C1q regulatory region polymorphism down-regulating murine C1q protein levels with linkage to lupus nephritis
JOURNAL OF IMMUNOLOGY
Authors: Miura-Shimura, Y; Nakamura, K; Ohtsuji, M; Tomita, H; Jiang, Y; Abe, M; Zhang, DQ; Hamano, Y; Tsuda, H; Hashimoto, H; Nishimura, H; Taki, S; Shirai, T; Hirose, S
Abstract
Much of the pathology of systemic lupus erythematosus (SLE) is caused by deposition of immune complexes (ICs) into various tissues, including renal glomeruli. Because clearance of ICs depends largely on early complement component C1q, homozygous C1q deficiency is a strong genetic risk factor in SLE. although it is rare in SLE patients overall. In this work we addressed the issue of whether genetic polymorphisms affecting C1q levels may predispose to SLE, using the (NZB X NZW)F-1 model. C1q genes are composed of three genes, C1qa, C1qc, and C1qb, arranged in this order, and each gene consists of two exons separated 1)), one intron. Sequence analysis of the C1q gene in New Zealand Black (NZB), Ne Zealand White (NZW), and BALB/c mice showed no polymorphisms in exons and introns of three genes. However, Southern blot analysis revealed unique insertion polymorphism of a total of similar to3.5 kb in the C1qa upstream region of NZB mice. C1q levels in sera and culture supernatants of LPS-stimulated peritoneal macrophages and C1q messages in spleen cells were all lower in disease-free young NZB and (NZB X NZW)F, mice than in age-matched non-autoimmune NZW and BALB/c mice. Quantitative trait loci analysis using (NZB X NZW)F, X NZW backcrosses showed that NZB microsatellites in the vicinity of the C1q allele on chromosome 4 were significantly linked to low serum C1q levels and the development of nephritis. These data imply that not only C1q deficiency but also regulatory region polymorphisms down-regulating C1q levels may confer the risk for lupus nephritis by reducing IC clearance and thus promoting IC deposition in glomeruli.
Genetic variants in the region of the C1q genes are associated with rheumatoid arthritis
CLINICAL AND EXPERIMENTAL IMMUNOLOGY
Authors: Trouw, L. A.; Daha, N.; Kurreeman, F. A. S.; Boehringer, S.; Goulielmos, G. N.; Westra, H. J.; Zhernakova, A.; Franke, L.; Stahl, E. A.; Levarht, E. W. N.; Stoeken-Rijsbergen, G.; Verduijn, W.; Roos, A.; Li, Y.; Houwing-Duistermaat, J. J.; Huizinga, T. W. J.; Toes, R. E. M.
Abstract
Rodent models for arthritis implicate a role for complement in disease development and progression. In humans, complement deposition has been observed in inflamed synovia of rheumatoid arthritis (RA) patients. In this study we analysed whether genetic variants of complement component C1q predispose to RA. We genotyped single nucleotide polymorphisms (SNPs) in and around the C1q genes, C1qA, C1qB and C1qC, in a Dutch set of 845 RA cases and 1046 controls. Replication was sought in a sample set from North America (868 cases/1193 controls), and a meta-analysis was performed in a combined samples set of 8000 cases and 23262 controls of European descent. We determined C1q serum levels in relation to C1q genotypes. In the discovery phase, five of the 13 SNPs tested in the C1q genes showed a significant association with RA. Additional analysis of the genomic area around the C1q genes revealed that the strongest associating SNPs were confined to the C1q locus. Within the C1q locus we observed no additional signal independent of the strongest associating SNP, rs292001 [odds ratio (OR)=0 center dot 72 (0 center dot 58-0 center dot 88), P=0 center dot 0006]. The variants of this SNP were associated with different C1q serum levels in healthy controls (P=0 center dot 006). Interestingly, this SNP was also associated significantly in genome-wide association studies (GWAS) from the North American Rheumatoid Arthritis Consortium study, confirming the association with RA [OR=0 center dot 83 (0 center dot 69-1 center dot 00), P=0 center dot 043]. Combined analysis, including integrated data from six GWAS studies, provides support for the genetic association. Genetic variants in C1q are correlated with C1q levels and may be a risk for the development of RA.