It was the purpose of this study to better define the frequency of HLA
-B27 subtypes and HLA class II alleles among indigenous populations fr
om the eastern tip of the Chukotka Peninsula of Siberia, Russia, which
have higher frequencies of HLA-B27 (40%) and spondyloarthropathies (2
%) than Caucasian populations and test the hypothesis that these popul
ations are more closely related to Orientals. Siberian Eskimos and Chu
kchi residing in four coastal villages on the Chukotka Peninsula inhab
ited by Siberian Eskimos and Chukchi people were examined using oligot
yping of the polymerase-chain reaction-amplified second and third exon
s of the HLA-B27 gene. HLA-class II alleles (DRB1, DQA1 and DQB1) were
similarly determined. Of 88 HLA-B27 positive individuals from these v
illages, all had HLA-B2705, including the four patients with Reiter's
syndrome and the five ankylosing spondylitis, except one Eskimo contr
ol who had HLA-B2702. None had HLA-B*2704, a frequent subtype in Orie
ntals. HLA-class II typing in 70 Siberian Eskimos and 71 Siberian coas
tal Chukchi revealed HLA-DRB10401, DRB1* 0802, *0901 and *1402 to acc
ount for nearly all the DRB1 alleles found in this population, similar
to what has been described in Eskimos in Alaska, but different from C
hinese or native Americans in the U.S. The overwhelming majority of th
e individuals examined had HLA-DQB10301, similar to what has been obs
erved in Native Americans. The Siberian Eskimos differed from the coas
tal Chukchi only in the occurrence of HLA-DRB10701, DQA1*0201, DQB1*0
201 alleles, which occurred only in the former group. These data sugge
st that the Chukotka population is genetically more closely related to
Caucasians and native Americans and less to other Oriental population
s.