PMID- 19758313 OWN - NLM STAT- MEDLINE DCOM- 20100520 LR - 20121115 IS - 1600-0625 (Electronic) IS - 0906-6705 (Linking) VI - 19 IP - 2 DP - 2010 Feb TI - Tyrosine kinase 2 and interferon regulatory factor 5 polymorphisms are associated with discoid and subacute cutaneous lupus erythematosus. PG - 123-31 LID - 10.1111/j.1600-0625.2009.00982.x [doi] AB - Lupus erythematosus (LE) is a heterogeneous disease ranging from skin-restricted manifestations to a progressive multisystem disease. The specific skin lesions include chronic cutaneous, subacute cutaneous and acute cutaneous LE. Both genetic and environmental factors are involved in the development of LE. However, reports on the genetic background of cutaneous lupus erythematosus (CLE) forms, namely discoid (DLE) and subacute cutaneous lupus erythematosus (SCLE), are sparse. We investigated whether the known systemic LE (SLE) susceptibility genes also predispose to CLE. Altogether, 219 Finnish patients with DLE or SCLE and 356 healthy controls were recruited. Single nucleotide polymorphisms tagging reported risk genes were genotyped. Tyrosine kinase 2 (TYK2) rs2304256 was associated with increased risk of DLE (P = 0.012, OR = 1.47, 95% CI = 1.01-1.98). Expression of TYK2 was demonstrated by immunohistochemistry in macrophage-like cells and neutrophils and interferon regulatory factor 5 (IRF5) in macrophage- and fibroblast-like cells of DLE, SCLE and SLE skin. IRF5 rs10954213 showed association with DLE (P = 0.017, OR = 1.40, 95% CI = 1.06-1.86) and SCLE (P = 0.022, OR = 1.87, 95% CI = 1.09-3.21). A haplotype of cytotoxic T-lymphocyte-associated protein 4 (CTLA4) showed association with DLE (P = 0.0065, OR = 2.51, 95% CI = 1.25-5.04). Our results show that the TYK2, IRF5 and CTLA4 genes previously associated with SLE also confer risk for DLE and SCLE, suggesting that different LE subphenotypes may share pathogenetic pathways. FAU - Jarvinen, Tiina M AU - Jarvinen TM AD - Department of Dermatology, Institute of Clinical Medicine, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland. FAU - Hellquist, Anna AU - Hellquist A FAU - Koskenmies, Sari AU - Koskenmies S FAU - Einarsdottir, Elisabet AU - Einarsdottir E FAU - Koskinen, Lotta L E AU - Koskinen LL FAU - Jeskanen, Leila AU - Jeskanen L FAU - Berglind, Linda AU - Berglind L FAU - Panelius, Jaana AU - Panelius J FAU - Hasan, Taina AU - Hasan T FAU - Ranki, Annamari AU - Ranki A FAU - Kere, Juha AU - Kere J FAU - Saarialho-Kere, Ulpu AU - Saarialho-Kere U LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090916 PL - Denmark TA - Exp Dermatol JT - Experimental dermatology JID - 9301549 RN - 0 (Antigens, CD) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (IRF5 protein, human) RN - 0 (Interferon Regulatory Factors) RN - EC 2.7.10.2 (TYK2 Kinase) RN - EC 2.7.10.2 (TYK2 protein, human) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, CD/*genetics MH - CTLA-4 Antigen MH - Case-Control Studies MH - Female MH - Finland MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Interferon Regulatory Factors/*genetics MH - Lupus Erythematosus, Discoid/*genetics MH - Male MH - Middle Aged MH - Polymorphism, Single Nucleotide MH - TYK2 Kinase/*genetics MH - Up-Regulation MH - Young Adult EDAT- 2009/09/18 06:00 MHDA- 2010/05/21 06:00 CRDT- 2009/09/18 06:00 PHST- 2009/09/18 06:00 [entrez] PHST- 2009/09/18 06:00 [pubmed] PHST- 2010/05/21 06:00 [medline] AID - EXD982 [pii] AID - 10.1111/j.1600-0625.2009.00982.x [doi] PST - ppublish SO - Exp Dermatol. 2010 Feb;19(2):123-31. doi: 10.1111/j.1600-0625.2009.00982.x. Epub 2009 Sep 16.