PMID- 29771307 OWN - NLM STAT- MEDLINE DCOM- 20191203 LR - 20231104 IS - 1460-2083 (Electronic) IS - 0964-6906 (Print) IS - 0964-6906 (Linking) VI - 27 IP - 15 DP - 2018 Aug 1 TI - Assessment of rosacea symptom severity by genome-wide association study and expression analysis highlights immuno-inflammatory and skin pigmentation genes. PG - 2762-2772 LID - 10.1093/hmg/ddy184 [doi] AB - Rosacea is a common, chronic skin disease of variable severity with limited treatment options. The cause of rosacea is unknown, but it is believed to be due to a combination of hereditary and environmental factors. Little is known about the genetics of the disease. We performed a genome-wide association study (GWAS) of rosacea symptom severity with data from 73 265 research participants of European ancestry from the 23andMe customer base. Seven loci had variants associated with rosacea at the genome-wide significance level (P < 5 x 10-8). Further analyses highlighted likely gene regions or effector genes including IRF4 (P = 1.5 x 10-17), a human leukocyte antigen (HLA) region flanked by PSMB9 and HLA-DMB (P = 2.2 x 10-15), HERC2-OCA2 (P = 4.2 x 10-12), SLC45A2 (P = 1.7 x 10-10), IL13 (P = 2.8 x 10-9), a region flanked by NRXN3 and DIO2 (P = 4.1 x 10-9), and a region flanked by OVOL1and SNX32 (P = 1.2 x 10-8). All associations with rosacea were novel except for the HLA locus. Two of these loci (HERC-OCA2 and SLC45A2) and another precedented variant (rs1805007 in melanocortin 1 receptor) with an association P value just below the significance threshold (P = 1.3 x 10-7) have been previously associated with skin phenotypes and pigmentation, two of these loci are linked to immuno-inflammation phenotypes (IL13 and PSMB9-HLA-DMA) and one has been associated with both categories (IRF4). Genes within three loci (PSMB9-HLA-DMA, HERC-OCA2 and NRX3-DIO2) were differentially expressed in a previously published clinical rosacea transcriptomics study that compared lesional to non-lesional samples. The identified loci provide specificity of inflammatory mechanisms in rosacea, and identify potential pathways for therapeutic intervention. CI - (c) The Author(s) 2018. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Aponte, Jennifer L AU - Aponte JL AD - Genomic Medicine, PAREXEL International, Research Triangle Park, NC, USA. FAU - Chiano, Mathias N AU - Chiano MN AD - Target Sciences, GlaxoSmithKline, Stevenage, UK. FAU - Yerges-Armstrong, Laura M AU - Yerges-Armstrong LM AD - Target Sciences, GlaxoSmithKline, Collegeville, PA, USA. FAU - Hinds, David A AU - Hinds DA AD - 23andMe Inc., Mountain View, CA, USA. FAU - Tian, Chao AU - Tian C AD - 23andMe Inc., Mountain View, CA, USA. FAU - Gupta, Akanksha AU - Gupta A AD - Translational Science, Dermatology, GlaxoSmithKline, Research Triangle Park, NC, USA. FAU - Guo, Cong AU - Guo C AD - Target Sciences, GlaxoSmithKline, Collegeville, PA, USA. FAU - Fraser, Dana J AU - Fraser DJ AD - Genomic Medicine, PAREXEL International, Research Triangle Park, NC, USA. FAU - Freudenberg, Johannes M AU - Freudenberg JM AD - Target Sciences, GlaxoSmithKline, Collegeville, PA, USA. FAU - Rajpal, Deepak K AU - Rajpal DK AD - Target Sciences, GlaxoSmithKline, Collegeville, PA, USA. FAU - Ehm, Margaret G AU - Ehm MG AD - Target Sciences, GlaxoSmithKline, Collegeville, PA, USA. FAU - Waterworth, Dawn M AU - Waterworth DM AD - Target Sciences, GlaxoSmithKline, Collegeville, PA, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - 0 (Guanine Nucleotide Exchange Factors) RN - 0 (HLA-D Antigens) RN - 0 (HLA-DM antigens) RN - 0 (IL13 protein, human) RN - 0 (Interferon Regulatory Factors) RN - 0 (Interleukin-13) RN - 0 (SNX33 protein, human) RN - 0 (Sorting Nexins) RN - 0 (interferon regulatory factor-4) RN - 144416-78-4 (LMP-2 protein) RN - EC 2.3.2.27 (HERC2 protein, human) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) RN - EC 3.4.22.- (Cysteine Endopeptidases) SB - IM MH - Adult MH - Cysteine Endopeptidases/genetics MH - Female MH - Gene Expression Regulation MH - Genome-Wide Association Study MH - Guanine Nucleotide Exchange Factors/genetics MH - HLA-D Antigens/genetics MH - Humans MH - Interferon Regulatory Factors/genetics MH - Interleukin-13/genetics MH - Linkage Disequilibrium MH - Male MH - Middle Aged MH - Polymorphism, Single Nucleotide MH - Rosacea/*etiology/genetics MH - Skin Pigmentation/*genetics MH - Sorting Nexins/genetics MH - Ubiquitin-Protein Ligases PMC - PMC6822543 EDAT- 2018/05/18 06:00 MHDA- 2019/12/04 06:00 PMCR- 2018/05/16 CRDT- 2018/05/18 06:00 PHST- 2017/11/03 00:00 [received] PHST- 2018/05/07 00:00 [revised] PHST- 2018/05/09 00:00 [accepted] PHST- 2018/05/18 06:00 [pubmed] PHST- 2019/12/04 06:00 [medline] PHST- 2018/05/18 06:00 [entrez] PHST- 2018/05/16 00:00 [pmc-release] AID - 4996740 [pii] AID - ddy184 [pii] AID - 10.1093/hmg/ddy184 [doi] PST - ppublish SO - Hum Mol Genet. 2018 Aug 1;27(15):2762-2772. doi: 10.1093/hmg/ddy184.