PMID- 16321988 OWN - NLM STAT- MEDLINE DCOM- 20060901 LR - 20221207 IS - 0964-6906 (Print) IS - 0964-6906 (Linking) VI - 15 IP - 1 DP - 2006 Jan 1 TI - Association of the truncating splice site mutation in BTNL2 with multiple sclerosis is secondary to HLA-DRB1*15. PG - 155-61 AB - The major histocompatibility complex human leukocyte antigen (HLA)-DRB1*15 (DR2) haplotype is strongly associated with risk of multiple sclerosis (MS). The primary susceptibility has been localized to only approximately 200 kb encompassing the HLA-DR and -DQ loci. Further dissection of disease association with this region is demanding because of the high levels of linkage disequilibrium (LD). Recently, evidence was obtained for the involvement of a gene, potentially encoding an immune co-receptor, in another DR2-associated inflammatory condition, sarcoidosis. The implicated gene, BTNL2, is adjacent to DR and is in strong LD with HLA-DRB1. This fact, combined with a sequence relationship between BTNL2 and myelin oligodendrocyte glycoprotein, an autoantigen associated with MS, makes the gene an attractive candidate. To determine whether BTNL2 contributes to MS, we genotyped 1136 well-characterized MS families from the UK and the USA, as well as an African-American case-control data set, making this among the largest genetic studies in MS. Family-based and case-control association studies were performed for the BTNL2 and HLA-DRB1 loci. In all family data sets, the protein-truncating allele of BTNL2, implicated in sarcoidosis, was significantly over-transmitted to cases (combined data sets: global P=2.4x10(-11)). Given that the protein-truncating allele of BTNL2 virtually always occurred with DRB1*15, an effect could only be tested in DRB1*15-negative individuals or pedigrees. However, despite adequate power to detect an independent association, no difference in transmission of BTNL2 alleles or genotypes was observed in DRB1*15-negative individuals with MS. Conditional logistic regression modeling also strongly supported the conclusion that BTNL2 does not confer additional disease risk. The association of BTNL2 with MS observed in the African-American data set was also secondary to the primary DRB1*15 association. FAU - Traherne, James A AU - Traherne JA AD - Cambridge Institute for Medical Research, Wellcome Trust/MRC Building, Cambridge, UK. jt233@cam.ac.uk FAU - Barcellos, Lisa F AU - Barcellos LF FAU - Sawcer, Stephen J AU - Sawcer SJ FAU - Compston, Alastair AU - Compston A FAU - Ramsay, Patricia P AU - Ramsay PP FAU - Hauser, Stephen L AU - Hauser SL FAU - Oksenberg, Jorge R AU - Oksenberg JR FAU - Trowsdale, John AU - Trowsdale J LA - eng GR - 588/MSS_/Multiple Sclerosis Society/United Kingdom GR - G9800943/MRC_/Medical Research Council/United Kingdom GR - NS 46297/NS/NINDS NIH HHS/United States GR - WT_/Wellcome Trust/United Kingdom PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20051201 PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - 0 (BTNL2 protein, human) RN - 0 (Butyrophilins) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA-DRB1*15 antigen) RN - 0 (Membrane Glycoproteins) RN - 0 (RNA Splice Sites) SB - IM MH - Black or African American/genetics MH - Butyrophilins MH - Gene Components MH - Genotype MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - Humans MH - Logistic Models MH - Membrane Glycoproteins/*genetics MH - Multiple Sclerosis/*genetics MH - Mutation/genetics MH - RNA Splice Sites/genetics MH - United Kingdom MH - United States EDAT- 2005/12/03 09:00 MHDA- 2006/09/02 09:00 CRDT- 2005/12/03 09:00 PHST- 2005/12/03 09:00 [pubmed] PHST- 2006/09/02 09:00 [medline] PHST- 2005/12/03 09:00 [entrez] AID - ddi436 [pii] AID - 10.1093/hmg/ddi436 [doi] PST - ppublish SO - Hum Mol Genet. 2006 Jan 1;15(1):155-61. doi: 10.1093/hmg/ddi436. Epub 2005 Dec 1.