title: T-cell receptor BV6S1 null alleles and HLA-DR1 haplotypes in polyarticular outcome juvenile rheumatoid arthritis.
abstract: JRA is a complex of disease subtypes which are normally identified by clinical features such as age of onset and extent of joint involvement both at onset and during the course of the disease. We previously identified an association between TCR BV6S1 null allele and one subgroup of early-onset pauciarticular patients positive for HLA-DQA1*0101, an HLA haplotype predisposing to a polyarticular course of the disease. In this report we extend this observation by identifying an increased prevalence of this nonfunctional or null allele in the patients with a polyarticular disease course regardless of the mode of onset. This increase was most prominent in clinical subsets that have early onset of the disease and a polyarticular outcome. In one clinical group, stratification of patients by the HLA allele DQA1*0101 strengthened the association considerably. This implies that there is an increased genetic load defined by specific alleles of both MHC and TCR genes.
authors.affiliation: Department of Molecular Genetics, Biochemistry, and Microbiology, University of Cincinnati, OH 45267-0524, USA.
authors.forename: A A
authors.initials: AA
authors.lastname: Grom
authors.forename: C
authors.initials: C
authors.lastname: von Knorre
authors.forename: K J
authors.initials: KJ
authors.lastname: Murray
authors.forename: P A
authors.initials: PA
authors.lastname: Donnelly
authors.forename: D N
authors.initials: DN
authors.lastname: Glass
authors.forename: E
authors.initials: E
authors.lastname: Choi
mesh_terms: D000483:Alleles; D001171:Arthritis, Juvenile / Q000235:genetics* / Q000276:immunology*; D002648:Child; D002675:Child, Preschool; D015798:HLA-DR1 Antigen / Q000235:genetics*; D006239:Haplotypes / Q000276:immunology*; D006801:Humans; D007223:Infant; D007596:Joints / Q000473:pathology*; D016693:Receptors, Antigen, T-Cell, alpha-beta / Q000235:genetics*
chemical_list: D015798:HLA-DR1 Antigen; D016693:Receptors, Antigen, T-Cell, alpha-beta