Detection of Disease-Specific Restriction Fragment Length Polymorphisms in Pemphigus Vulgaris Linked to the DQw1 and DQw3 Alleles of the HLA-D Region

• Published in: Proceedings of the National Academy of Sciences - PNAS Vol. 84; no. 18; pp. 6542 - 6545
• Main Authors: Szafer, Fanny, Brautbar, Chaim, Tzfoni, Eli, Frankel, Gad, Sherman, Lenny, Cohen, Itzhak, Hacham-Zadeh, Shoshana, Aberer, Werner, Tappeiner, Gerhard, Holubar, Karl, Steinman, Lawrence, Friedmann, Adam
• Format: Journal Article
• Language: English
• Published: Washington, DC National Academy of Sciences of the United States of America 01.09.1987; National Acad Sciences
• Subjects: Alleles; Antigens; Austria; Autoimmune diseases; Autoimmunity (experimental aspects and models); Biological and medical sciences; Celiac disease; Complementary DNA; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Genetic Linkage; Haplotypes; HLA antigens; HLA D antigens; HLA-D Antigens - genetics; HLA-DQ Antigens - genetics; Israel; Jews; Pemphigus; Pemphigus - genetics; Polymorphism, Restriction Fragment Length; Restriction fragment length polymorphism; Austria; Israel; HLA-System; Skin disease; Gene; Major histocompatibility system; Predisposition; Restriction fragment; Autoimmune disease; Pemphigus vulgaris; Polymorphism
• ISSN: 0027-8424; 1091-6490
• DOI: 10.1073/pnas.84.18.6542

Pemphigus vulgaris in Israeli Ashkenazi and non-Ashkenazi Jews and in Austrian non-Jewish patients is strongly associated with the DR4 and DRw6 alleles of the HLA-D region class II genes. Restriction fragment length polymorphism analysis was undertaken with DQβ , DQα , and DRβ cDNA probes. Hybridization with the DQβ probe identifies Pvu II, BamHI, and EcoRV fragments that absolutely discriminate pemphigus vulgaris patients from healthy DR-, DQ-, and ethnic-matched controls. In contrast the DQα and DRβ probes failed to identify disease-specific restriction fragment length polymorphism fragments. These studies indicate that DQw1 and DQw3 polymorphisms carried by pemphigus vulgaris patients may be directly involved in predisposition to the disease or may be tightly linked to the susceptibility gene itself. To our knowledge, this is the first example of an HLA restriction fragment length polymorphism that is highly associated with susceptibility to autoimmune disease.