PMID- 27486778 OWN - NLM STAT- MEDLINE DCOM- 20170509 LR - 20221207 IS - 1537-6605 (Electronic) IS - 0002-9297 (Print) IS - 0002-9297 (Linking) VI - 99 IP - 2 DP - 2016 Aug 4 TI - Contribution of a Non-classical HLA Gene, HLA-DOA, to the Risk of Rheumatoid Arthritis. PG - 366-74 LID - S0002-9297(16)30223-3 [pii] LID - 10.1016/j.ajhg.2016.06.019 [doi] AB - Despite the progress in human leukocyte antigen (HLA) causal variant mapping, independent localization of major histocompatibility complex (MHC) risk from classical HLA genes is challenging. Here, we conducted a large-scale MHC fine-mapping analysis of rheumatoid arthritis (RA) in a Japanese population (6,244 RA cases and 23,731 controls) population by using HLA imputation, followed by a multi-ethnic validation study including east Asian and European populations (n = 7,097 and 23,149, respectively). Our study identified an independent risk of a synonymous mutation at HLA-DOA, a non-classical HLA gene, on anti-citrullinated protein autoantibody (ACPA)-positive RA risk (p = 1.4 x 10(-9)), which demonstrated a cis-expression quantitative trait loci (cis-eQTL) effect on HLA-DOA expression. Trans-ethnic comparison revealed different linkage disequilibrium (LD) patterns in HLA-DOA and HLA-DRB1, explaining the observed HLA-DOA variant risk heterogeneity among ethnicities, which was most evident in the Japanese population. Although previous HLA fine-mapping studies have identified amino acid polymorphisms of the classical HLA genes as driving genetic susceptibility to disease, our study additionally identifies the dosage contribution of a non-classical HLA gene to disease etiology. Our study contributes to the understanding of HLA immunology in human diseases and suggests the value of incorporating additional ancestry in MHC fine-mapping. CI - Copyright (c) 2016. Published by Elsevier Inc. FAU - Okada, Yukinori AU - Okada Y AD - Department of Human Genetics and Disease Diversity, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 113-0034 Tokyo, Japan; Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan; Department of Statistical Genetics, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan. Electronic address: yokada@sg.med.osaka-u.ac.jp. FAU - Suzuki, Akari AU - Suzuki A AD - Laboratory for Autoimmune Diseases, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan. FAU - Ikari, Katsunori AU - Ikari K AD - Institute of Rheumatology, Tokyo Women's Medical University, Tokyo 162-0054, Japan; Core Research for Evolutional Science and Technology (CREST), Japan Science and Technology Agency (JST), Tokyo 162-0054, Japan. FAU - Terao, Chikashi AU - Terao C AD - Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; Program in Medical and Population Genetics, Broad Institute, Cambridge, MA 02142, USA; Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan; Center for the Promotion of Interdisciplinary Education and Research, Kyoto University, Kyoto 606-8501, Japan. FAU - Kochi, Yuta AU - Kochi Y AD - Laboratory for Autoimmune Diseases, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan; Core Research for Evolutional Science and Technology (CREST), Japan Science and Technology Agency (JST), Tokyo 162-0054, Japan. FAU - Ohmura, Koichiro AU - Ohmura K AD - Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan. FAU - Higasa, Koichiro AU - Higasa K AD - Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan. FAU - Akiyama, Masato AU - Akiyama M AD - Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan. FAU - Ashikawa, Kyota AU - Ashikawa K AD - Laboratory for Genotyping Development, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan. FAU - Kanai, Masahiro AU - Kanai M AD - Department of Human Genetics and Disease Diversity, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 113-0034 Tokyo, Japan; Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan. FAU - Hirata, Jun AU - Hirata J AD - Department of Human Genetics and Disease Diversity, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 113-0034 Tokyo, Japan; Pharmaceutical Discovery Research Laboratories, Teijin Pharma, Hino 191-8512, Japan. FAU - Suita, Naomasa AU - Suita N AD - Department of Human Genetics and Disease Diversity, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 113-0034 Tokyo, Japan; Advanced Medicinal Research Laboratories, Tsukuba Research Institute, Ono Pharmaceutical, Tsukuba 300-4247, Japan. FAU - Teo, Yik-Ying AU - Teo YY AD - Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549. FAU - Xu, Huji AU - Xu H AD - Department of Rheumatology and Immunology, Shanghai Changzheng Hospital and The Second Military Medical University, Shanghai 200433, China. FAU - Bae, Sang-Cheol AU - Bae SC AD - Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul 04763, South Korea. FAU - Takahashi, Atsushi AU - Takahashi A AD - Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan. FAU - Momozawa, Yukihide AU - Momozawa Y AD - Laboratory for Genotyping Development, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan. FAU - Matsuda, Koichi AU - Matsuda K AD - Laboratory of Molecular Medicine, Human Genome Center, Institute of Medical Science, The University of Tokyo, 108-8639 Tokyo, Japan. FAU - Momohara, Shigeki AU - Momohara S AD - Institute of Rheumatology, Tokyo Women's Medical University, Tokyo 162-0054, Japan. FAU - Taniguchi, Atsuo AU - Taniguchi A AD - Institute of Rheumatology, Tokyo Women's Medical University, Tokyo 162-0054, Japan. FAU - Yamada, Ryo AU - Yamada R AD - Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan. FAU - Mimori, Tsuneyo AU - Mimori T AD - Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan. FAU - Kubo, Michiaki AU - Kubo M AD - Laboratory for Genotyping Development, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan. FAU - Brown, Matthew A AU - Brown MA AD - University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane, Queensland 4072, Australia. FAU - Raychaudhuri, Soumya AU - Raychaudhuri S AD - Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA; Program in Medical and Population Genetics, Broad Institute, Cambridge, MA 02142, USA; Partners Center for Personalized Genetic Medicine, Boston, MA 02115, USA; Faculty of Medical and Human Sciences, University of Manchester, Manchester M13 9PL, UK. FAU - Matsuda, Fumihiko AU - Matsuda F AD - Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8507, Japan. FAU - Yamanaka, Hisashi AU - Yamanaka H AD - Institute of Rheumatology, Tokyo Women's Medical University, Tokyo 162-0054, Japan. FAU - Kamatani, Yoichiro AU - Kamatani Y AD - Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan. FAU - Yamamoto, Kazuhiko AU - Yamamoto K AD - Laboratory for Autoimmune Diseases, RIKEN Center for Integrative Medical Sciences, Yokohama 230-0045, Japan; Department of Allergy and Rheumatology, Graduate School of Medicine, the University of Tokyo, Tokyo 113-0033, Japan. LA - eng GR - R01 AR063759/AR/NIAMS NIH HHS/United States GR - UH2 AR067677/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Validation Study PL - United States TA - Am J Hum Genet JT - American journal of human genetics JID - 0370475 RN - 0 (Autoantibodies) RN - 0 (HLA-D Antigens) RN - 0 (HLA-DRB1 Chains) RN - 29VT07BGDA (Citrulline) SB - IM MH - Arthritis, Rheumatoid/*genetics MH - Asian People/*genetics MH - Autoantibodies MH - Citrulline MH - Ethnicity/genetics MH - Europe/ethnology MH - *Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - HLA-D Antigens/*genetics MH - HLA-DRB1 Chains/genetics MH - Humans MH - Japan/ethnology MH - Linkage Disequilibrium/genetics MH - Phenotype MH - Polymorphism, Single Nucleotide/genetics MH - White People/genetics PMC - PMC4974094 EDAT- 2016/08/04 06:00 MHDA- 2017/05/10 06:00 PMCR- 2017/02/04 CRDT- 2016/08/04 06:00 PHST- 2016/02/19 00:00 [received] PHST- 2016/06/21 00:00 [accepted] PHST- 2016/08/04 06:00 [entrez] PHST- 2016/08/04 06:00 [pubmed] PHST- 2017/05/10 06:00 [medline] PHST- 2017/02/04 00:00 [pmc-release] AID - S0002-9297(16)30223-3 [pii] AID - 10.1016/j.ajhg.2016.06.019 [doi] PST - ppublish SO - Am J Hum Genet. 2016 Aug 4;99(2):366-74. doi: 10.1016/j.ajhg.2016.06.019.