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August 1, 1999Arthritis & Rheumatism

DNA typing of maternal HLA in congenital complete heart block: Comparison with systemic lupus erythematosus and primary Sj�gren's syndrome

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Why the study?

Which maternal HLA alleles or haplotypes are associated with isolated congenital complete heart block in offspring of anti-Ro-positive mothers?

Population

54 Italian anti-Ro-positive mothers, including 13 mothers of children with congenital complete heart block…

Design

Case-control

Authors

GCGualtiero I. ColomboCentro Cardiologico MonzinoAntonio BrucatoAntonio BrucatoCross-Cutting CardiologyECElena ColuccioFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

Discussion

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Implication

May aid risk stratification in anti-Ro-positive pregnancies; hypothesis-generating and requires prospective validation before guiding practice.

Structured PICO

Which maternal HLA alleles or haplotypes are associated with isolated congenital complete heart block in offspring of anti-Ro-positive mothers?

P
Population
54 Italian anti-Ro-positive mothers, including 13 mothers of children with congenital complete heart block (CCHB) and 41 mothers with healthy children (20 with systemic lupus erythematosus [SLE] and 21 with Sjögren's syndrome [SS]).
C
Comparator
Anti-Ro-positive mothers with healthy children (SLE or SS)
O
Outcome
Frequency of maternal HLA alleles or haplotypes associated with isolated congenital complete heart block (CCHB) in offspringsurrogate

Maternal HLA-DRB1*03011 combined with anti-52-kd SSA/Ro antibodies identifies the highest risk for congenital complete heart block in offspring.

Cite This Study

Colombo et al. (1999) studied this question.

synapsesocial.com/papers/6a6fbfff31a3df824328131fhttps://doi.org/10.1002/1529-0131(199908)42:8<1757::aid-anr27>3.0.co;2-z
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Autoantibody-Associated Congenital Heart Block: Outcome in Mothers and Children1994 · 298 citations
  2. 2Isolated congenital heart block. long‐term outcome of mothers and characterization of the immune response to ss‐a/ro and to ss‐b/la1993 · 142 citations
  3. 3Identification of mothers at risk for congenital heart block and other neonatal lupus syndromes in their children. comparison of enzyme‐linked immunosorbent assay and immunoblot for measurement of anti–ss‐a/ro and anti–ss‐b/la antibodies1993 · 204 citations
  4. 4Arrhythmogenicity of IgG and Anti-52-kD SSA/Ro Affinity-Purified Antibodies From Mothers of Children With Congenital Heart Block1997 · 164 citations
  5. 5Gene Interaction at HLA-DQ Enhances Autoantibody Production in Primary Sjögren's Syndrome1986 · 272 citations