HLA-B27 and its role in the pathogenesis of psoriatic arthritis
- Authors: Artamonova O.G.1, Karamova A.E.2, Chikin V.V.1, Kubanov A.A.1
-
Affiliations:
- State Research Center of Dermatovenereology and Cosmetology
- Federal State Research Center of Dermatovenereology and Cosmetology, Moscow
- Issue: Vol 98, No 5 (2022)
- Pages: 34-44
- Section: REVIEWS
- URL: https://ogarev-online.ru/0042-4609/article/view/117635
- DOI: https://doi.org/10.25208/vdv1362
- ID: 117635
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Abstract
The literature review presents the characteristics of the human leukocyte antigen (HLA)-B27 as a factor contributing to the development of psoriatic arthritis. HLA-B27 is a class I surface antigen encoded by the major histocompatibility complex (MHC) B locus located on chromosome 6. The main function is to present antigenic peptides to the CD8+ T-cells. HLA-B27 is the most important genetic biomarker for psoriatic arthritis, as it provides phenotypic differentiation in the patient population. The prevalence of HLA-B*27 in various population groups are presented. The structural features of the HLA-B27 molecule are described. The characteristics of methods for detecting HLA-B*27 status and determining its subtypes are given. The main mechanisms of the HLA-B*27 polymorphism influence on the development of psoriatic arthritis are considered, and hypotheses are analyzed that explain the pathogenic effect of HLA-B*27: the arthritogenic peptide hypothesis, the misfolding hypothesis, the HLA-B27 heavy chain homodimer formation hypothesis. The features of the clinical manifestations and course of HLA-B*27-positive psoriatic arthritis are presented, allowing the use of HLA-B27 to predict the development of psoriatic joint damage.
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##article.viewOnOriginalSite##About the authors
Olga G. Artamonova
State Research Center of Dermatovenereology and Cosmetology
Author for correspondence.
Email: artamonova_olga@list.ru
ORCID iD: 0000-0003-3778-4745
SPIN-code: 3308-3330
Junior Research Associate
Russian Federation, 3 bld. 6, Korolenko street, 107076, MoscowArfenya E. Karamova
Federal State Research Center of Dermatovenereology and Cosmetology, Moscow
Email: karamova@cnikvi.ru
ORCID iD: 0000-0003-3805-8489
SPIN-code: 3604-6491
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 3 bld. 6, Korolenko street, 107076, MoscowVadim V. Chikin
State Research Center of Dermatovenereology and Cosmetology
Email: chikin@cnikvi.ru
ORCID iD: 0000-0002-9688-2727
SPIN-code: 3385-4723
MD, Assistant Professor
Russian Federation, 3 bld. 6, Korolenko street, 107076, MoscowAlexey A. Kubanov
State Research Center of Dermatovenereology and Cosmetology
Email: alex@cnikvi.ru
ORCID iD: 0000-0002-7625-0503
SPIN-code: 8771-4990
MD, Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences
Russian Federation, 3 bld. 6, Korolenko street, 107076, MoscowReferences
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