Enteric Bacteria and HLA-B27 Associated Cell Surface Modification in Patients with Seronegative Spondarthritis
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Cytotoxic studies indicate cross-reactivity between some enteric organisms and cells obtained from the majority of patients with ankylosmg spondylitis. Preliminary studies suggest that the factor responsible for cross-reactivity may be generated by a bacterial plasmid. However, the mechanism mediating the interaction between the HLA-B27 positive cell and the bacterial antigen is at present unknown.
KEY WORDS: Ankylosmg spondylitis, Klebsiella, HLA-B27, Enteric bacteria, Seronegative arthritis