PMID- 17661910 OWN - NLM STAT- MEDLINE DCOM- 20071012 LR - 20161124 IS - 0001-2815 (Print) IS - 0001-2815 (Linking) VI - 70 IP - 3 DP - 2007 Sep TI - Analysis of BTNL2 genetic polymorphisms in British and Dutch patients with sarcoidosis. PG - 219-27 AB - Sarcoidosis is a heterogeneous disorder, both phenotypically and genetically. Two independent studies have recently shown that a functional polymorphism within butyrophilin-like 2 (BTNL2) gene predisposes to sarcoidosis independently of the human leukocyte antigen (HLA)-DRB1 alleles. However, in both studies, data analysis was not stratified by Lofgren's syndrome, a clinically and genetically distinct sarcoidosis subset. BTNL2, potentially encoding an immune coreceptor, is adjacent and in linkage disequilibrium (LD) with HLA-DRB1. We investigated six BTNL2 variants, including the functional rs2076530 (G > A), as well as HLA-DRB1 alleles, by sequence-specific primers-polymerase chain reaction, in 288 patients and 446 controls from two European countries. In the patient group as a whole, the HLA-DRB1*14 [odds ratio (OR) = 3.1, P(c) = 0.0003], DRB1*12 (OR = 2.5, P(c) = 0.003), and BTNL2 rs2076530 A allele (OR = 1.49, P(c) = 0.002) were all associated with disease susceptibility. However, after exclusion of patients presenting with Lofgren's syndrome and after adjusting for HLA-DRB1 alleles, the association between BTNL2 rs2076530 A and disease disappeared (P = 0.23). By contrast, both HLA-DRB1*14 and DRB1*12 remained strongly significant (OR = 3.60, P < 0.0001 and OR = 3.03, P = 0.003, respectively). BTNL2 haplotype 4, tagged by the rs2076530 G allele, also remained associated with non-Lofgren sarcoidosis after adjusting for HLA-DRB1 alleles (OR 0.37, P = 0.016). In summary, HLA-DRB1*14, DRB1*12, and BTNL2 haplotype 4--but not rs2076530 A--are associated with non-Lofgren sarcoidosis. However, the tight LD across the HLA complex makes it difficult to identify the precise location of the susceptibility locus/i. Larger sample sets from different ethnic groups, finer mapping, and more robust LD analyses across the HLA region are needed. FAU - Spagnolo, P AU - Spagnolo P AD - Clinical Genomic Group, National Heart and Lung Institute, Department of Occupational and Environmental Medicine, Imperial College, 1B Manresa Road, London, UK. P.Spagnolo@imperial.ac.uk FAU - Sato, H AU - Sato H FAU - Grutters, J C AU - Grutters JC FAU - Renzoni, E A AU - Renzoni EA FAU - Marshall, S E AU - Marshall SE FAU - Ruven, H J T AU - Ruven HJ FAU - Wells, A U AU - Wells AU FAU - Tzouvelekis, A AU - Tzouvelekis A FAU - van Moorsel, C H M AU - van Moorsel CH FAU - van den Bosch, J M M AU - van den Bosch JM FAU - du Bois, R M AU - du Bois RM FAU - Welsh, K I AU - Welsh KI LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (BTNL2 protein, human) RN - 0 (Butyrophilins) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (Membrane Glycoproteins) SB - IM MH - Butyrophilins MH - *Genetic Predisposition to Disease MH - HLA-DR Antigens/genetics MH - HLA-DRB1 Chains MH - Humans MH - Membrane Glycoproteins/*genetics MH - Netherlands MH - *Polymorphism, Single Nucleotide MH - Sarcoidosis/*genetics MH - United Kingdom EDAT- 2007/07/31 09:00 MHDA- 2007/10/13 09:00 CRDT- 2007/07/31 09:00 PHST- 2007/07/31 09:00 [pubmed] PHST- 2007/10/13 09:00 [medline] PHST- 2007/07/31 09:00 [entrez] AID - TAN879 [pii] AID - 10.1111/j.1399-0039.2007.00879.x [doi] PST - ppublish SO - Tissue Antigens. 2007 Sep;70(3):219-27. doi: 10.1111/j.1399-0039.2007.00879.x.