PMID- 26291516 OWN - NLM STAT- MEDLINE DCOM- 20160802 LR - 20240215 IS - 1476-5470 (Electronic) IS - 1466-4879 (Print) IS - 1466-4879 (Linking) VI - 16 IP - 7 DP - 2015 Oct TI - Genome-wide association study identifies HLA 8.1 ancestral haplotype alleles as major genetic risk factors for myositis phenotypes. PG - 470-80 LID - 10.1038/gene.2015.28 [doi] AB - Autoimmune muscle diseases (myositis) comprise a group of complex phenotypes influenced by genetic and environmental factors. To identify genetic risk factors in patients of European ancestry, we conducted a genome-wide association study (GWAS) of the major myositis phenotypes in a total of 1710 cases, which included 705 adult dermatomyositis, 473 juvenile dermatomyositis, 532 polymyositis and 202 adult dermatomyositis, juvenile dermatomyositis or polymyositis patients with anti-histidyl-tRNA synthetase (anti-Jo-1) autoantibodies, and compared them with 4724 controls. Single-nucleotide polymorphisms showing strong associations (P<5x10(-8)) in GWAS were identified in the major histocompatibility complex (MHC) region for all myositis phenotypes together, as well as for the four clinical and autoantibody phenotypes studied separately. Imputation and regression analyses found that alleles comprising the human leukocyte antigen (HLA) 8.1 ancestral haplotype (AH8.1) defined essentially all the genetic risk in the phenotypes studied. Although the HLA DRB1*03:01 allele showed slightly stronger associations with adult and juvenile dermatomyositis, and HLA B*08:01 with polymyositis and anti-Jo-1 autoantibody-positive myositis, multiple alleles of AH8.1 were required for the full risk effects. Our findings establish that alleles of the AH8.1 comprise the primary genetic risk factors associated with the major myositis phenotypes in geographically diverse Caucasian populations. FAU - Miller, F W AU - Miller FW AD - National Institute of Environmental Health Sciences, National Institutes of Health, Bethesda, MD, USA. FAU - Chen, W AU - Chen W AD - M.D. Anderson Cancer Center, Houston, TX, USA. FAU - O'Hanlon, T P AU - O'Hanlon TP AD - National Institute of Environmental Health Sciences, National Institutes of Health, Bethesda, MD, USA. FAU - Cooper, R G AU - Cooper RG AD - MRC/ARUK Institute for Ageing and Chronic Disease, University of Liverpool, UK. FAU - Vencovsky, J AU - Vencovsky J AD - Institute of Rheumatology, Charles University, Prague, Czech Republic. FAU - Rider, L G AU - Rider LG AD - National Institute of Environmental Health Sciences, National Institutes of Health, Bethesda, MD, USA. FAU - Danko, K AU - Danko K AD - 3rd Department of Internal Medicine, Division of Immunology University of Debrecen, Debrecen, Hungary. FAU - Wedderburn, L R AU - Wedderburn LR AD - Institute of Child Health, University College London, London, UK. FAU - Lundberg, I E AU - Lundberg IE AD - Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden. FAU - Pachman, L M AU - Pachman LM AD - Department of Pediatric Rheumatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. FAU - Reed, A M AU - Reed AM AD - Mayo Clinic, Rochester, MN, USA. FAU - Ytterberg, S R AU - Ytterberg SR AD - Mayo Clinic, Rochester, MN, USA. FAU - Padyukov, L AU - Padyukov L AD - Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Solna, Karolinska Institutet, Stockholm, Sweden. FAU - Selva-O'Callaghan, A AU - Selva-O'Callaghan A AD - Vall d'Hebron General Hospital, Barcelona, Spain. FAU - Radstake, T R AU - Radstake TR AD - Department of Rheumatology and Clinical Immunology, Laboratory for Translational Immunology, Utrecht University Medical Center; and Nijmegen Center for Molecular Life Sciences, Nijmegen, The Netherlands. FAU - Isenberg, D A AU - Isenberg DA AD - Division of Medicine, University College London, London, UK. FAU - Chinoy, H AU - Chinoy H AD - The National Institute for Health Research Manchester Musculoskeletal Biomedical Research Unit, Centre for Musculoskeletal Research, University of Manchester, Manchester, UK. FAU - Ollier, W E R AU - Ollier WE AD - Centre for Integrated Genomic Medical Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK. FAU - Scheet, P AU - Scheet P AD - M.D. Anderson Cancer Center, Houston, TX, USA. FAU - Peng, B AU - Peng B AD - M.D. Anderson Cancer Center, Houston, TX, USA. FAU - Lee, A AU - Lee A AD - Robert S. Boas Center for Genomics and Human Genetics, Feinstein Institute for Medical Research, Manhasset, NY, USA. FAU - Byun, J AU - Byun J AD - Department of Community and Family Medicine, Dartmouth College, Hanover, NH, USA. FAU - Lamb, J A AU - Lamb JA AD - Centre for Integrated Genomic Medical Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK. FAU - Gregersen, P K AU - Gregersen PK AD - Robert S. Boas Center for Genomics and Human Genetics, Feinstein Institute for Medical Research, Manhasset, NY, USA. FAU - Amos, C I AU - Amos CI AD - Department of Community and Family Medicine, Dartmouth College, Hanover, NH, USA. CN - Myositis Genetics Consortium LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States GR - Z01 ES101074-06/ImNIH/Intramural NIH HHS/United States GR - 18474/VAC_/Versus Arthritis/United Kingdom GR - P30 CA023108/CA/NCI NIH HHS/United States GR - 18474/ARC_/Arthritis Research UK/United Kingdom GR - MR/K006312/1/MRC_/Medical Research Council/United Kingdom GR - Z01 ES101074-07/ImNIH/Intramural NIH HHS/United States GR - Z01 ES101074-05/ImNIH/Intramural NIH HHS/United States GR - Z01ES101074/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20150820 PL - England TA - Genes Immun JT - Genes and immunity JID - 100953417 RN - 0 (Autoantibodies) RN - 0 (HLA Antigens) SB - IM MH - Adolescent MH - Adult MH - *Alleles MH - Autoantibodies/immunology MH - Case-Control Studies MH - Dermatomyositis/genetics MH - Female MH - Genetic Association Studies MH - Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - HLA Antigens/*genetics MH - Haplotypes MH - Humans MH - Male MH - Middle Aged MH - Myositis/*genetics MH - Polymorphism, Single Nucleotide MH - Polymyositis/genetics MH - Risk Factors MH - White People PMC - PMC4840953 MID - NIHMS749762 COIS- CONFLICT OF INTEREST: The authors have declared that no competing interests exist. FIR - Denton, Christopher IR - Denton C FIR - Hilton-Jones, David IR - Hilton-Jones D FIR - Kiely, Patrick IR - Kiely P FIR - Plotz, Paul H IR - Plotz PH FIR - Gourley, Mark IR - Gourley M FIR - Varsani, Hemlata IR - Varsani H EDAT- 2015/08/21 06:00 MHDA- 2016/08/03 06:00 PMCR- 2016/04/22 CRDT- 2015/08/21 06:00 PHST- 2015/02/28 00:00 [received] PHST- 2015/06/15 00:00 [revised] PHST- 2015/06/18 00:00 [accepted] PHST- 2015/08/21 06:00 [entrez] PHST- 2015/08/21 06:00 [pubmed] PHST- 2016/08/03 06:00 [medline] PHST- 2016/04/22 00:00 [pmc-release] AID - gene201528 [pii] AID - 10.1038/gene.2015.28 [doi] PST - ppublish SO - Genes Immun. 2015 Oct;16(7):470-80. doi: 10.1038/gene.2015.28. Epub 2015 Aug 20.