PMID- 19680446 OWN - NLM STAT- MEDLINE DCOM- 20091027 LR - 20221207 IS - 1553-7404 (Electronic) IS - 1553-7390 (Print) IS - 1553-7390 (Linking) VI - 5 IP - 8 DP - 2009 Aug TI - Multiple Loci within the major histocompatibility complex confer risk of psoriasis. PG - e1000606 LID - 10.1371/journal.pgen.1000606 [doi] LID - e1000606 AB - Psoriasis is a common inflammatory skin disease characterized by thickened scaly red plaques. Previously we have performed a genome-wide association study (GWAS) on psoriasis with 1,359 cases and 1,400 controls, which were genotyped for 447,249 SNPs. The most significant finding was for SNP rs12191877, which is in tight linkage disequilibrium with HLA-Cw*0602, the consensus risk allele for psoriasis. However, it is not known whether there are other psoriasis loci within the MHC in addition to HLA-C. In the present study, we searched for additional susceptibility loci within the human leukocyte antigen (HLA) region through in-depth analyses of the GWAS data; then, we followed up our findings in an independent Han Chinese 1,139 psoriasis cases and 1,132 controls. Using the phased CEPH dataset as a reference, we imputed the HLA-Cw*0602 in all samples with high accuracy. The association of the imputed HLA-Cw*0602 dosage with disease was much stronger than that of the most significantly associated SNP, rs12191877. Adjusting for HLA-Cw*0602, there were two remaining association signals: one demonstrated by rs2073048 (p = 2 x 10(-6), OR = 0.66), located within c6orf10, a potential downstream effecter of TNF-alpha, and one indicated by rs13437088 (p = 9 x 10(-6), OR = 1.3), located 30 kb centromeric of HLA-B and 16 kb telomeric of MICA. When HLA-Cw*0602, rs2073048, and rs13437088 were all included in a logistic regression model, each of them was significantly associated with disease (p = 3 x 10(-47), 6 x 10(-8), and 3 x 10(-7), respectively). Both putative loci were also significantly associated in the Han Chinese samples after controlling for the imputed HLA-Cw*0602. A detailed analysis of HLA-B in both populations demonstrated that HLA-B*57 was associated with an increased risk of psoriasis and HLA-B*40 a decreased risk, independently of HLA-Cw*0602 and the C6orf10 locus, suggesting the potential pathogenic involvement of HLA-B. These results demonstrate that there are at least two additional loci within the MHC conferring risk of psoriasis. FAU - Feng, Bing-Jian AU - Feng BJ AD - Department of Dermatology, University of Utah School of Medicine, Salt Lake City, UT, USA. FAU - Sun, Liang-Dan AU - Sun LD FAU - Soltani-Arabshahi, Razieh AU - Soltani-Arabshahi R FAU - Bowcock, Anne M AU - Bowcock AM FAU - Nair, Rajan P AU - Nair RP FAU - Stuart, Philip AU - Stuart P FAU - Elder, James T AU - Elder JT FAU - Schrodi, Steven J AU - Schrodi SJ FAU - Begovich, Ann B AU - Begovich AB FAU - Abecasis, Goncalo R AU - Abecasis GR FAU - Zhang, Xue-Jun AU - Zhang XJ FAU - Callis-Duffin, Kristina P AU - Callis-Duffin KP FAU - Krueger, Gerald G AU - Krueger GG FAU - Goldgar, David E AU - Goldgar DE LA - eng GR - M01 RR000042/RR/NCRR NIH HHS/United States GR - R01 AR042742/AR/NIAMS NIH HHS/United States GR - R01 AR050511/AR/NIAMS NIH HHS/United States GR - M01 RR00042/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20090814 PL - United States TA - PLoS Genet JT - PLoS genetics JID - 101239074 RN - 0 (HLA-B Antigens) RN - 0 (HLA-B40 Antigen) RN - 0 (HLA-B57 antigen) RN - 0 (HLA-C Antigens) RN - 0 (HLA-C*06:02 antigen) SB - IM MH - Adult MH - Asian People/ethnology/genetics MH - Case-Control Studies MH - Female MH - Genome-Wide Association Study MH - HLA-B Antigens/*genetics MH - HLA-B40 Antigen MH - HLA-C Antigens/*genetics MH - Humans MH - Male MH - Psoriasis/ethnology/*genetics MH - Young Adult PMC - PMC2718700 COIS- ABB and SJS own stock and/or stock options in Celera Corporation. EDAT- 2009/08/15 09:00 MHDA- 2009/10/29 06:00 PMCR- 2009/08/01 CRDT- 2009/08/15 09:00 PHST- 2009/05/11 00:00 [received] PHST- 2009/07/16 00:00 [accepted] PHST- 2009/08/15 09:00 [entrez] PHST- 2009/08/15 09:00 [pubmed] PHST- 2009/10/29 06:00 [medline] PHST- 2009/08/01 00:00 [pmc-release] AID - 09-PLGE-RA-0779R2 [pii] AID - 10.1371/journal.pgen.1000606 [doi] PST - ppublish SO - PLoS Genet. 2009 Aug;5(8):e1000606. doi: 10.1371/journal.pgen.1000606. Epub 2009 Aug 14.