Abstract
This prospective study analyzed the frequency of HLA-B27 and its alleles in 102 Brazilian patients with psoriatic arthritis (PsA). The association of the HLA-B27 alleles with these variants was compared to a control healthy HLA-B27 positive group of 111 individuals. There was a predominance of male gender (59.8%), Caucasian race (89.2%), and negative HLA-B27 (79.4%) patients. Asymmetric oligoarthritis (62.7%) was the most frequently observed clinical PsA subgroup, followed by spondylitis (16.7%), and polyarthritis (15.7%). Male gender and the spondylitis subgroup were statistically associated to the positive HLA-B27, and the oligoarthritis subgroup was associated to the negative HLA-B27. Among the 21 HLA-B27-positive PsA patients, there was a significant prevalence of the HLA-B*2705 allele (90.5%), similar to that observed in the control group (80.2%); HLA-B*2703 and HLA-B*2707 were statistically associated to the control group.
Similar content being viewed by others
References
Moll JMH, Wright V (1973) Psoriatic arthritis. Semin Arthritis Rheum 3:55–78
Gladman DD, Antoni C, Mease P, Clegg DO, Nash P (2005) Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann Rheum Dis 65:ii14–ii17
Mease P, Goffe B (2005) Diagnosis and treatment of psoriatic arthritis. J Am Acad Rheumatol 52:1–19
Gladman DD, Farewell VT, Kopciuk KA, Cook RJ (1998) HLA markers and progression in psoriatic arthritis. J Rheumatol 24:730–733
Reveille JD, Ball EJ, Khan MA (2001) HLA-B27 and genetic predisposing factors in spondyloarthropathies. Curr Opin Rheumatol 13:265–72
Queiro R, Sarasqueta C, Torre JC, Tinturé T, Lopes-Lagunas I (2001) Comparative analysis of psoriatic spondyloarthropathy between men and women. Rheumatol Int 21:66–68
Gladman D, Brubacher B, Buskila D, Langevitz P, Farewell VT (1992) Psoriatic spondyloarthropathy in men and women: a clinical, radiographic, and HLA study. Clin Invest Med 15:371–375
Torre-Alonzo JC, Rodriguez-Perez A, Arribas-Castrilho JM, Balina-Garcia J, Riestra-Noriega JL, Lopez-Larrea (1991) Psoriatic arthritis: a clinical, immunological and radiologic study. Br J Rheumatol 30:245–250
Veale D, Rogers S, Fitzgerald O (1994) Classification of clinical subsets in psoriatic arthritis. Br J Rheumatol 33:133–138
Y-Giien T, Deh-Ming C, Kuo SY, Wang WM, Chen YC, Lai JH (2003) Relationship between human lymphocyte antigen-B27 and clinical features in psoriatic arthritis. J Microbiol Immunol Infect. 36:101–104
Njobvu P, McGill P (2000) Psoriatic arthritis and human immunodeficiency virus infection in Zambia. J Rheumatol 27:1699–1702
Sampaio-Barros PD, Bertolo MB, Kraemer MHS, Marques-Neto JF, Samara AM (2001) Primary ankylosing spondylitis: patterns of disease in a Brazilian population of 147 patients. J Rheumatol 28:560–565
Sampaio-Barros PD, Bertolo MB, Kraemer MHS, Marques-Neto JF, Samara AM (2001) Undifferentiated spondyloarthropathies: a 2-year follow-up study. Clin Rheumatol 20:201–206
Marsal S, Armadans-Gil L, Martinez M, Gallardo D, Ribera A, Lience E (1999) Clinical, radiographic and HLA associations as markers for different patterns of psoriatic arthritis. Rheumatology (Oxford) 38:332–337
Queiro R, Sarasqueta C, Belzunequi J, Gonzalez C, Fiqueroa M, Torre-Alonso JC (2002) Psoriatic spondyloarthropathy: A comparative study between HLA-B27 positive and HLA-B27 negative disease. Semin Arthritis Rheum 31:413–418
Conde RA, Sampaio-Barros PD, Donadi EA et al (2003) Frequency of the HLA-B27 alleles in Brazilian patients with ankylosing spondylitis. J Rheumatol 30:2511–2
Sampaio-Barros PD, Conde RA, Donadi EA et al (2003) Undifferentiated spondyloarthropathies in Brazilians: importance of HLA-B27 and the B7-CREG alleles in characterization and disease progression. J Rheumatol 30:2632–2637
Armas JB, Gonzalez S, Martinez-Borra J et al (1999) Susceptibility to ankylosing spondylitis is independent of the Bw4 and Bw6 epitopes of HLA-B27 allele. Tissue Antigens 53:237–243
Montserrat V, Marti M, Lopez de Castro JA (2003) Allospecific T cell epitope sharing reveals extensive conservation of the antigenic features of peptide ligands among HLA-B27 subtypes differentially associated with spondyloarthritis. J Immunol 170:5778–85
Acknowledgements
This study was financially supported by a grant from FAPESP (Fundo de Amparo à Pesquisa do Estado de São Paulo).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bonfiglioli, R., Conde, R.A., Sampaio-Barros, P.D. et al. Frequency of HLA-B27 alleles in Brazilian patients with psoriatic arthritis. Clin Rheumatol 27, 709–712 (2008). https://doi.org/10.1007/s10067-007-0770-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-007-0770-3