“…(Accepted for publication 25 July 1990) The association of ankylosing spondylitis with HLA-B27 was first described 17 years ago (Brewerton et al, 1973a;Schlosstein et al, 1973); the realization that other seronegative spondyloarthropathies, notably reactive arthritis, had the same association followed rapidly (Brewerton et al, 1973b), There has been an enormous increase in our understanding ofthe structure and function of HLA molecules in the intervening years: the amino acid sequence of several B27 variants is known (Choo et al, 1986) and there is a crystallographic picture of its likely threedimensional structure (Bjorkman et al, 1987); the B27 gene has been cloned (Szots et al, 1986), subjected to mutational analysis (Taurog & El-Zaatari, 1988) and expressed in transgenic mice Nickerson, Luthra & David, 1990), Furthermore, the function of class I MHC antigens in presenting antigenic peptides to T cells has been elegantly demonstrated (Townsend et al, 1986), It is rather frustrating, therefore, that despite this wealth of information, the involvement of B27 in the pathogenesis of these arthropathies remains shrouded in mystery.…”