UCLA Was at the Forefront
I enjoyed your article (Rheuminations, May 2014) on the history of the research that culminated in associating HLA-B27 with ankylosing spondylitis (AS). However, I was disturbed by the slight to my institution, the University of California, Los Angeles (UCLA), which made the original discovery.
Explore this issueJuly 2014
It is generally believed that Brewerton’s and UCLA’s breakthroughs occurred simultaneously. In contrast to Brewerton’s eight patients, the UCLA study involved looking at 24 HLA antigens in 225 patients: 119 with RA, 66 with gout and 40 with AS (and B27 was present in 35 of them). The Scholosstein paper was published April 5, 1973, which was weeks before Brewerton’s April 28, 1973, Lancet paper.1,2 Rodney Bluestone (who retired a few weeks ago) serendipitously made the decision to use AS as a control group because the HLA lab was convinced that B27 was associated with gout.
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