Article
Acquisition of the rheumatoid arthritis HLA shared epitope through microchimerism.
Arthritis and rheumatism - 1 Mar 2011
Yan Zhen, Aydelotte Tessa, Gadi V K, Guthrie Katherine A, Nelson J Lee
Abstract excerpt
OBJECTIVE: HLA-DRB1 alleles associated with risk of rheumatoid arthritis (RA) encode similar HLA-DRB1 sequences, called the shared epitope (SE). The most common SE sequences are QKRAA and QRRAA. Nevertheless, a substantial number of RA patients lack the SE. Bidirectional fetal-maternal trafficking results in long-term persistence of fetal cells in the mother and maternal cells in her offspring, a process known as...
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