Genome-wide association studies in Sjogren's syndrome: What do the genes tell us about disease pathogenesis?
AUTOIMMUNITY REVIEWS
Authors: Burbelo, Peter D.; Arnbatipudi, Kiran; Alevizos, Ilias
Abstract
The pathogenesis of Sjogren's syndrome (SS) likely involves complex interactions between genes and the environment. While the candidate gene approach has been previously used to identify several genes associated with SS, two recent large-scale genome-wide association studies (GWAS) have implicated many more loci as genetic risk factors. Of particular relevance, was the significant association of SS with additional immune-related genes including IL12A, BLK, and CXCR5. GWAS has also uncovered other loci and suggestive gene associations in SS, but none are related to genes encoding salivary or lacrimal components, secretion machinery and neuronal proteins involved in innervations of the glands, respectively. In this review, we discuss these genetic findings with particular attention paid to the genes identified, the strength of associations, and how the SS-associated genes compare to what has been discovered previously in systemic lupus erythematosus (SLE). We also summarize the potential impact of these associated gene products on NF kappa B and immune pathways and describe how this new information might be integrated further for identifying clinical subsets and understanding the pathogenesis of SS. Published by Elsevier B.V.
Association of IRF5 polymorphism with MPO-ANCA-positive vasculitis in a Japanese population
GENES AND IMMUNITY
Authors: Kawasaki, A.; Inoue, N.; Ajimi, C.; Sada, K-e; Kobayashi, S.; Yamada, H.; Furukawa, H.; Sumida, T.; Tohma, S.; Miyasaka, N.; Matsuo, S.; Ozaki, S.; Hashimoto, H.; Makino, H.; Harigai, M.; Tsuchiya, N.
Abstract
Interferon regulatory factor 5 (IRF5) and signal transducer and activator of transcription 4 (STAT4) are shared susceptibility genes for various autoimmune diseases. In this study, we. investigated whether these genes also contribute to susceptibility to anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) in a Japanese population. A case-control study was Carried out on IRF5 rs10954213 and STAT4 rs7574865 in 232 Japanese myeloperoxidase (MPO)-ANCA-positive AAV patients, including 177 microscopic polyangiitis and 710 healthy controls. IRF5 rs10954213G was significantly increased in MPO-ANCA-positive AAV (additive model, P=0.023, odds ratio=1.27, 95% confidence interval=1.03-1.57). The risk allele was previously shown to be associated with lower mRNA level. of IRF5. On the other hand, significant association of STAT4 rs7574865T with AAV was not detected. These observations. suggested that IRF5 may contribute to susceptibility to MPO-ANCA-positive AAV in a Japanese population.