Causes of AS: HLA-B27
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-The gene HLA-B27 (human leucocyte Antigen B27) has been found in 95% of patients with AS.  HLA-B27 is located on the
MHC (major histocompatibility complex), which is found on chromosome 6.  HLA-B27 has a gene locus of 6p21.3

-HLA-B27 is further complicated by containing 26 different alleles that encode for 24 different subtypes (HLA-B*2701 to HLAB*2725).  B*2722 was excluded because it was found to contain the same sequence as B*2706.  All of these varieties of HLA-B27, except 2, have been linked to AS susceptibility.  The two that are not related to AS are B*2706 in South East Asia and B*2709 in Sardinia. 

-HLA-B27 is part of a family of genes that are important in regulating the body's immune system.

-Having the HLA-B27 gene does not necessarily mean that you will have AS.  In fact, in the caucasian population, only approximately 8% that carry the HLA-B27 gene have AS.  And if there is no history of AS in the family, this 8% chance drops down to 2%.   This means that other genes or factors must also play a role in susceptibility to AS.
(Click here to find out what those other genes or factors are.)
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