Dissection of the multiple sclerosis associated DR2 haplotype.

Epidemiological and genetic data have consistently identified associations with HLA class II alleles in many autoimmune diseases. In multiple sclerosis (MS), an autoimmune disease targeting central nervous system (CNS) myelin, the DR2 haplotype (DRB1*1501, DRB5*0101 and DQB1*0602) remains the strong...

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Main Authors: Etzensperger, R, McMahon, R, Jones, E, Fugger, L
Format: Journal article
Language:English
Published: 2008
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author Etzensperger, R
McMahon, R
Jones, E
Fugger, L
author_facet Etzensperger, R
McMahon, R
Jones, E
Fugger, L
author_sort Etzensperger, R
collection OXFORD
description Epidemiological and genetic data have consistently identified associations with HLA class II alleles in many autoimmune diseases. In multiple sclerosis (MS), an autoimmune disease targeting central nervous system (CNS) myelin, the DR2 haplotype (DRB1*1501, DRB5*0101 and DQB1*0602) remains the strongest identified genetic risk factor in Caucasians. However, it is hard to tease apart the precise contributions of its constituent individual alleles and their modes of action remain poorly understood, due in part to the strong linkage disequilibrium in this region. Recent work in humanized mice indicates functional epistatic interactions whereby DRB5*0101 directly modulates the severity of the ensuing disease through activation-induced cell death (AICD) of encephalitogenic T cells which are restricted by DRB1*1501. Complementary structural studies help to explain how these alleles may facilitate thymic escape of autoreactive T cells and contribute to peripheral T cell activation via suboptimal binding interactions and mechanisms of molecular mimicry. Here we discuss the emerging role of the constituent alleles of the DR2 haplotype and our ongoing efforts to uncover the mechanisms by which they influence MS pathogenesis.
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spelling oxford-uuid:84fcf679-f134-4bd3-b621-b5d22fb297b92022-03-26T21:54:32ZDissection of the multiple sclerosis associated DR2 haplotype.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:84fcf679-f134-4bd3-b621-b5d22fb297b9EnglishSymplectic Elements at Oxford2008Etzensperger, RMcMahon, RJones, EFugger, LEpidemiological and genetic data have consistently identified associations with HLA class II alleles in many autoimmune diseases. In multiple sclerosis (MS), an autoimmune disease targeting central nervous system (CNS) myelin, the DR2 haplotype (DRB1*1501, DRB5*0101 and DQB1*0602) remains the strongest identified genetic risk factor in Caucasians. However, it is hard to tease apart the precise contributions of its constituent individual alleles and their modes of action remain poorly understood, due in part to the strong linkage disequilibrium in this region. Recent work in humanized mice indicates functional epistatic interactions whereby DRB5*0101 directly modulates the severity of the ensuing disease through activation-induced cell death (AICD) of encephalitogenic T cells which are restricted by DRB1*1501. Complementary structural studies help to explain how these alleles may facilitate thymic escape of autoreactive T cells and contribute to peripheral T cell activation via suboptimal binding interactions and mechanisms of molecular mimicry. Here we discuss the emerging role of the constituent alleles of the DR2 haplotype and our ongoing efforts to uncover the mechanisms by which they influence MS pathogenesis.
spellingShingle Etzensperger, R
McMahon, R
Jones, E
Fugger, L
Dissection of the multiple sclerosis associated DR2 haplotype.
title Dissection of the multiple sclerosis associated DR2 haplotype.
title_full Dissection of the multiple sclerosis associated DR2 haplotype.
title_fullStr Dissection of the multiple sclerosis associated DR2 haplotype.
title_full_unstemmed Dissection of the multiple sclerosis associated DR2 haplotype.
title_short Dissection of the multiple sclerosis associated DR2 haplotype.
title_sort dissection of the multiple sclerosis associated dr2 haplotype
work_keys_str_mv AT etzenspergerr dissectionofthemultiplesclerosisassociateddr2haplotype
AT mcmahonr dissectionofthemultiplesclerosisassociateddr2haplotype
AT jonese dissectionofthemultiplesclerosisassociateddr2haplotype
AT fuggerl dissectionofthemultiplesclerosisassociateddr2haplotype