Thread: Hla-b27
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Old 12-05-2015, 06:41 PM
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kiwi33 kiwi33 is offline
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kiwi33 kiwi33 is offline
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Join Date: Jan 2015
Location: Sydney, Australia.
Posts: 3,093
10 yr Member
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Thanks for that Bakerman.

You might find this recent genome-wide association study interesting; http://www.ncbi.nlm.nih.gov/pubmed/25643325 .

The major genetic risk factors for MG were mutations in CTLA4 (CD152) and HLA-DQA1.

CD152 is found on helper T cells and drugs which modulate it have been approved from treatment of other auto-immune diseases. As the authors point out, clinical trials of these drugs in the context of MG look like a good idea.

HLA-DQA1 is a Class II MHC protein. Given the (indirect) role of Class II MHC proteins in antibody production, these mutation might explain why self-reactive antibodies are common in people with MG though I doubt that this will help much in terms of clinical intervention.
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