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ERAP1 and ankylosing spondylitis.

Sarah Keidel1, Liye Chen, Jennifer Pointon

  • 1University of Oxford Institute of Musculoskeletal Sciences, Botnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7LD, UK.

Current Opinion in Immunology
|March 5, 2013
PubMed
Summary
This summary is machine-generated.

Endoplasmic reticulum aminopeptidase 1 (ERAP1) strongly associates with ankylosing spondylitis (AS) in HLA-B27 positive individuals. ERAP1 variants with reduced activity may be protective, suggesting ERAP1 inhibition as a potential AS treatment.

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Area of Science:

  • Immunogenetics
  • Molecular Biology
  • Rheumatology

Background:

  • Ankylosing spondylitis (AS) shows a strong genetic link with ERAP1, particularly in HLA-B27 positive patients.
  • ERAP1 plays a crucial role in peptide processing for HLA class I molecules, impacting HLA-B27 stability and presentation.
  • The pathogenic mechanism of ERAP1 in AS may involve innate immunity, including interactions with KIR receptors and the unfolded protein response.

Purpose of the Study:

  • To investigate the pathogenetic implications of ERAP1 in ankylosing spondylitis.
  • To explore the role of ERAP1 in HLA-B27 processing and immune system interactions.
  • To evaluate the potential of ERAP1 as a therapeutic target for AS.

Main Methods:

  • Genetic association studies analyzing ERAP1 variants in AS cohorts.
  • Functional assays assessing ERAP1's effect on peptide trimming and HLA-B27 binding.
  • In vitro studies examining ERAP1's influence on innate immune cell interactions and ER stress pathways.

Main Results:

  • Specific ERAP1 variants are genetically associated with AS susceptibility in an HLA-B27 dependent manner.
  • ERAP1 activity influences the peptide repertoire presented by HLA-B27, potentially affecting adaptive and autoimmune responses.
  • Reduced ERAP1 endopeptidase activity correlates with protection against AS, suggesting a role in innate immune modulation.

Conclusions:

  • ERAP1 is a key genetic factor in AS pathogenesis, with effects potentially mediated through innate immunity.
  • ERAP1's role in HLA-B27 processing and immune receptor interactions is critical in AS.
  • Targeting ERAP1 activity, possibly through inhibition, presents a promising future therapeutic strategy for ankylosing spondylitis.