RT Journal Article SR Electronic T1 Does CTLA-4 and CD-28 polymorphism affect the lung involvement in Turkish ankylosing spondylitis patients?? JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP P4505 VO 44 IS Suppl 58 A1 Fatmanur Karakose A1 Aylin Rezvani A1 Saime Turan A1 Omer Uysal A1 Muhammet Emin Akkoyunlu A1 Nazli Ezgi Ozkan A1 Mehmet Bayram A1 Hatice Sozgen A1 Fatih Yakar A1 Hatice Ozcelik A1 Murat Sezer A1 Mustafa Guler A1 Ilhan Yaylim A1 Levent Kart YR 2014 UL http://erj.ersjournals.com/content/44/Suppl_58/P4505.abstract AB Ankylosing spondylitis is a multisystemic disorder with ocular, pulmonary, and cardiovascular involvement. Data from AS patients who have amyloidosis, psoriasis suggest that immunologic or inflammatory mechanisms may be responsible for pathogenesis.Incidence of pulmonary involvement is 1 to 70%,but pathophysiology is still unknown.We aimed to address the relationship between CTLA4 and CD28 polymorphism in AS patients who have lung involvement.Enrolled were 80 controls and 89 AS patients diagnosed according to the Modified New York Criteria in the Physical Medicine and Rehabilitation Department of the Rheumatology Outpatient Clinic.CTLA4 and CD28 polymorphism analysis and clinical,radiological assessment were performed.We found a correlation between HRCT findings and CD 28 gene polymorphism,but no significant association was detected between CTLA4-318,CTLA4-49 and CD28 genotypes and the clinical characteristics of the patients. All patients with the CD28 CC genotype had abnormal HRCT to a statistically significant degree(p=0.047)but no other correlation was found between CTLA 4, CD28 gene polymorphism, and PFTs and clinical characteristics.