PMID- 30854688 OWN - NLM STAT- MEDLINE DCOM- 20200622 LR - 20231213 IS - 1527-3350 (Electronic) IS - 0270-9139 (Print) IS - 0270-9139 (Linking) VI - 70 IP - 1 DP - 2019 Jul TI - Genome-wide Association Studies of Specific Antinuclear Autoantibody Subphenotypes in Primary Biliary Cholangitis. PG - 294-307 LID - 10.1002/hep.30604 [doi] AB - Anti-nuclear antibodies to speckled 100 kDa (sp100) and glycoprotein 210 (gp210) are specific serologic markers of primary biliary cholangitis (PBC) of uncertain/controversial clinical or prognostic significance. To study the genetic determinants associated with sp100 and gp210 autoantibody subphenotypes, we performed a genome-wide association analysis of 930 PBC cases based on their autoantibody status, followed by a replication study in 1,252 PBC cases. We confirmed single-nucleotide polymorphisms rs492899 (P = 3.27 x 10(-22) ; odds ratio [OR], 2.90; 95% confidence interval [CI], 2.34-3.66) and rs1794280 (P = 5.78 x 10(-28) ; OR, 3.89; 95% CI, 3.05-4.96) in the human major histocompatibility complex (MHC) region associated with the sp100 autoantibody. However, no genetic variant was identified as being associated with the gp210 autoantibody. To further define specific classical human leukocyte antigen (HLA) alleles or amino acids associated with the sp100 autoantibody, we imputed 922 PBC cases (211 anti-sp100-positive versus 711 negative cases) using a Han Chinese MHC reference database. Conditional analysis identified that HLA-DRbeta1-Asn77/Arg74, DRbeta1-Ser37, and DPbeta1-Lys65 were major determinants for sp100 production. For the classical HLA alleles, the strongest association was with DRB1*03:01 (P = 1.51 x 10(-9) ; OR, 2.97; 95% CI, 2.06-4.29). Regression analysis with classical HLA alleles identified DRB1*03:01, DRB1*15:01, DRB1*01, and DPB1*03:01 alleles can explain most of the HLA association with sp100 autoantibody. Conclusion: This study indicated significant genetic predisposition to the sp100 autoantibody, but not the gp210 autoantibody, subphenotype in PBC patients. Additional studies will be necessary to determine if these findings have clinical significance to PBC pathogenesis and/or therapeutics. CI - (c) 2019 The Authors. Hepatology published by Wiley Periodicals, Inc., on behalf of American Association for the Study of Liver Diseases. FAU - Wang, Chan AU - Wang C AUID- ORCID: 0000-0002-6198-773X AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Zheng, Xiaodong AU - Zheng X AD - Department of Dermatology, The First Affiliated Hospital of Anhui Medical University, and Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education, Hefei, China & Key Laboratory of Major Autoimmune Diseases, Anhui Province, Hefei, China. FAU - Jiang, Peng AU - Jiang P AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Tang, Ruqi AU - Tang R AD - Department of Gastroenterology and Hepatology, Shanghai Institute of Digestive Diseases, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China. FAU - Gong, Yuhua AU - Gong Y AD - Department of Laboratory Medicine, The Third People's Hospital of Zhenjiang, Zhenjiang, Jiangsu, China. FAU - Dai, Yaping AU - Dai Y AD - Department of Laboratory Medicine, The Fifth People's Hospital of Wuxi, Wuxi, Jiangsu, China. FAU - Wang, Lan AU - Wang L AD - Department of Laboratory Medicine, The 81st Hospital of PLA, Nanjing, Jiangsu, China. FAU - Xu, Ping AU - Xu P AD - Department of Laboratory Medicine, The Fifth People's Hospital of Suzhou, Soochow University, Suzhou, Jiangsu, China. FAU - Sun, Wenjuan AU - Sun W AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Wang, Lu AU - Wang L AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Han, Chongxu AU - Han C AD - Department of Laboratory Medicine, Subei People's Hospital, Clinical Medical College, Yangzhou University, Yangzhou, Jiangsu, China. FAU - Jiang, Yuzhang AU - Jiang Y AD - Department of Laboratory Medicine, Huai'an First People's Hospital, Nanjing Medical University, Huai'an, Jiangsu, China. FAU - Wei, Yiran AU - Wei Y AD - Department of Gastroenterology and Hepatology, Shanghai Institute of Digestive Diseases, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China. FAU - Zhang, Kui AU - Zhang K AD - Department of Laboratory Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China. FAU - Wu, Jian AU - Wu J AD - Department of Rheumatology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. FAU - Shao, Youlin AU - Shao Y AD - Department of Hepatology, The Third People's Hospital of Changzhou, Changzhou, Jiangsu, China. FAU - Gao, Yueqiu AU - Gao Y AD - Department of Liver Diseases, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. FAU - Yu, Jianjiang AU - Yu J AD - Department of Laboratory Medicine, Jiangyin People's Hospital, Southeast University, Jiangyin, Jiangsu, China. FAU - Hu, Zhigang AU - Hu Z AD - Department of Laboratory Medicine, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China. FAU - Zang, Zhidong AU - Zang Z AD - Department of Hepatology, The Second Hospital of Nanjing, Southeast University, Nanjing, Jiangsu, China. FAU - Zhao, Yi AU - Zhao Y AD - Department of Gastrointestinal Endoscopy, Eastern Hepatobiliary Surgery Hospital, Shanghai, China. FAU - Wu, Xudong AU - Wu X AD - Department of Gastroenterology, Yancheng First People's Hospital, Yancheng, Jiangsu, China. FAU - Dai, Na AU - Dai N AD - Department of Gastroenterology, Jiangsu University Affiliated Kunshan Hospital, Kunshan, Jiangsu, China. FAU - Liu, Lei AU - Liu L AD - Department of Gastroenterology, Yixing People's Hospital, Yixin, Jiangsu, China. FAU - Nie, Jinshan AU - Nie J AD - Department of Gastroenterology, Taicang First People's Hospital, Soochow University, Taicang, Jiangsu, China. FAU - Jiang, Bo AU - Jiang B AD - Department of Hepatology, Jingjiang Second People's Hospital, Jingjiang, Jiangsu, China. FAU - Lin, Maosong AU - Lin M AD - Department of Gastroenterology, Taizhou People's Hospital, Taizhou, Jiangsu, China. FAU - Li, Li AU - Li L AD - Department of Laboratory Medicine, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, China. FAU - Li, You AU - Li Y AD - Department of Gastroenterology and Hepatology, Shanghai Institute of Digestive Diseases, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China. FAU - Chen, Sufang AU - Chen S AD - Department of Laboratory Medicine, The Fifth People's Hospital of Suzhou, Soochow University, Suzhou, Jiangsu, China. FAU - Shu, Lixin AU - Shu L AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Qiu, Fang AU - Qiu F AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Wu, Qiuyuan AU - Wu Q AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Zhang, Mingming AU - Zhang M AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Chen, Ru AU - Chen R AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Jawed, Rohil AU - Jawed R AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Zhang, Yu AU - Zhang Y AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Shi, Xingjuan AU - Shi X AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Zhu, Zhen AU - Zhu Z AD - Department of Hepatology, The Third People's Hospital of Changzhou, Changzhou, Jiangsu, China. FAU - Pei, Hao AU - Pei H AD - Department of Laboratory Medicine, The Fifth People's Hospital of Wuxi, Wuxi, Jiangsu, China. FAU - Huang, Lihua AU - Huang L AD - Department of Laboratory Medicine, The Fifth People's Hospital of Wuxi, Wuxi, Jiangsu, China. FAU - Zhao, Weifeng AU - Zhao W AD - Department of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. FAU - Tian, Ye AU - Tian Y AD - Department of Radiology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. FAU - Zhu, Xiang AU - Zhu X AD - Department of Laboratory Medicine, The Fifth People's Hospital of Suzhou, Soochow University, Suzhou, Jiangsu, China. FAU - Qiu, Hong AU - Qiu H AD - Department of Laboratory Medicine, The 81st Hospital of PLA, Nanjing, Jiangsu, China. FAU - Gershwin, M Eric AU - Gershwin ME AD - Division of Rheumatology, Allergy and Clinical Immunology, University of California at Davis School of Medicine, Davis, CA. FAU - Chen, Weichang AU - Chen W AD - Department of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. FAU - Seldin, Michael F AU - Seldin MF AD - Department of Biochemistry and Molecular Medicine, University of California at Davis School of Medicine, Davis, CA. FAU - Liu, Xiangdong AU - Liu X AD - Key Laboratory of Developmental Genes and Human Diseases, Institute of Life Sciences, Southeast University, Nanjing, Jiangsu, China. FAU - Sun, Liangdan AU - Sun L AD - Department of Dermatology, The First Affiliated Hospital of Anhui Medical University, and Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education, Hefei, China & Key Laboratory of Major Autoimmune Diseases, Anhui Province, Hefei, China. FAU - Ma, Xiong AU - Ma X AD - Department of Gastroenterology and Hepatology, Shanghai Institute of Digestive Diseases, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China. LA - eng GR - 81570469/National Natural Science Foundation of China/International GR - 81620108002/National Natural Science Foundation of China/International GR - 81770381/National Natural Science Foundation of China/International GR - 81771732/National Natural Science Foundation of China/International GR - 81830016/National Natural Science Foundation of China/International GR - 81870397/National Natural Science Foundation of China/International GR - BE2017713/Government of Jiangsu Province/International GR - BL2018657/Government of Jiangsu Province/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190429 PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 RN - 0 (Antibodies, Antinuclear) RN - 0 (Antigens, Nuclear) RN - 0 (Autoantigens) RN - 135844-47-2 (SP100 protein, human) SB - IM MH - Aged MH - Antibodies, Antinuclear/*genetics MH - Antigens, Nuclear/*immunology MH - Autoantigens/*immunology MH - Female MH - Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - Humans MH - Liver Cirrhosis, Biliary/*genetics/immunology MH - Male MH - Middle Aged PMC - PMC6618054 EDAT- 2019/03/12 06:00 MHDA- 2020/06/23 06:00 PMCR- 2019/07/10 CRDT- 2019/03/12 06:00 PHST- 2018/10/29 00:00 [received] PHST- 2019/03/03 00:00 [accepted] PHST- 2019/03/12 06:00 [pubmed] PHST- 2020/06/23 06:00 [medline] PHST- 2019/03/12 06:00 [entrez] PHST- 2019/07/10 00:00 [pmc-release] AID - HEP30604 [pii] AID - 10.1002/hep.30604 [doi] PST - ppublish SO - Hepatology. 2019 Jul;70(1):294-307. doi: 10.1002/hep.30604. Epub 2019 Apr 29.