PMID- 24430172 OWN - NLM STAT- MEDLINE DCOM- 20141205 LR - 20211021 IS - 1476-5470 (Electronic) IS - 1466-4879 (Linking) VI - 15 IP - 3 DP - 2014 Apr-May TI - Variability in the CIITA gene interacts with HLA in multiple sclerosis. PG - 162-7 LID - 10.1038/gene.2013.71 [doi] AB - The human leukocyte antigen (HLA) is the main genetic determinant of multiple sclerosis (MS) risk. Within the HLA, the class II HLA-DRB1*15:01 allele exerts a disease-promoting effect, whereas the class I HLA-A*02 allele is protective. The CIITA gene is crucial for expression of class II HLA molecules and has previously been found to associate with several autoimmune diseases, including MS and type 1 diabetes. We here performed association analyses with CIITA in 2000 MS cases and up to 6900 controls as well as interaction analysis with HLA. We find that the previously investigated single-nucleotide polymorphism rs4774 is associated with MS risk in cases carrying the HLA-DRB1*15 allele (P=0.01, odds ratio (OR): 1.21, 95% confidence interval (CI): 1.04-1.40) or the HLA-A*02 allele (P=0.01, OR: 1.33, 95% CI: 1.07-1.64) and that these associations are independent of the adjacent confirmed MS susceptibility gene CLEC16A. We also confirm interaction between rs4774 and HLA-DRB1*15:01 such that individuals carrying the risk allele for rs4774 and HLA-DRB1*15:01 have a higher than expected risk for MS. In conclusion, our findings support previous data that variability in the CIITA gene affects MS risk, but also that the effect is modulated by MS-associated HLA haplotypes. These findings further underscore the biological importance of HLA for MS risk. FAU - Gyllenberg, A AU - Gyllenberg A AD - Department of Clinical Neuroscience, Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden. FAU - Piehl, F AU - Piehl F AD - Department of Clinical Neuroscience, Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden. FAU - Alfredsson, L AU - Alfredsson L AD - Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Hillert, J AU - Hillert J AD - Department of Clinical Neuroscience, Multiple Sclerosis Research Group, Karolinska Institutet, Stockholm, Sweden. FAU - Bomfim, I L AU - Bomfim IL AD - Department of Clinical Neuroscience, Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden. FAU - Padyukov, L AU - Padyukov L AD - Department of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden. FAU - Orho-Melander, M AU - Orho-Melander M AD - Department of Clinical Sciences, Diabetes and Cardiovascular Disease, Genetic Epidemiology, Lund University Hospital, Lund, Sweden. FAU - Lindholm, E AU - Lindholm E AD - Department of Clinical Sciences, Diabetes and Cardiovascular Disease, Genetic Epidemiology, Lund University Hospital, Lund, Sweden. FAU - Landin-Olsson, M AU - Landin-Olsson M AD - Department of Endocrinology, Skane University Hospital Lund, Lund University, Lund, Sweden. FAU - Lernmark, A AU - Lernmark A AD - Department of Medicine, Lund University Hospital, Lund, Sweden. CN - Swedish Childhood Diabetes Study Group CN - Diabetes Incidence in Sweden Study Group FAU - Olsson, T AU - Olsson T AD - Department of Clinical Neuroscience, Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden. FAU - Kockum, I AU - Kockum I AD - Department of Clinical Neuroscience, Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden. LA - eng PT - Journal Article DEP - 20140116 PL - England TA - Genes Immun JT - Genes and immunity JID - 100953417 RN - 0 (HLA Antigens) RN - 0 (MHC class II transactivator protein) RN - 0 (Nuclear Proteins) RN - 0 (Trans-Activators) SB - IM MH - Alleles MH - Case-Control Studies MH - *Epistasis, Genetic MH - Gene Frequency MH - *Genetic Variation MH - Genotype MH - HLA Antigens/*genetics/immunology MH - Humans MH - Linkage Disequilibrium MH - Multiple Sclerosis/epidemiology/*genetics/immunology MH - Nuclear Proteins/*genetics MH - Odds Ratio MH - Polymorphism, Single Nucleotide MH - Trans-Activators/*genetics FIR - Aili, M IR - Aili M FIR - Baath, L E IR - Baath LE FIR - Carlsson, E IR - Carlsson E FIR - Edenwall, H IR - Edenwall H FIR - Forsander, G IR - Forsander G FIR - Granstrom, B W IR - Granstrom BW FIR - Gustavsson, I IR - Gustavsson I FIR - Hanas, R IR - Hanas R FIR - Hellenberg, L IR - Hellenberg L FIR - Hellgren, H IR - Hellgren H FIR - Holmberg, E IR - Holmberg E FIR - Hornell, H IR - Hornell H FIR - Ivarsson, Sten-A IR - Ivarsson SA FIR - Johansson, C IR - Johansson C FIR - Jonsell, G IR - Jonsell G FIR - Kockum, K IR - Kockum K FIR - Lindblad, B IR - Lindblad B FIR - Lindh, A IR - Lindh A FIR - Ludvigsson, J IR - Ludvigsson J FIR - Myrdal, U IR - Myrdal U FIR - Neiderud, J IR - Neiderud J FIR - Segnestam, K IR - Segnestam K FIR - Sjo, S IR - Sjo S FIR - Skogsberg, L IR - Skogsberg L FIR - Stromberg, L IR - Stromberg L FIR - Stahle, U IR - Stahle U FIR - Thalme, B IR - Thalme B FIR - Tullus, K IR - Tullus K FIR - Tuvemo, T IR - Tuvemo T FIR - Wallensteen, M IR - Wallensteen M FIR - Westphal, O IR - Westphal O FIR - Aman, J IR - Aman J FIR - Arnqvist, H IR - Arnqvist H FIR - Bjorck, E IR - Bjorck E FIR - Eriksson, J IR - Eriksson J FIR - Nystrom, L IR - Nystrom L FIR - Ohlson, L O IR - Ohlson LO FIR - Schersten, B IR - Schersten B FIR - Ostman, J IR - Ostman J EDAT- 2014/01/17 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/01/17 06:00 PHST- 2013/08/20 00:00 [received] PHST- 2013/11/12 00:00 [revised] PHST- 2013/12/03 00:00 [accepted] PHST- 2014/01/17 06:00 [entrez] PHST- 2014/01/17 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - gene201371 [pii] AID - 10.1038/gene.2013.71 [doi] PST - ppublish SO - Genes Immun. 2014 Apr-May;15(3):162-7. doi: 10.1038/gene.2013.71. Epub 2014 Jan 16.