PMID- 11531784 OWN - NLM STAT- MEDLINE DCOM- 20010927 LR - 20190704 IS - 0007-0963 (Print) IS - 0007-0963 (Linking) VI - 145 IP - 2 DP - 2001 Aug TI - A candidate gene analysis of three related photosensitivity disorders: cutaneous lupus erythematosus, polymorphic light eruption and actinic prurigo. PG - 229-36 AB - BACKGROUND: Polymorphic light eruption (PLE) is a common inherited photosensitivity disorder, which may predispose to several related but distinct conditions, including subacute cutaneous lupus erythematosus (SCLE), discoid lupus erythematosus (DLE) and actinic prurigo (AP). OBJECTIVES: To examine specific candidate genes for shared susceptibility alleles between these related phenotypes. METHODS: Eighty-five caucasian patients with annular SCLE or DLE were recruited, in addition to 102 first-degree relatives. The prevalence of PLE in both the patient and relative groups was determined by detailed interview and clinical examination. Eighty-five patients with pure PLE and 59 patients with AP were also recruited. Candidate genes were analysed by typing of single nucleotide polymorphisms of IL10 (-1082 G/A and -819 C/T), FCGR2A (131 R/H), SELE (128 S/R), ICAM1 (241 G/R and 469 E/K), IL1A (+ 4845 G/T), IL1B (-511 C/T and + 3954 C/T), IL1RN (+ 2018 T/C) and TNF (-308 G/A) using polymerase chain reaction (PCR) with sequence-specific primers and 5'-nuclease PCR. RESULTS: A significant association was found between SCLE and the rare TNF -308 A allele when compared with patients with DLE (P = 0.043), PLE (P = 0.001), AP (P < 0.001) and healthy controls (P < 0.001). However, there was strong linkage disequilibrium between TNF -308 A and the HLA A*01, B*08, DRB1*0301 haplotype. A negative association was also found between SCLE and the IL1B + 3954 T allele (P = 0.039), but the significance was lost on correction for multiple testing. CONCLUSIONS: We have demonstrated the association of SCLE with the rare TNF -308 A allele, which may be pathogenic or, alternatively, a marker allele for the extended HLA A*01, B*08, DRB1*0301 haplotype that is associated with a number of autoimmune conditions. Although many of the other loci that we chose failed to demonstrate an association, a candidate gene approach remains the most logical one, and the most likely to yield positive results in the future. FAU - Millard, T P AU - Millard TP AD - Department of Photobiology, St. John's Institute of Dermatology, St Thomas' Hospital, London SE1 7EH, UK. thomas.millard@kcl.ac.uk FAU - Kondeatis, E AU - Kondeatis E FAU - Cox, A AU - Cox A FAU - Wilson, A G AU - Wilson AG FAU - Grabczynska, S A AU - Grabczynska SA FAU - Carey, B S AU - Carey BS FAU - Lewis, C M AU - Lewis CM FAU - Khamashta, M A AU - Khamashta MA FAU - Duff, G W AU - Duff GW FAU - Hughes, G R AU - Hughes GR FAU - Hawk, J L AU - Hawk JL FAU - Vaughan, R W AU - Vaughan RW FAU - McGregor, J M AU - McGregor JM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Dermatol JT - The British journal of dermatology JID - 0004041 RN - 0 (E-Selectin) RN - 0 (Interleukin-1) RN - 0 (Receptors, IgG) RN - 0 (Tumor Necrosis Factor-alpha) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Alleles MH - Case-Control Studies MH - E-Selectin/genetics MH - Haplotypes MH - Humans MH - Intercellular Adhesion Molecule-1/genetics MH - Interleukin-1/genetics MH - Interleukin-10/genetics MH - Linkage Disequilibrium MH - Lupus Erythematosus, Cutaneous/*genetics MH - Lupus Erythematosus, Discoid/genetics MH - Odds Ratio MH - Photosensitivity Disorders/*genetics MH - Polymerase Chain Reaction MH - Polymorphism, Genetic MH - Prurigo/*genetics MH - Receptors, IgG/genetics MH - Tumor Necrosis Factor-alpha/genetics EDAT- 2001/09/05 10:00 MHDA- 2001/09/28 10:01 CRDT- 2001/09/05 10:00 PHST- 2001/09/05 10:00 [pubmed] PHST- 2001/09/28 10:01 [medline] PHST- 2001/09/05 10:00 [entrez] AID - bjd4339 [pii] AID - 10.1046/j.1365-2133.2001.04339.x [doi] PST - ppublish SO - Br J Dermatol. 2001 Aug;145(2):229-36. doi: 10.1046/j.1365-2133.2001.04339.x.