The Genetics of Ankylosing Spondylitis and Axial Spondyloarthritis

被引:55
作者
Robinson, Philip C. [1 ]
Brown, Matthew A. [1 ]
机构
[1] Univ Queensland, Diamantina Inst, Princess Alexandra Hosp, Woolloongabba, Qld 4102, Australia
关键词
Genetics; Genomics; Ankylosing spondylitis; Axial spondyloarthritis; Arthritis; HLA-B27; ERAP1; GENOME-WIDE ASSOCIATION; UNFOLDED PROTEIN RESPONSE; SUSCEPTIBILITY LOCI; ENDOPLASMIC-RETICULUM; HLA-B27; HOMOZYGOSITY; RADIOGRAPHIC SEVERITY; MULTIPLE-SCLEROSIS; TRANSGENIC RATS; DISEASE SUSCEPTIBILITY; CROHNS-DISEASE;
D O I
10.1016/j.rdc.2012.08.018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ankylosing spondylitis (AS) and spondyloarthritis are strongly genetically determined. The long-standing association with HLA-B27 is well described, although the mechanism by which that association induces AS remains uncertain. Recent developments include the description of HLA-B27 tag single nucleotide polymorphisms in European and Asian populations. An increasing number of non-MHC genetic associations have been reported, which provided amongst other things the first evidence of the involvement of the IL-23 pathway in AS. The association with ERAP1 is now known to be restricted to HLA-B27 positive disease. Preliminary studies on the genetics of axial spondyloarthritis demonstrate a lower HLA-B27 carriage rate compared with AS. Studies with larger samples and including non-European ethnic groups are likely to further advance the understanding of the genetics of AS and spondyloarthritis.
引用
收藏
页码:539 / +
页数:17
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