PMID- 31415030 OWN - NLM STAT- MEDLINE DCOM- 20200622 LR - 20200622 IS - 1531-6963 (Electronic) IS - 1040-8711 (Print) IS - 1040-8711 (Linking) VI - 31 IP - 6 DP - 2019 Nov TI - Genetics of idiopathic inflammatory myopathies: insights into disease pathogenesis. PG - 611-616 LID - 10.1097/BOR.0000000000000652 [doi] AB - PURPOSE OF REVIEW: To review the advances that have been made in our understanding of the genetics of idiopathic inflammatory myopathies (IIM) in the past 2 years, with a particular focus on dermatomyositis and polymyositis. RECENT FINDINGS: Fine-mapping studies in the major histocompatibility complex region in Caucasian and Korean populations have identified novel human leukocyte antigen (HLA) variants that are associated with autoantibody subgroups in IIM. Differences in HLA associations have been identified between Caucasian adult-onset and juvenile-onset patients with anti-TIF1 autoantibodies, suggesting distinct aetiologies in these patients. For some autoantibodies, the strongest associations identified are specific amino acid positions within HLA molecules, providing mechanistic insights into disease pathogenesis.A meta-analysis combining data from four seropositive rheumatic diseases identified 22 novel non-HLA associations in IIM, of which seven were previously reported at suggestive significance in IIM. A genome-wide association study conducted in the Japanese population identified a significant association with WDFY4 in patients with clinically amyopathic dermatomyositis. SUMMARY: Considerable progress has been made in understanding the genetics of IIM, including differences in clinical and autoantibody subgroups. As research continues, there should be a focus to increase statistical strength and precision by conducting meta-analyses and trans-ethnic studies. FAU - Rothwell, Simon AU - Rothwell S AD - Centre for Musculoskeletal Research, Faculty of Biology, Medicine and Health. FAU - Chinoy, Hector AU - Chinoy H AD - National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, University of Manchester, Manchester. AD - Rheumatology Department, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre, Salford. FAU - Lamb, Janine A AU - Lamb JA AD - Division of Population Health, Health Services Research & Primary Care, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. LA - eng GR - MR/N003322/1/MRC_/Medical Research Council/United Kingdom GR - DH_/Department of Health/United Kingdom PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Curr Opin Rheumatol JT - Current opinion in rheumatology JID - 9000851 RN - 0 (Autoantibodies) RN - 0 (HLA Antigens) SB - IM MH - Autoantibodies/*genetics/immunology MH - Autoimmunity/*genetics MH - Genome-Wide Association Study/*methods MH - HLA Antigens/*genetics/*immunology MH - Humans MH - Myositis/*genetics/immunology PMC - PMC6791565 EDAT- 2019/08/16 06:00 MHDA- 2020/06/23 06:00 PMCR- 2019/10/14 CRDT- 2019/08/16 06:00 PHST- 2019/08/16 06:00 [pubmed] PHST- 2020/06/23 06:00 [medline] PHST- 2019/08/16 06:00 [entrez] PHST- 2019/10/14 00:00 [pmc-release] AID - BOR310612 [pii] AID - 10.1097/BOR.0000000000000652 [doi] PST - ppublish SO - Curr Opin Rheumatol. 2019 Nov;31(6):611-616. doi: 10.1097/BOR.0000000000000652.