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F Martinova

Publications and source records attributed to F Martinova.

16 recordsLinked to original sources

HLA system and autoantibodies in primary Sjögren's syndrome.

The primary Sjögren's syndrome is an autoimmune exocrinopathy in which is established a correlation between the production of antibodies and certain HLA determinants. A significant number of antigens from A, B, C, DR and DQ loci was investigated in 50 patients with primary Sjögren's syndrome with positive autoantibodies against dsDNA, ssDNA, Ro (SS-A), La (SS-B), RNP antigens, as well as with higher titer of anticardiolipin antibodies from IgM and IgG classes. The HLA antigens were investigated by a microlimphocytotoxic test and a prolonged test, while the autoantibodies by an indirect immunofluorescency, counter electrophoresis and ELISA. A significant correlation was established between HLA-A1 and HLA-DR3 and the anti-Ro, anti-La, anti-DNA and anti-RNP antibodies, as well as between the higher titer of JgM and JgG anticardiolipins and the HLA-A1, B8 and DR3 antigens. No association was found between the specific for the disease anti-Ro and anti-La autoantibodies and certain genetic markers. The achieved results confirm the hypothesis that the autoantibodies' production in primary Sjören's syndrome is to a certain extent genetically determined. (Tab. 1, Ref. 5.)

Adult↗

Locus DR in primary Sjögren's syndrome.

The primary Sjögren's syndrome (pSS) is an autoimmune exocrinopathy which is presenting with progressive dryness of the eyes and the mouth, changes in the parotid glands and not rarely with systemic (extraglandular) manifestations. The development of the immunogenetics proved that the course of the disease is genetically determined. HLA-antigens, associated with pSS differ in the separate races, populations and ethnic groups.

HLA-DR Antigens↗

[Post-respiratory infection reactive arthritis--etiology, clinical and laboratory characteristics and early prognosis].

AIM: To study etiology, clinico-laboratory characteristics and early prognosis of reactive arthritis developing after respiratory infections (priReA). MATERIAL AND METHODS: Blood samples from 69 priReA patients aged 17-45 years were examined for specific antibodies to 28 bacterial and viral infectious agents, and antigens of group HLA-B7-CREG (B7, B13, B22, B27, B40, B73, Cw2). The test were made in hospital and 3 months after the patients' discharge. RESULTS: The priReA respiratory etiology was discovered in 31 patients, urogenital--in 14 cases and enterocolitic one--in 7 patients. Streptococcus and pneumoneal chlamydia cause priReA most frequently. HLA-B40 carriers are more predisposed to priReA. priReA runs with less frequent Reiter's syndrome and lesions of axial and extraarticular structures, better early prognosis. CONCLUSION: In young patients with early ReA respiratory etiology is observed more frequently than urogenital and enterocolitic ones. Compared to other kinds of ReA, priReA demonstrates some genetic, clinical and prognostic peculiarities.

Adolescent↗

[The relationship of HLA antigens to certain clinical forms of diabetes mellitus].

In 79 diabetic patients, 37 patients with diabetes mellitus type I and 42 patients with diabetes mellitus type II, the HLA-A, B and DR antigens were examined. An association of diabetes mellitus type I with HLA-B8, DR3 and DR4 was found. For the first time a relation between diabetes mellitus type I and HLA-B21 antigen was established. The early onset of the disease and the exhaustion of the endogenic insulin secretion are linked with B8 and DR3 carrier state while the late manifestations of diabetes mellitus and the preservation of one's own insulin production correlate with antigen B21. In the patients with diabetes mellitus Type II the frequency of antigen B21 and DR1 is increased and the carriers of B21 develop in the course of the disease relative insulin insufficiency and a secondary resistance toward sulfanilurea drugs.

Adolescent↗

[HLA B27-negative forms of Bechterew's disease].

For an 8 year period 45 patients with Bechterew's disease were found who had no antigen HLA-B27. 35 of the patients were tested for HLA--A, -B or -C. In 12 patients antigens of the cross-reacting group B27 (B7, Bw22 and B40) were found. In patients without psoriasis antigens B13, B16, B17 which are known to be related to psoriasis vulgaris were found. 9 patients were antigen Cw2 carriers which is in unbalanced linkage with B27. The B27 negative forms present several clinical features: late onset of the disease, slow and favourable course, development of spinal forms only, lack of iridocyclitis and heart lesions.

Adult↗

[Study of the HLA system in rheumatoid arthritis].

A statistically significant, after correction of P value, increased incidence of the antigen HLA-DR4 chi 2 = 32.81, p less than 0.001, was established in the comparison of the antigen incidence of HLA-A, B, C and DR antigens in 59 patients with classical and positive rheumatoid arthritis and control healthy subjects. No essential difference in the distribution of DR4 was established that depended on sex, age of occurrence of the disease, presence of rheumatoid factor and the form of the disease.

Adult↗

HLA system and therapy of psoriasis.

In 192 patients with psoriasis an increased frequency of the antigens HLA-B13 (19.79%, X2 = 32.79, p less than 0.001), HLA-B17 (24.47%, X2 = 64,84, p less than 0.001), and HLA-B27 (19.27%, X2 = 11.07, p less than 0.001) in comparison with the control group of 1,085 clinically healthy persons, was established. After 4 weeks of thalassotherapy 3 groups of patients could be distinguished: (1) those with full clinical remission - 50 (26.8%), (2) those with great or moderate improvement - 116 (60.4%), and (3) those with no improvement - 26 patients (13.6%). In the first two groups there is a statistically significant association with the HLA antigens B13 and B17. In the third group (no improvement) there is no such association with HLA-B13 (p less than 0.01). Consequently, patients in whom psoriasis is associated with HLA-B13 were better influenced by the thalassotherapy. The variability in the therapeutic efficiency means that perhaps there is a genetic heterogenicity in the group of common psoriasis.

Adolescent↗

[Seronegative, HLA-B27-positive arthritis (a preliminary report)].

Fifty two patients, 29 males and 23 females, with seronegative polyarthritis, carriers of tissue-compatible antigen HLA--B27 manifested characteristic clinical signs: the disease started at young age--29; it progresses, most frequently, with attacks--acute or subacute as monoarthritis (gonitis) or oligoarthritis, the lower limb joints predominantly involved. The periarticular structures are very often involved in the process--achillitis, styloiditis, talagia and sarcoiliac joints--sarcoiliitis clinically and scintigraphically confirmed. With the family examinations of the patients' relatives the following cases were established: 9 cases with Bechterew's disease, four cases with sacroiliitis, one--with iridocyclitis, two patients with rheumatoid arthritis and 18 healthy carriers of HLA--B27 antigen. The dynamics of the development of typical ankylozing spondylitus was a favourable prognosis and the treatment, most often, covers--nonsteroid anti-inflammatory drugs or low doses of corticosteroids--generally or locally.

Adult↗

[HL-A and ankylosing spondylarthritis].

With the investigation of HL A phenotypes of 133 patients with an akylozing spondylarthritis, 110 males and 23 females, confirmed incidence of antigen B 27 was established in 87.96 per cent versus 10.78 per cent of 1085 control healthy subjects. The families of 24 patients were also examined with a total of 27 subjects HLA-B27 positive relations, among them 11 cases of SA with a latent course so far. The results from those exminations reveal that HLA-B27 antigen investigations could aid making the diagnosis in cases, suspected of SA, together with the other diagnostic methods.

Adult↗

On the association of the HLA system with epilepsy in children.

HLA typing was done in 51 unrelated children with epilepsy of unknown origin. The frequency of the antigens of the loci A, B, C, and DR were compared with control groups as follows: (1,085 for the loci A and B, and 200 for C and DR). Statistically significant increased frequency of HLA-DR5 (X2 = 13.08, p less than 0.001) in the patients was demonstrated. Association between HLA-DR5 with different type of seizures was not found in this study.

Adolescent↗