B*27 in molecular diagnostics: impact of new alleles and polymorphism outside exons 2 and 3

Tissue Antigens. 2002 Jul;60(1):25-35. doi: 10.1034/j.1399-0039.2002.600104.x.

Abstract

HLA-B*27 is known to be associated with ankylosing spondylitis and several methods have been applied to determine its presence or absence. In this report two molecular methods were used for detection of B*27. The polymerase chain reaction sequence-specific primer (PCR-SSP) method was performed to detect the presence or absence of B*27, whereas the sequence-based typing method (SBT) was used to identify the B*27 subtype. The PCR-SSP method used to detect B*27 was updated to enable the detection of all B*27 alleles. The typing results obtained by this method were compared with the serological typings of 262 individuals. Fifty of them were found to be B*27 positive by PCR-SSP and 46 also showed positive serological reactions with B27-specific sera. The four discrepancies were the result of the presence of B*2712 in three individuals and B*2715 in one individual; both alleles showed no serological reactions with B27-specific antisera. With SBT the sequences of exons 1 through 4 were determined to unequivocally assign the B*27 alleles. Eleven different subtypes were detected in 78 individuals, including three new B*27 alleles: B*27054, B*2715 and B*2717. The allele B*27054 showed an allelic drop out when exon 3 was amplified. Three differences with B*27052 were demonstrated; one in exon 1, one in intron 1 and one in intron 2, the latter being responsible for the allelic drop out. The B*2715 allele was serologically not detectable with several B27-specific sera, but showed Bw4-positive reactions. The sequence of B*2715 showed two mismatches with B*2704. The sequence of B*2717 showed one mismatch with B*27052 at position 248 (A-->T), which was considered to be a conserved position in all B alleles.

MeSH terms

  • Alleles
  • Base Sequence
  • Codon / genetics
  • Exons / genetics
  • Family Health
  • Genetic Markers / genetics
  • Genetic Predisposition to Disease / ethnology
  • Genetic Predisposition to Disease / genetics
  • Genotype
  • HLA-B27 Antigen / classification*
  • HLA-B27 Antigen / genetics*
  • Histocompatibility Testing
  • Humans
  • Molecular Sequence Data
  • Netherlands
  • Polymorphism, Genetic / genetics
  • Sensitivity and Specificity
  • Spondylitis, Ankylosing / ethnology
  • Spondylitis, Ankylosing / genetics

Substances

  • Codon
  • Genetic Markers
  • HLA-B27 Antigen

Associated data

  • GENBANK/AJ243373
  • GENBANK/AJ243375
  • GENBANK/AJ250630
  • GENBANK/AJ250631
  • GENBANK/AJ250632
  • GENBANK/AJ316293
  • GENBANK/AJ316295
  • GENBANK/AJ417644
  • GENBANK/AJ417675
  • GENBANK/AJ417676
  • GENBANK/AJ417677
  • GENBANK/AJ419587
  • GENBANK/AJ419588
  • GENBANK/Y16637
  • GENBANK/Y16638