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From: Ilena Rose on 28 May 2007 23:01 Note from Ilena Rosenthal: Thanks to CFM for this important study. It is highly significant for women with implants and begs further investigation. Peripheral Neuropathy: Human Leukocyte Antigen (HLA) Genetic Studies http://www.veradyne.com/EDA%20study%20final%20proof.pdf#search=%22Arthur%20Dale%20Ericsson%22 It has been reported, by several authors,16,17,18 that the Human Leukocyte Antigen (HLA) DR 53 has been consistently found in patients with fibromyalgia associated with silicone breast implants. The HLA DR antigens are individual loci on lymphocytes and are useful in designating individual proclivity to specific medical conditions. Furthermore, DQ2, in those studies, appeared to be significantly increased in patients with silicone prostheses and with clinical evidence of disease. DQ2 is associated with DR7 and at the same time in linkage disequilibrium with DR 3 and DR 52, but the authors could not find an increased frequency of either B8, DR 3 or DR 52 in those patients with fibromyalgia. The presence of DR 53 gene was associated with auto-antibodies to B cells in symptomatic patients but was not associated with either the DQ1 or DQ2 genes. One of these studies, that of Young, et. al.,19 reported that HLA DR53 gene was present in 68% of asymptomatic and symptomatic patients. However, the asymptomatic patients also had an increased frequency of DR1 and DR2 genes, and the DQ genes possibly represented protector genes. They concluded that symptomatic patients with breast implants share important DR53 positivity that differentiates them from asymptomatic patients. These authors concluded that a genetic characteristic that predisposes an individual to mount an immune mediated response as a consequence of silicone breast implantation as well as the composition and location of the implant prostheses may play a role in the body�s response to silicone exposure. However, other investigators have found the presence of DQ1 gene present in 75% of symptomatic patients as well as the decreased frequency of the DR3 and DQ2 genes.20 The current study of over 100 patients with Chronic Inflammatory Demyelinating Neuropathy associated with Silicone Breast Implant Adjuvant Disease demonstrates an equal preponderance of HLA of DR13, DR15, DR51, DR52 and DR53 genes of 30%, 44%, 32%, 62% and 46% respectively. This study supports the thesis that HLA typing is clearly related to autoimmune sensitivity to silicone breast implants in those patients with Chronic Inflammatory Demyelinating Peripheral Neuropathy. Furthermore, the presence of more than one combination of DR gene 13+15+51, etc., appears associated with the more severe and progressive illness. ~~~~~~~~~~~~ www.BreastImplantAwareness.org
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