heart J 99:635–658

    PubMed  Google Scholar 

  11. Dudding BA, Ayoub EM (1986) Persistence of streptococcal group A antibody in patients with rheumatic valvular disease.J Exp Med 128:1081–1098

    Google Scholar 

  12. Eichman K, Kindt TJ (1971) The inheritence of individual antigenic specificities of rabbit antibodies to streptococcal carbohydrate.J Exp Med 134:532–552

    PubMed  Google Scholar 

  13. Falk JA, Fleischman JL, Zabriskie JB, Falk RE (1973) A study of HLA antigen phenotypes in rheumatic fever and rheumatic heart disease patients.Tissue Antigens 3: 173–178

    PubMed  Google Scholar 

  14. Grumet FC, Rayne RO, Conischi J, Kricks JP (1974) HLA antigens as markers for disease susceptibility and autoimmunity in Graves' disease.J Clin Endocrinol Metab 39:1115–1119

    PubMed  Google Scholar 

  15. Jhinghan B, Mehra HK, Randy KS, Taneja MC, Bhatra ML (1986) HLA blood groups and secretor status in patients with established rheumatic fever and rheumatic heart disease.Tissue Antigens 27:172–178

    PubMed  Google Scholar 

  16. Khanna AK, Buskirk DR, Williams RC Jr, Gibofsky A, Crow MK, Menon A, Fotiro M, Reid HM, Poon-King T, Rubinstein JB, Zabriskie JB (1989) Presence of non-HLA B cell antigen in rheumatic fever patients and their families as defined by a monoclonal antibody.J Clin Invest 83:1710–1716

    PubMed  Google Scholar 

  17. Leirisalo M, Lartinen O, Tiilikanien A (1977) HLA phenotypes with rheumatic fever, rheumatic heart disease and Yersinia arthritis.J Rheumatol 4 (Suppl 3):78–83

    Google Scholar 

  18. Lilienfeld AM (1976)Foundation of epidemiology. Oxford University Press, New York, pp 164–193

    Google Scholar 

  19. Maharan B, Hammond MG, Appandoo B, Leary W, Phil D, Pudifin DJ (1987) HLA-A, B, DR and DQ antigens in black patients with severe chronic rheumatic heart disease.Circulation 2:259–261

    Google Scholar 

  20. Monplaisir N, Valette I, Bach JF (1986) HLA antigens in 88 cases of rheumatic fever observed in Marthinique.Tissue Antigens 28:209–213

    PubMed  Google Scholar 

  21. Murray GC, Montiel MM, Persellin RH (1978) A study of antigens in adults with acute rheumatic fever.Arthritis Rheum 21:652–656

    PubMed  Google Scholar 

  22. Ottenhof THM, de las Aquas JT, van Eden W (1986) Evidence for an HLA-DR associated immune-response gene for myobacterium tuberclosis. A clue to the pathogenesis of rheumatoid arthritis.Lancet 2:310–313

    PubMed  Google Scholar 

  23. Pollak MS, Rich RR (1985) The HLA complex and the pathogenesis of infectious diseases.J Infect Dis 151:1–8

    PubMed  Google Scholar 

  24. Rajackase CNA, Halim K, Al-Orainey I, Al-Nozha M, Al-Aska A (1987) A genetic marker for rheumatic heart disease.Br Heart J 58:659–662

    PubMed  Google Scholar 

  25. Read SE, Reid H, Paon-King T, Fischetti VA, Zabriskie JB, Rapaport FT (1977) HLA and predisposition to the non-suppurative sequelae of group A streptococcal infection.Transport Proc 9:543–546

    Google Scholar 

  26. Sasazuki T, Kaneoka H, Nishimura Y, Kaneoka R, Hayama K, Ohkuni H (1980) An HLA linked supression gene in man.J Exp Med 152:297–313

    Google Scholar 

  27. Setsuya N, Kitajima K, Arakawa K (1983) HLA and rheumatic disease in Japanese.Am Heart J 106:1164–1167

    PubMed  Google Scholar 

  28. Taneja V, Mehra NK, Reddy KS, Narula J, Tandon R, Valdya MC, Bhatia ML (1989) HLA-DR/DQ antigens and reactivity of B cell alloantigen D8/17 in Indian patients with rheumatic heart disease.Circulation 80:335–340

    PubMed  Google Scholar 

  29. Terasaki PI, Bernoco D, Park MS, Ozturk G, Zuraki Y (1978) Microdroplet testing for HLA-A, B, C and D antigens.Am J Clin Pathol 69: 103–120

    PubMed  Google Scholar 

  30. Zabriskie JB (1985) Rheumatic fever: The interplay between host, antigens and microbe.Circulation 71:1077–1086

    PubMed  Google Scholar 

  31. Zabriskie JB (1986) Rheumatic fever: A model for the pathological consequences of microbial-host mimicry.Clin Exp Rheumatol 4:65

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Khosroshahi, H.E., Kahramanyol, Ö. & Doĝanci, L. HLA and rheumatic fever in Turkish children. Pediatr Cardiol 13, 204–207 (1992). https://doi.org/10.1007/BF00838777

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00838777

Key Words

Navigation