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Identification of a specific autoantigen in opticospinal form of multiple sclerosis based on the HLA-DPB1 binding motif

Research Project

Project/Area Number 12557060
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section展開研究
Research Field Neurology
Research InstitutionKyushu University

Principal Investigator

KIRA Jun-ichi  Department of Neurology, Kyushu University, Prof., 大学院・医学研究院, 教授 (40183305)

Co-Investigator(Kenkyū-buntansha) MURAI Hiroyuki  Department of Neurology, Kyushu University, Clinical Instructor, 大学院・医学研究院, 助手 (80325464)
NISHIMURA Yasuharu  Division of Immunogenetics, Kumamoto University, Prof., 医学系研究科, 教授 (10156119)
呉 曉牧  日本学術振興会, 特別研究員
Project Period (FY) 2000 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥13,500,000 (Direct Cost: ¥13,500,000)
Fiscal Year 2001: ¥3,200,000 (Direct Cost: ¥3,200,000)
Fiscal Year 2000: ¥10,300,000 (Direct Cost: ¥10,300,000)
KeywordsMultiple Sclerosis / Opticospinal form / SEREX / Autoantibody / HSP105 / HLA-class II / 視神経脊髄型多発性硬化症 / 自己抗原 / HLAクラスII / SEREX法
Research Abstract

Multiple sclerosis (MS) is currently hypothesized to be mediated by autoreactive T cells against myelin antigens. In Japanese, MS frequently and selectively affects the optic nerve and spinal cord. We have previously reported that the opticospinal form of MS (OS-MS) has been shown to be distinct from the conventional form of MS (C-MS) clinically, immunologically and immunogenetically. Recently, oligodendrocytes have been demonstrated to have plural origins, showing marked differences in distribution depending on their origin. We assumed that the specific autoantigens which exist in the optic nerve and spinal cord may be associated with development of OS-MS lesions.
To identify the autoantigens in OS-MS, we made use of an immunoscreening of a human spinal cord cDNA expression library with serum samples obtained from patients with OS-MS. cDNA expression library was prepared from human spinal cord and 5 X 10^5 to 10 X 10^5 phage plaques were immunoscreened with sera obtained from eight OS- … More MS patients. Eleven positive immunoreactive clones were identified by their reactivity to the sera, and their sequences were analyzed. Comparisons of the sequences showed that these clones represented cDNAs from 5 distinct genes (HSP105, Rabaptin-5, NSD1, KIAA1640, KIAA0640). We produced GST-Rabaptin-5 fusion protein and HSP105 protein and evaluated the titer of IgG anti-Rabaptin-5 and anti-HSP105 autoantibody in sera and CSF, using ELISA. We found IgG anti-Rabaptin-5 reactivities were not significantly elevated, however IgG anti-HSP105 reactivities in MS patients was significantly higher than those in normal controls (p = 0.0193). Anti-HSP105 reactivities were found in 3 % (2/66) of normal controls, while 14.5 % (10/69) of patients with MS were positive for anti-HSP105 antibodies. The difference in prevalence of autoantibodies was not statistically significant between OS-MS and C-MS. The HSP105 α-reactive T cell lines derived from CD4^+CD45RO^+ T cells were established from 3 of 9 MS patients but not normal controls. Our findings indicate HSP105 to be a novel candidate autoantigen in MS. In future, we are going to analyze the other candidate autoantigens (NSD1, KIAA1640, KIAA0610). Less

Report

(3 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • Research Products

    (66 results)

All Other

All Publications (66 results)

  • [Publications] Horiuchi I et al.: "Th1 dominance in HAM/TSP and the optico-spinal form of multiple sclerosis versus Th2 dominance in mite antigen-specific IgE myelitis"J Neurol Sci. 172. 17-24 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamasaki K et al.: "Hyperprolactinemia in opticospinal multiple sclerosis"Intern Med. 39. 296-299 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Fukazawa T et al.: "Both the HLA-DPB1 and -DRB1 alleles correlate with risk for multiple sclerosis in Japanese : Clinical phenotypes and gender as important factors"Tissue Antigens. 55. 199-205 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Horiuchi I et al.: "Acute myelitis after asthma attacks with onset after puberty. J Neurol Neurosurg Psychiatry 68: 665-668,2000"J Neurol Neurosurg Psychiatry. 68. 665-668 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Wu X-M et al.: "Flow cytometric differentiation of Asian and Western types of multiple sclerosis (MS), HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and hyperIgE-aemic myelitis by analysis of memory CD4 positive T cell subsets and NK cell subsets"J Neurol Sci.. 177. 24-31 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kira J: "A novel feature disclosed in opticospinal multiple sclerosis in Asians"Intern Med. 39. 272 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Matsumoto S et al.: "Periodic alternating nystagmus in a patient with MS"Neurology. 56. 276-277 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Osoegawa M et al.: "Localised myelitis caused by visceral larva migrans due to Ascaris suum masquerading as an isolated spinal cord tumor"J Neurol Neurosurg Psychiatry. 70. 265-266 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kikuchi H et al.: "Spinal cord lesions of myelitis with hyperIgEemia and mite antigen specific IgE (atopic myelitis) manifest eosinophilic inflammation"J Neurol Sci. 183. 73-78 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Noerager BD et al.: "An IgM anti-MBP Ab in a case of Waldenstrom's macroglobulinemia with polyneuropathy expressing an idiotype reactive with an MBP epitope immunodominant in MS and EAE"J Neuroimmunol. 113. 163-169 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Minohara M et al.: "Differences between T-cell reactivities to major myelin protein-derived peptides in opticospinal and conventional forms of multiple sclerosis and healthy controls"Tissue Antigens. 57. 447-456 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kira J et al.: "Myelitis associated with atopic disorders in Japan : a retrospective clinical study of the past 20 years"Intern Med. 40. 613-619 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Ochi H et al.: "Tc1/Tc2 and Th1/Th2 balance in Asian and Western types of multiple sclerosis, HTLV-I-associated myelopathy/tropical spastic paraparesis and hyperIgEaemic myelitis"J Neuroimmunol. 119. 297-305 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Horiuchi I et al.: "Th2 shift in mononeuritis multiplex and increase of Th2 cells in chronic inflammatory demyelinating polyneuropathy : an intracellular cytokine analysis"J Neurol Sci.. 193. 49-52 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kira J et al.: "History of allergic disorders in common neurologic diseases in Japanese patients"Acta Neurol Scand. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada K et al.: "Identification of a novel autoantigen UACA in patients with panuveitis"Biochem Biophys Res Comm. 280. 1169-1176 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nakatsura T et al.: "Gene cloning of immunogenic antigens over-expressed in pancreatic cancer"Biochem Biophys Res Comm. 281. 936-944 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada K et al.: "Humoral immune response directed against LEDGF in patients with VKH"Immunol. Letters. 78. 161-168 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nakatsura T et al.: "Cellular and Humoral Immune Responses to A Human Pancreatic Cancer Antigen, CLP, Originally Defined by the SEREX Method"Eur. J. Immunol.. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 堀内 泉: "Annual Review 神経 2000"後藤文男, 高倉公朋, 木下真男, 柳澤信夫, 清水輝夫 (編), 中外医学社. 227-234 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 吉良 潤一: "今日の治療指針 2001年版-私はこう治療している."多賀須幸男, 尾形悦郎, 山口徹, 北原光夫 (編)医学書院. 235-236 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 吉良 潤一: "今日の診断指針 2002年版"医学書院(in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 堀内 泉: "EBMに基づく脳神経疾患の基本治療"田村晃, 松谷雅生, 清水輝夫 (編)メジカルビュー(in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kira J: "Advances in Clinical Neuroscience 2002"Ed by Sinha K K(in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Horiuchi I, Kawano Y, Yamasaki K, Minohara M, Furue M, Taniwaki T, Miyazaki T, Kira J: "Th1 dominance in HAM/TSP and the optico-spinal form of multiple sclerosis versus Th2 dominance in mite antigen-specific IgE myelitis"J Neurol Sci. 172. 17-24 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamasaki K, Horiuchi I, Minohara M, Osoegawa M, Kawano Y, Ohyagi Y, Yamada T, Kira J: "Hyperprolactinemia in opticospinal multiple sclerosis"Intern Med. 39. 296-299 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Fukazawa T, Yamasaki K, Ito H, Kikuchi S, Minohara M, Horiuchi I, Tsukishima E, Sasaki H, Hamada T, Nishimura Y, Tashiro K, Kira J: "Both the HLA-DPB1 and -DRB1 alleles correlate with risk for multiple sclerosis in Japanese : Clinical phenotypes and gender as important factors"Tissue Antigens. 55. 199-205 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Horiuchi I, Yamasaki K, Osoegawa M, Ohyagi Y, Okayama A, Kurokawa T, Yamada T, Kira J: "Acute myelitis after asthma attacks with onset after puberty"J Neurol Neurosurg Psychiatry. 68. 665-668 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Wu X-M, Kawano Y, Yamasaki K, Osoegawa M, Horiuchi I, Minohara M, Ohyagi Y, Yamada T, Kira J: "Flow cytometric differentiation of Asian and Western types of multiple sclerosis (MS), HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and hyperIgEaemic myelitis by analysis of memory CD4 positive T cell subsets and NK cell subsets"J Neurol Sci. 177. 24-31 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kira J: "A novel feature disclosed in opticospinal multiple sclerosis in Asians"Intern Med. 39. 272 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Matsumoto S, Ohyagi Y, Inoue I, Oishi A, Goto H, Nakagawa T, Yamada T, Kira J: "Periodic alternating nystagmus in a patient with MS"Neurology. 56. 276-277 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Osoegawa M, Matsumoto S, Ochi H, Ishiwata K, Nakamura-Uchiyama F, Nawa Y, Yamasaki K, Horiuchi I, Ohyagi Y, Kira J: "Localized myelitis caused by visceral larva migrans due to Ascaris suum masquerading as an isolated spinal cord tumor"J Neurol Neurosurg Psychiatry. 70. 265-266 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kikuchi H, Osoegawa M, Ochi H, Murai H, Horiuchi I, Takahashi H, Yamabe K, Iwaki T, Mizutani T, Oda M, Kira J: "Spinal cord lesions of myelitis with hyperIgEemia and mite antigen specific IgE (atopic myelitis) manifest eosinophilic inflammation"J Neurol Sci. 183. 73-78 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Noerager BD, Inuzuka T, Kira J. Blalock JE, Whitaker JN, Galin FS: "An IgM anti-MBP Ab in a case of Waldenstrom's macroglobulinemia with polyneuropathy expressing an idiotype reactive with an MBP epitope immunodominant in MS and EAE"J Neuroimmunol. 113. 163-169 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Minohara M, Ochi H, Matsushita S, Irie A, Nishimura Y, Kira J: "Differences between T-cell reactivities to major myelin protein-derived peptides in opticospinal and conventional forms of multiple sclerosis and healthy controls"Tissue Antigens. 57. 447-456 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kira J, Horiuchi I, Suzuki J, Osoegawa M, Tobimatsu S, Murai H, Minohara M, Furue M, Ochi H: "Myelitis associated with atopic disorders in Japan : a retrospective clinical study of the past 20 years"Intern Med. 40. 613-619 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Ochi H, Wu X-M, Osoegawa M, Horiuchi I, Minohara M, Murai H, Ohyagi Y, Furuya H, Kira J: "Tc1/Tc2 and Th1/Th2 balance in Asian and Western types of multiple sclerosis, HTLV-I-associated myelopathy/tropical spastic paraparesis and hyperIgEaemic myelitis"J Neuroimmunol. 119. 297-305 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Horiuchi I, Ochi H, Murai H, Osoegawa M, Minohara M, Furuya H, Kira J: "Th2 shift in mononeuritis multiplex and increase of Th2 cells in chronic inflammatory demyelinating polyneuropathy : an intracellular cytokine analysis"J Neurol Sci. 193. 49-52 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kira J, Osoegawa M, Horiuchi I, Murai H, Minohara M, Ohyagi Y, Furuya H, Tobimatsu S, Ochi H: "History of allergic disorders in common neurologic diseases in Japanese patients"Acta Neurol Scand. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada K, Senju S, Nakatsura T, Murata Y, Ishihara M, Nakamura S, Ohno S, Negi A, Nishimura Y.: "Identification of a novel autoantigen UACA in patients with panuveitis"Biochem. Biophys. Res. Comm.. 280(4). 1169-1176 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nakatsura T, Senju S, Yamada K, Jyotsuka T, Ogawa M, Nishimura Y: "Gene cloning of immunogenic antigens over-expressed in pancreatic cancer"Biochem. Biophys. Res. Comm.. 281. 936-944 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yamada K, Senju S, Shinohara T, Nakatsura T, Murata Y, Ishihara M, Nakamura S, Ohno S, Negi A, Nishimura Y: "Humoral immune response directed against LEDGF in patients with VKH"Immunol. Letters. 78. 161-168

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nakatsura T, Senju S, Ito M, Nishimura Y^*, Itoh K.^* (^*equal contribution): "Cellular and Humoral Immune Responses to A Human Pancreatic Cancer Antigen, CLP, Originally Defined by the SEREX Method"Eur. J. Immunol.. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kira J et al.: "History of allergic disorders in common neurologic diseases in Japanese patients"Acta Neurol Scand. (in press).

    • Related Report
      2001 Annual Research Report
  • [Publications] Horiuchi I et al.: "Th2 shift in mononeuritis multiplex and increase of Th2 cells in chronic inflammatory demyelinating polyneuropathy:"J Neurol Sci. 193. 49-52 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Ochi H et al.: "Tc1/Tc2 and Th1/Th2 balance in Asian and Western types of multiple sclerosis, HTLV-I-associated myelopathy/tropical spastic paraparesis and hyperIgEaemic myelitis"J Neuroimmunol. 119. 297-305 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kira J et al.: "Myelitis associated with atopic disorders in Japan : a retrospective clinical study of the past 20 years"Intern Med. 40. 613-619 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Minohara M et al.: "Differences between T cell reactivities to major myelin protein-derived peptides in opticospinal and conventional forms of multiple sclerosis and healthy controls"Tissue Antigens. 57. 447-456 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kira J: "A novel feature disclosed in opticospinal multiple sclerosis in Asians"Intern Med. 39. 272 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Wu X et al.: "Flow cytometric differentiation of asian and western types of multiple sclerosis, HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and hyperIgEaemic myelitis by analyses of memory CD4 positive T cell subsets and NK cell subsets"J Neurol Sci. 177. 24-31 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Horiuchi I et al.: "Acute myelitis following asthma attacks with onset after puberty"J Neurol Neurosurg Psychiatry. 68. 665-668 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yamasaki K et al.: "Hyperprolactinemia in opticospinal multiple sclerosis"Intern Med. 39. 296-299 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Horiuchi I et al.: "Th1 dominance in HAM/TSP and the optico-spinal form of multiple sclerosis versus Th2 dominance in mite antigen-specific IgE myelitis"J Neurol Sci. 172. 17-24 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Nakatsura T et al.: "Cellular and Humoral Immune Responses to A Human Pancreatic Cancer Antigen, CLP, Originally Defined by the SEREX Method"Eur J Immunol (in press).

    • Related Report
      2001 Annual Research Report
  • [Publications] Yamada K et al.: "Humoral immune response directed against LEDGF in patients with VKH"Immunol Letters. 78. 161-168 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Nakatsura T et at.: "Gene cloning of immunogenic antigens over-expressed in pancreatic cancer"Biochem Biophys Res Comm. 281. 936-944 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yamada K et al.: "Identification of a novel autoantigen UACA in patients with panuveitis"Biochem Biophys Res Comm. 280. 1169-1176 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 堀内 泉: "Annual Review 神経 2000"中外医学社. 227-234 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Kikuchi H, et al.: "Spinal cord lesions of myelitis with hyperIgEaemia and mute antigen specific IgE (atopic myelitis) manifest eosinophilic inflammation"J Neurol Sci. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] Osoegawa M, et al: "Localized myelitis caused by visceral larva migrans due to Ascaris suum masquerading a spinal cord tumor."J Neurol Neurosurg Psychiatry. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] Kira J.: "A novel feature disclosed in opticospinal multiple sclerosis in Asians"Int Med. 39. 272 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Wu X, et al: "Flow cytometric differentiation of asian and western types of multiple sclerosis, HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and hyperIgEaemic myelitis by analyses of memory CD4 positive T cell subsets and NK cell subsets"J Neurol Sci. 177. 24-31 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Horiuchi I, et al.: "Acute myelitis following asthma attacks with onset after puberty"J Neurol Neurosurg Psychiatry. 68. 665-8 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yamasaki K, et al.: "Hyperprolactinemia in opticospinal multiple sclerosis"Intern Med. 39. 296-299 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Horiuchi I, et al.: "Th1 dominance in HAM/TSP and the optico-spinal form of multiple sclerosis versus Th2 dominance in mite antigen-specific IgE myelitis."J Neurol Sci. 172. 17 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Fukazawa T, et al.: "Both the HLA-DPB1 and -DRB1 alleles correlate with risk for multiple sclerosis in Japanese : Clinical phenotypes and gender as important factors"Tissue Antigens. 55. 199-205 (2000)

    • Related Report
      2000 Annual Research Report

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Published: 2000-04-01   Modified: 2016-04-21  

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