Ankylosing enthesopathy (ANKENT) is a spontaneous mouse joint disease
with strikingly similar pathology to human HLA-B27-associated enthesop
athies such as ankylosing spondylitis. In C57B1/10 mice, transgenic HL
A-B2702 as well as H2 genes have been shown to be relative risk facto
rs for ANKENT To investigate the role of major histocompatibility comp
lex (MHC) class I expression in disease pathogenesis, ANKENT occurrenc
e was compared among beta(2)-microglobulin (beta(2)m) knockout litterm
ates with or without transgenes for HLA-B2702 and human beta(2)m. In
the knockout phenotype lacking beta(2)m, ANKENT occurrence is signific
antly reduced (P = 0.016). In the absence of beta(2)m, B2702 is not d
etected on the cell membrane, nor does it increase the risk for ANKENT
This means that the previous finding that HLA-B2702 increases suscep
tibility to ANKENT in C57B1/10 mice cannot be ascribed to a transgene
insertion effect. Rather, in order to increase disease susceptibility,
B2702 must be coexpressed with mouse beta(2)m (mo-beta(2)m>. In cont
rast, when HLA-B2702 is expressed with beta(2)m of human origin, dise
ase susceptibility is not affected. Thus, both H2(b)-derived class I h
eterodimers and HLA-B2702/mo-beta(2)m heterodimers contribute to ANKE
NT susceptibility.