Rheumatoid Arthritis in Latin Americans Enriched for Amerindian Ancestry is Associated With Loci in Chromosomes 1, 12, and 13, and the HLA Class II Region
ARTHRITIS AND RHEUMATISM
Authors: Lopez Herraez, David; Martinez-Bueno, Manuel; Riba, Laura; Garcia de la Torre, Ignacio; Sacnun, Monica; Goni, Mario; Berbotto, Guillermo A.; Paira, Sergio; Luis Musuruana, Jorge; Graf, Cesar E.; Alvarellos, Alejandro J.; Messina, Osvaldo D.; Babini, Alejandra M.; Strusberg, Ingrid; Marcos, Juan Carlos; Scherbarth, Hugo; Spindler, Alberto J.; Quinteros, Ana; Toloza, Sergio M. A.; Moreno, Jose Luis C.; Catoggio, Luis J.; Tate, Guillermo; Eimon, Alicia; Citera, Gustavo; Catalan Pellet, Antonio; Nasswetter, Gustavo G.; Cardiel, Mario H.; Miranda, Pedro; Ballesteros, Francisco; Esquivel-Valerio, Jorge A.; Maradiaga-Cecena, Marco A.; Acevedo-Vasquez, Eduardo M.; Garcia Garcia, Conrado; Tusie-Luna, Teresa; Pons-Estel, Bernardo A.; Alarcon-Riquelme, Marta E.
Abstract
Objective To identify susceptibility loci for rheumatoid arthritis (RA) in Latin American individuals with admixed European and Amerindian genetic ancestry. Methods Genotyping was performed in 1,475 patients with RA and 1,213 control subjects, using a customized BeadArray containing 196,524 markers covering loci previously associated with various autoimmune diseases. Principal components analysis (EigenSoft package) and Structure software were used to identify outliers and define the population substructure. REAP software was used to define cryptic relatedness and duplicates, and genetic association analyses were conducted using Plink statistical software. Results A strong genetic association between RA and the major histocompatibility complex region was observed, localized within BTNL2/DRA-DQB1- DQA2 (P = 7.6 x 10-10), with 3 independent effects. We identified an association in the PLCH2-HES5-TNFRSF14-MMEL1 region of chromosome 1 (P = 9.77 x 10-6), which was previously reported in Europeans, Asians, and Native Canadians. We identified one novel putative association in ENOX1 on chromosome 13 (P = 3.24 x 10-7). Previously reported associations were observed in the current study, including PTPN22, SPRED2, STAT4, IRF5, CCL21, and IL2RA, although the significance was relatively moderate. Adjustment for Amerindian ancestry improved the association of a novel locus in chromosome 12 at C12orf30 (NAA25) (P = 3.9 x 10-6). Associations with the HLA region, SPRED2, and PTPN22 improved in individuals positive for anti-cyclic citrullinated peptide antibodies. Conclusion Our data define, for the first time, the contribution of Amerindian ancestry to the genetic architecture of RA in an admixed Latin American population by confirming the role of the HLA region and supporting the association with a locus in chromosome 1. In addition, we provide data for novel putative loci in chromosomes 12 and 13.
Surrogates of immunologic cell death (ICD) and chemoradiotherapy outcomes in head and neck squamous cell carcinoma (HNSCC)
ORAL ONCOLOGY
Authors: Economopoulou, Panagiota; Koutsodontis, George; Strati, Areti; Kirodimos, Efthymios; Giotakis, Evangelos; Maragoudakis, Pavlos; Prikas, Constantine; Papadimitriou, Nikolaos; Perisanidis, Christos; Gagari, Eleni; Kotsantis, Ioannis; Vagia, Elena; Anastasiou, Maria; Gkotzamanidou, Maria; Kavourakis, George; Lianidou, Evi; Psyrri, Amanda
Abstract
Objectives: Chemoradiation can induce immunogenic (ICD) or tolerogenic cell death. ICD relies on the generation of damage-associated molecular patterns which can stimulate toll-like receptors (TLRs). We sought to determine whether we can predict responses to chemoradiation by measuring surrogate biomarkers of ICD in a cohort of patients with locally advanced (LA) head and neck squamous cell carcinoma (HNSCC). Materials and Methods: In a cohort of 113 LA HNSCC pts we evaluated expression of TLR4, TLR7 and TLR9 in the EpCAM + circulating tumor cell (CTC) fraction at baseline and after cisplatin chemoradiation. We also quantified changes in chemokines CXCL10, CXCL16 and IL-2R in the serum. Results: Seventy three patients had evaluable specimens. Among cases with biomarker assessment at baseline and post treatment, 36.8% had an increase in CXCL10 levels (p = 0.022), 73.7% had an increase in CXCL16 levels (p = 0.002) and 63.8% had an increase in IL2Ra levels (p = 0.032) with treatment. 52.0% of evaluable cases at baseline and post-treatment had an increase in TLR4 levels (p = 0.996), 42.9% had an increase in TLR7 levels (p = 0.042) and 27.7% had increase in TLR9 levels (p = 0.011) with treatment. CXCL10 levels at baseline were significantly associated with PFS and OS (p = 0.010 and p = 0.032, respectively). Conclusions: Our results suggest that chemoradiation leads to quantifiable effects in surrogate markers of ICD. These effects may inform trials combining chemoradiation with immune checkpoint inhibitors. In addition, CXCL10 has prognostic effect in pts treated with chemoradiation.