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  • 1
    ISSN: 1432-1440
    Keywords: Indirect gene diagnosis ; Microsatellite ; Genetic predisposition ; Complex inheritance ; Rheumatoid arthritis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To identify genes that contribute to the manifestation of rheumatoid arthritis we performed association studies via microsatellite analyses of immunorelevant loci (HLA-DRB, 5 T cell receptor loci, TNFa, IL1, 112, IL5R and CD40L). A total of 183 patients and 275 healthy controls were typed in terms of HLA and grouped according to the known predisposing HLADRB1 genes (DRB1 *04; relative risk approx. 5; DRB1 *01, relative risk approx. 2; a third group carried neither allele). Microsatellite polymorphisms characterizing the TCRBV6S3, CD3D, IL1A, IL2, and IL5R genes did not show significant associations with rheumatoid arthritis, whereas TCRBV6S1, TCRBV6S7, TNFa, and CD40L genes may influence relative protection or risk in certain groups of patients. Analysis of a microsatellite marker adjacent to the transcription element α (TEA) in the T cell receptor αδ complex indicates that in the cohort carrying neither the DRB1 *04 nor the DRB1 *01 allele the relative risk to acquire rheumatoid arthritis is increased (〉13) or decreased (〈0.07), depending on the inherited microsatellite allele adjacent to the TEA locus. Sequence analysis of the closely linked TEA region from patients and controls revealed a novel dimorphism. Only the newly identified TEA allele leads to binding of a nuclear protein that may be involved in the regulated expression of the TCRDA genes. Subsequent typing of rheumatoid arthritis patients and controls revealed, however, that the association of the microsatellite marker is largely independent of the TEA allele, confirming incomplete linkage in the 2 kb region of the TCRDA locus. These results are discussed in the context of hot spots of recombination in this genomic region and other linked candidate sequences that predispose to develop rheumatoid arthritis.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1203
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract Although microsatellite typing is the dominant method in genome research and indirect gene diagnosis, precise relationships of exonic and adjacent simple repeat polymorphisms are not known. We investigated exon 2 sequences of HLA-DRB1 genes and their neighbouring (GT)n(GA)m repeats including the intervening single copy spacer. DRB1 is the most polymorphic protein-coding locus in man and all vertebrates investigated. The entire DRB1 variability exists in exon 2. DRB1 genes in different haplotype groups (DR1, DR51, DR52, DR8 and DR53) are accompanied by characteristic modifications of the (GT)n(GA)m block (3′ to group-specific single copy spacers). Among more than 520 alleles analysed, 〉 100 different types of microsatellites were observed. The perfect (GT)n and (GA)m blocks vary in length and may be partly ‘degenerated’, mostly in a subgroup-specific manner. Interestingly, the extent of microsatellite diversity varies in given DRB1 alleles. While the microsatellites of the DR7, DR9 alleles and in the DR1 group are virtually invariant, in DR4 and DR13, in particular, simple repeats appear hypervariable with at least 15 or 17 different length alleles, respectively. Comparing Caucasians, Bushmen and South American Indians, the microsatellite variation in identical DRB1 alleles (e.g. DRB1*0102, 03 011, 1302) is smaller than within any of the DR groups in Caucasians. Taken together, extremely polymorphic DRB1 exons evolve in concert with certain variants of an exceptionally well-preserved microsatellite.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1203
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract Friedreich ataxia (FA) is an autosomal recessive, neurodegenerative disorder characterized by polypurine trinucleotide expansion. The (GAA)n motif is located in intron 18 of the STM7 gene (previously considered as intron 1 of the X25 gene) on chromosome 9q13. We studied the distribution profile of the polymorphic (GAA)n repetitive tract in 178 healthy individuals. The number of repeats of the trinucleotide block ranged from 7 to 29. In three individuals there were more than 29 repetitions of the GAA motif. While two of the individuals would be diagnosed as carriers of the FA mutation (GAA size 〉 90), the status of the third person, with a (GAA)58 tract, appears less clear at present. Thus an FA carrier rate of 1/60 to 1/90 can be assumed for the German population. In addition an intermediate-sized allele, (GAA)38 was identified in a mother with two affected children. The (GAA)38 allele appears to be expanded during transmission to at least (GAA)66 and (GAA)〉 400 in her two FA-affected offspring. Therefore the shortest known STM7 allele conferring FA is (GAA)66. These novel facts have to be considered for differential diagnosis and definition of the FA carrier state.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1744-313X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Biology , Medicine
    Notes: DNA profiles (immunoprints) were generated for 120 patients suffering from early onset pauciarticular chronic arthritis (EOPA-JCA) and 〈500 healthy controls utilizing highly polymorphic microsatellites in the vicinity of immunorelevant genes. Six T cell receptor (TCR) markers for the CD3D, TCRDVAJ, TEA, TCRBV6S1, BV6S3, BV6S7 and BV13S2 genes were analysed. Furthermore markers for the cell surface molecule CD40L, for cytokine genes (IL-1A, IL-2, IFN-α, FGF-α, TNF-α), the chromosomal region of the 1RF2 and the cytokine receptor gene IL5RA were studied as well as two polymorphisms within the promotor region of the TNF-α gene. Coding region polymorphisms were evidenced indirectly by repeat length variation or they were predicted from the microsatellite distribution profiles and then confirmed by direct sequence analysis. Statistical evaluations were performed with respect to known predispositions, predominance of females (〈80%) and HLA-DR and -DQ haplo-types. Cell surface molecules (TCR, CD40L, IL5RA) as well as almost all cytokines (IL-1 A, IFNα, FGFA, IRF2 region) were excluded as predisposing in our JCA panel. The TNF-a microsatellite alleles (GT)10–12 contribute considerably to manifestation of the disease, in HLA-DRB1*11(12) individuals (RR = 12.8). The TNF-α allele is not found in linkage disequilibrium with HLA-DRB1*11(12) and may be present on either chromosome 6. Thus, a novel susceptibility factor probably within the TNFAITNFB gene region has been identified via linkage with the TNF-α microsatellite allele. Apparently complex compositions of the genetic background rather than single genes provide the precondition for manifestation of the autoimmune disease EOPA-JCA. Immunoprinting unravels the variability of the immunological genome via the semi-directed microsatellite approach efficiently.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Regulatory Peptides 53 (1994), S. S191-S192 
    ISSN: 0167-0115
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Multiple Sklerose ; Remyelinisierung ; Wachstumsfaktoren ; Transplantation ; Intravenöse Immunglobuline ; Key words Multiple sclerosis ; Remyelination ; Growth factors ; Transplantation ; Intravenous immunoglobulins
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Multiple sclerosis (MS), the most common neurological autoimmune disorder diagnosed in young adults, is characterised by the repeated occurrence of demyelinating lesions within the central nervous system (CNS). Promotion of remyelination in the brain and spinal cord constitutes a potential strategy for therapeutic intervention in MS and other demyelinating diseases. Three different principles are known to promote remyelination in the CNS of different animal models: Application of growth factors, transplantation of myelin-forming cells and intravenous immunoglobulin (IVIg) therapy. However, the systemic application of growth factors could be limited by effects on unaffected tissue. For successful transplantation we still have the problem of homologous cells not tolerated by a immunological different organism. Currently the required combination of growth factors needed to cultivate human homologous cells is not known, so that cells suitable for transplantation are still not available. Nevertheless, there is increasing evidence for beneficial effects of IVIg therapy on the promotion of remyelination in humans. In this review we summarise recent findings on the regulation of myelin sheath development and oligodendrocyte differentiation, and discuss the presented strategies in the context of possible clinical application for the therapy of MS.
    Notes: Zusammenfassung Bei der multiplen Sklerose als chronisch demyelinisierender Erkrankung des Zentralnervensystems (ZNS) werden derzeit 3 Verfahren zur Remyelinisierungsförderung untersucht: Die Gabe von Wachstumsfaktoren, die Transplantation myelinbildender Zellen und die Applikation von intravenösen Immunglobulinen (IVIg). Im Tiermodell führen diese Prinzipien zu Remyelinisierungen in experimentell akut demyelinisierten Arealen des ZNS und verbessern z.T. die Leitfähigkeit der Axone. Die systemische Therapie mit Wachstumsfaktoren könnte v.a. durch Wirkungen auf gesunde Gewebe limitiert sein. Bei Transplantationen stellt sich das Problem der Immunogenität von homologen Zellen, da noch keine nicht immunogenen Zellinien zur Verfügung stehen. Auch ist die zur Kultivierung und Vermehrung von humanen Oligodendrozyten und deren Vorläuferzellen benötigte Kombination von Wachstumsfaktoren nicht bekannt. Beim Menschen gibt es wachsende Evidenzen für eine remyelinisierungsfördernde Potenz von IVIg. Zum Beweis dieser Wirkung sind weitere kontrollierte Studien nötig und werden momentan durchgeführt.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1432-1440
    Keywords: Non-coding DNA sequences ; Genome organization ; DNA hypervariability ; Polymorphisms ; Molecular biological methods
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Der Internist 40 (1999), S. 469-475 
    ISSN: 1432-1289
    Keywords: Schlüsselwörter Autoimmunerkrankungen ; Genetik ; Diabetes ; Genetik ; Rheumatoide Arthritis ; Genetik ; Multiple Sklerose ; Genetik ; M. Basedow ; Genetik ; Thyreoiditis Hashimoto ; Genetik ; APECED ; Genetik ; Immunerkrankungen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zum Thema Während in der kaukasischen Bevölkerung die Prävalenz des Diabetes mellitus Typ I 1:300 beträgt, liegt diese bei Geschwistern bei 6% und bei monozygoten Zwillingen bei 30–50%. Ähnlich verhält es sich bei der rheumatoiden Arthritis: Die Prävalenz in der Bevölkerung ist 1%, bei Geschwistern und dizygoten Zwillingen 5%, bei monozygoten Zwillingen 10–30%. Diese wenigen Zahlenbeispiele weisen auf genetische Faktoren hin, die ätiologisch jedenfalls mitbestimmend für die spätere Entwicklung der entsprechenden Krankheitsbilder sind. Über die genetischen Komponenten einiger Krankheitsbilder, bei denen Autoimmunphänomene eine wichtige Rolle spielen, wird hier ein Überblick gegeben: Diabetes mellitus Typ I, rheumatoide Arthritis, Multiple Sklerose, M. Basedow und Hashimoto Thyreoiditis. Eine Beziehung zwischen Veränderungen im Genom einerseits und einer bestimmten Krankheit andererseits herzustellen, ist komplex und besonders schwierig dann, wenn diese multifaktoriell bedingt sind.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Naturwissenschaften 81 (1994), S. 460-462 
    ISSN: 1432-1904
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Chemistry and Pharmacology , Natural Sciences in General
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Naturwissenschaften 81 (1994), S. 460-462 
    ISSN: 1432-1904
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Chemistry and Pharmacology , Natural Sciences in General
    Type of Medium: Electronic Resource
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