Genome-wide association study identifies HLA 8.1 ancestral haplotype alleles as major genetic risk factors for myositis phenotypes.
Journal Article (Journal Article)
Autoimmune muscle diseases (myositis) comprise a group of complex phenotypes influenced by genetic and environmental factors. To identify genetic risk factors in patients of European ancestry, we conducted a genome-wide association study (GWAS) of the major myositis phenotypes in a total of 1710 cases, which included 705 adult dermatomyositis, 473 juvenile dermatomyositis, 532 polymyositis and 202 adult dermatomyositis, juvenile dermatomyositis or polymyositis patients with anti-histidyl-tRNA synthetase (anti-Jo-1) autoantibodies, and compared them with 4724 controls. Single-nucleotide polymorphisms showing strong associations (P<5×10(-8)) in GWAS were identified in the major histocompatibility complex (MHC) region for all myositis phenotypes together, as well as for the four clinical and autoantibody phenotypes studied separately. Imputation and regression analyses found that alleles comprising the human leukocyte antigen (HLA) 8.1 ancestral haplotype (AH8.1) defined essentially all the genetic risk in the phenotypes studied. Although the HLA DRB1*03:01 allele showed slightly stronger associations with adult and juvenile dermatomyositis, and HLA B*08:01 with polymyositis and anti-Jo-1 autoantibody-positive myositis, multiple alleles of AH8.1 were required for the full risk effects. Our findings establish that alleles of the AH8.1 comprise the primary genetic risk factors associated with the major myositis phenotypes in geographically diverse Caucasian populations.
Full Text
Duke Authors
Cited Authors
- Miller, FW; Chen, W; O'Hanlon, TP; Cooper, RG; Vencovsky, J; Rider, LG; Danko, K; Wedderburn, LR; Lundberg, IE; Pachman, LM; Reed, AM; Ytterberg, SR; Padyukov, L; Selva-O'Callaghan, A; Radstake, TR; Isenberg, DA; Chinoy, H; Ollier, WER; Scheet, P; Peng, B; Lee, A; Byun, J; Lamb, JA; Gregersen, PK; Amos, CI; Myositis Genetics Consortium,
Published Date
- October 2015
Published In
Volume / Issue
- 16 / 7
Start / End Page
- 470 - 480
PubMed ID
- 26291516
Pubmed Central ID
- PMC4840953
Electronic International Standard Serial Number (EISSN)
- 1476-5470
Digital Object Identifier (DOI)
- 10.1038/gene.2015.28
Language
- eng
Conference Location
- England