PMID- 20711174 OWN - NLM STAT- MEDLINE DCOM- 20100917 LR - 20221207 IS - 1546-1718 (Electronic) IS - 1061-4036 (Linking) VI - 42 IP - 9 DP - 2010 Sep TI - Genome-wide association study identifies new HLA class II haplotypes strongly protective against narcolepsy. PG - 786-9 LID - 10.1038/ng.647 [doi] AB - Narcolepsy is a rare sleep disorder with the strongest human leukocyte antigen (HLA) association ever reported. Since the associated HLA-DRB1*1501-DQB1*0602 haplotype is common in the general population (15-25%), it has been suggested that it is almost necessary but not sufficient for developing narcolepsy. To further define the genetic basis of narcolepsy risk, we performed a genome-wide association study (GWAS) in 562 European individuals with narcolepsy (cases) and 702 ethnically matched controls, with independent replication in 370 cases and 495 controls, all heterozygous for DRB1*1501-DQB1*0602. We found association with a protective variant near HLA-DQA2 (rs2858884; P < 3 x 10(-8)). Further analysis revealed that rs2858884 is strongly linked to DRB1*03-DQB1*02 (P < 4 x 10(-43)) and DRB1*1301-DQB1*0603 (P < 3 x 10(-7)). Cases almost never carried a trans DRB1*1301-DQB1*0603 haplotype (odds ratio = 0.02; P < 6 x 10(-14)). This unexpected protective HLA haplotype suggests a virtually causal involvement of the HLA region in narcolepsy susceptibility. FAU - Hor, Hyun AU - Hor H AD - Center for Integrative Genomics, University of Lausanne, Lausanne, Switzerland. FAU - Kutalik, Zoltan AU - Kutalik Z FAU - Dauvilliers, Yves AU - Dauvilliers Y FAU - Valsesia, Armand AU - Valsesia A FAU - Lammers, Gert J AU - Lammers GJ FAU - Donjacour, Claire E H M AU - Donjacour CE FAU - Iranzo, Alex AU - Iranzo A FAU - Santamaria, Joan AU - Santamaria J FAU - Peraita Adrados, Rosa AU - Peraita Adrados R FAU - Vicario, Jose L AU - Vicario JL FAU - Overeem, Sebastiaan AU - Overeem S FAU - Arnulf, Isabelle AU - Arnulf I FAU - Theodorou, Ioannis AU - Theodorou I FAU - Jennum, Poul AU - Jennum P FAU - Knudsen, Stine AU - Knudsen S FAU - Bassetti, Claudio AU - Bassetti C FAU - Mathis, Johannes AU - Mathis J FAU - Lecendreux, Michel AU - Lecendreux M FAU - Mayer, Geert AU - Mayer G FAU - Geisler, Peter AU - Geisler P FAU - Beneto, Antonio AU - Beneto A FAU - Petit, Brice AU - Petit B FAU - Pfister, Corinne AU - Pfister C FAU - Burki, Julie Vienne AU - Burki JV FAU - Didelot, Gerard AU - Didelot G FAU - Billiard, Michel AU - Billiard M FAU - Ercilla, Guadalupe AU - Ercilla G FAU - Verduijn, Willem AU - Verduijn W FAU - Claas, Frans H J AU - Claas FH FAU - Vollenweider, Peter AU - Vollenweider P FAU - Waeber, Gerard AU - Waeber G FAU - Waterworth, Dawn M AU - Waterworth DM FAU - Mooser, Vincent AU - Mooser V FAU - Heinzer, Raphael AU - Heinzer R FAU - Beckmann, Jacques S AU - Beckmann JS FAU - Bergmann, Sven AU - Bergmann S FAU - Tafti, Mehdi AU - Tafti M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100815 PL - United States TA - Nat Genet JT - Nature genetics JID - 9216904 RN - 0 (HLA-D Antigens) SB - IM EIN - Nat Genet. 2011 Apr;43(4):388. Vollenwider, Peter [corrected to Vollenweider, Peter] MH - Adult MH - Aged MH - Case-Control Studies MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - HLA-D Antigens/*genetics MH - Haplotypes MH - Humans MH - Male MH - Middle Aged MH - Narcolepsy/*genetics MH - White People/genetics EDAT- 2010/08/17 06:00 MHDA- 2010/09/21 06:00 CRDT- 2010/08/17 06:00 PHST- 2010/04/28 00:00 [received] PHST- 2010/07/21 00:00 [accepted] PHST- 2010/08/17 06:00 [entrez] PHST- 2010/08/17 06:00 [pubmed] PHST- 2010/09/21 06:00 [medline] AID - ng.647 [pii] AID - 10.1038/ng.647 [doi] PST - ppublish SO - Nat Genet. 2010 Sep;42(9):786-9. doi: 10.1038/ng.647. Epub 2010 Aug 15.