title: Major histocompatibility complex class II gene associations with anti-U1 small nuclear ribonucleoprotein antibody. Relationship to immunoreactivity with individual constituent proteins.
abstract: OBJECTIVE
  To better define immunogenetic associations with the anti-U1 ribonucleoprotein (U1 RNP) autoantibody response.
  
  
  METHODS
  HLA class II alleles were determined by genotyping in 49 Japanese rheumatic disease patients with anti-U1 RNP antibody and 43 race-matched healthy controls. Immunoreactivities to U1 RNP constituent proteins (70K, A, B/B', and C) were detected by immunoblots using purified HeLa cell Sm antigen, and antibody titer was determined by passive hemagglutination assay.
  
  
  RESULTS
  DQB1*0302 was significantly more frequent in anti-U1 RNP-positive patients than in controls (43% versus 14%; odds ratio [OR] = 4.6, corrected P = 0.03). All anti-U1 RNP-positive patients had either a DQB1*0601, *0602, *0301, *0302, or *0303 allele, which share tyrosine at position 30, and the amino acid sequence Thr, Arg, Ala, Glu, Leu, Asp, and Thr at positions 71-77 in the DQB1 beta 1 domain. In contrast, one of these alleles was found in 81% of the controls (OR = 24, P = 0.002). In addition, anti-U1 RNP antibody was associated with unique DQB1*0302; DRB1*0401 haplotype. Anti-70K reactivity and antibody titer were positively associated with a basic amino acid residue, arginine or histidine, at position 13 (DR2 or DR4) and were negatively associated with the amino acid sequence Ile, Leu, Glu, and Asp at positions 67-70, which was present in some of the DR5-, DR6-, and DR8-associated alleles, in the DRB1 beta 1 domain. Anti-C reactivity was strongly associated with DR2, particularly with DRB1*1502.
  
  
  CONCLUSIONS
  The several shared epitopes located on HLA-DRB1 and DQB1 genes control the anti-U1 RNP autoantibody response.
authors.affiliation: Keio University School of Medicine, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Kuwana
authors.forename: Y
authors.initials: Y
authors.lastname: Okano
authors.forename: J
authors.initials: J
authors.lastname: Kaburaki
authors.forename: K
authors.initials: K
authors.lastname: Tsuji
authors.forename: H
authors.initials: H
authors.lastname: Inoko
mesh_terms: D000595:Amino Acid Sequence; D001323:Autoantibodies / Q000235:genetics*; D016022:Case-Control Studies; D000939:Epitopes; D005787:Gene Frequency; D005802:Genes, MHC Class II / Q000276:immunology*; D008040:Genetic Linkage; D005838:Genotype; D006683:HLA-DQ Antigens / Q000032:analysis / Q000737:chemistry / Q000235:genetics; D006684:HLA-DR Antigens / Q000032:analysis / Q000235:genetics; D006239:Haplotypes / Q000235:genetics; D006801:Humans; D015151:Immunoblotting; D008969:Molecular Sequence Data; D016017:Odds Ratio; D012216:Rheumatic Diseases / Q000235:genetics* / Q000276:immunology*; D017412:Ribonucleoprotein, U1 Small Nuclear / Q000276:immunology*
chemical_list: D001323:Autoantibodies; D000939:Epitopes; D006683:HLA-DQ Antigens; D006684:HLA-DR Antigens; D017412:Ribonucleoprotein, U1 Small Nuclear