Association of Granulomatosis With Polyangiitis (Wegener%26apos;s) With HLA-DPB1*04 and SEMA6A Gene Variants: Evidence Grom Genome-Wide Analysis

作者：Xie Gang; Roshandel Delnaz; Sherva Richard; Monach Paul A; Lu Emily Yue; Kung Tabitha; Carrington Keisha; Zhang Steven S; Pulit Sara L; Ripke Stephan; Carette Simon; Dellaripa Paul F; Edberg Jeffrey C; Hoffman Gary S; Khalidi Nader; Langford Carol A; Mahr Alfred D; St Clair E William; Seo Philip; Specks Ulrich; Spiera Robert F; Stone John H; Ytterberg Steven R; Raychaudhuri Soumya; de Bakker Paul I W; Farrer Lindsay A; Amos Christopher I

来源：Arthritis and Rheumatism, 2013, 65(9): 2457-2468.

DOI：10.1002/art.38036

Objective. To identify genetic determinants of granulomatosis with polyangiitis (Wegener%26apos;s) (GPA). %26lt;br%26gt;Methods. We carried out a genome-wide association study (GWAS) of 492 GPA cases and 1,506 healthy controls (white subjects of European descent), followed by replication analysis of the most strongly associated signals in an independent cohort of 528 GPA cases and 1,228 controls. %26lt;br%26gt;Results. Genome-wide significant associations were identified in 32 single-nucleotide polymorphic (SNP) markers across the HLA region, the majority of which were located in the HLA-DPB1 and HLA-DPA1 genes encoding the class II major histocompatibility complex (MHC) DP chain 1 and DP chain 1 proteins, respectively. Peak association signals in these 2 genes, emanating from SNPs rs9277554 (for DP chain 1) and rs9277341 (DP chain 1) were strongly replicated in an independent cohort (in the combined analysis of the initial cohort and the replication cohort, P = 1.92 x 10(-50) and 2.18 x 10(-39), respectively). Imputation of classic HLA alleles and conditional analyses revealed that the SNP association signal was fully accounted for by the classic HLA-DPB1*04 allele. An independent single SNP, rs26595, near SEMA6A (the gene for semaphorin 6A) on chromosome 5, was also associated with GPA, reaching genome-wide significance in a combined analysis of the GWAS and replication cohorts (P = 2.09 x 10(-8)). %26lt;br%26gt;Conclusion. We identified the SEMA6A and HLA-DP loci as significant contributors to risk for GPA, with the HLA-DPB1*04 allele almost completely accounting for the MHC association. These two associations confirm the critical role of immunogenetic factors in the development of GPA.

• 出版日期2013-8