PMID- 33168359 OWN - NLM STAT- MEDLINE DCOM- 20211126 LR - 20221207 IS - 1095-9157 (Electronic) IS - 0896-8411 (Linking) VI - 116 DP - 2021 Jan TI - The amino acid variants in HLA II molecules explain the major association with adult-onset Still's disease in the Han Chinese population. PG - 102562 LID - S0896-8411(20)30191-8 [pii] LID - 10.1016/j.jaut.2020.102562 [doi] AB - Adult-onset Still's disease (AOSD) is a rare autoinflammatory disease with systemic involvement, and its pathophysiology remains unclear. Genome-wide association studies (GWAS) in the Chinese population have revealed an association between AOSD and the major histocompatibility complex (MHC) locus; however, causal variants in the MHC remain undetermined. In the present study, we identified independent amino-acid polymorphisms in human leukocyte antigen (HLA) molecules that are associated with Han Chinese patients with AOSD by fine-mapping the MHC locus. Through conditional analyses, we identified position 34 in HLA-DQalpha1 (p = 1.44 x 10(-14)) and Asn in HLA-DRbeta1 position 37 (p = 5.12 x 10(-11)) as the major determinants for AOSD. Moreover, we identified the associations for three main HLA class II alleles: HLA-DQB1*06:02 (OR = 2.70, p = 3.02 x 10(-14)), HLA-DRB1*15:01 (OR = 2.44, p = 3.66 x 10(-13)), and HLA-DQA1*01:02 (OR = 1.97, p = 1.09 x 10(-9)). This study reveals the relationship between functional variations in the class II HLA region and AOSD, implicating the MHC locus in the pathogenesis of AOSD. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Teng, Jia-Lin AU - Teng JL AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Chen, Xia AU - Chen X AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Chen, Jianhua AU - Chen J AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Zeng, Ting AU - Zeng T AD - Xinhua Hospital Chongming Branch Affiliated to Shanghai Jiao Tong University School of Medicine, China. FAU - He, Lin AU - He L AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China; Institute of Social Cognitive and Behavioral Sciences, Shanghai Jiao Tong University, Shanghai, China. FAU - Li, Meihang AU - Li M AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Luo, Cai-Nan AU - Luo CN AD - Department of Rheumatology and Immunology, People's Hospital of Xinjiang Ugyur Autonomous Region, Urumqi, 830001, China. FAU - Liu, Shuang AU - Liu S AD - Department of Rheumatology and Immunology, First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China. FAU - Ding, Ting-Ting AU - Ding TT AD - Department of Rheumatology and Immunology, First Affiliated Hospital of Bengbu Medical College, 233000, China. FAU - Yimaiti, Kuerbanjiang AU - Yimaiti K AD - Department of Rheumatology and Immunology, People's Hospital of Xinjiang Ugyur Autonomous Region, Urumqi, 830001, China. FAU - Li, Xingwang AU - Li X AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China. FAU - Ding, Yonghe AU - Ding Y AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Cheng, Xiao-Bing AU - Cheng XB AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Zhou, Juan AU - Zhou J AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China. FAU - Ye, Jun-Na AU - Ye JN AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Ji, Jue AU - Ji J AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China. FAU - Su, Yu-Tong AU - Su YT AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Shi, Hui AU - Shi H AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Sun, Yue AU - Sun Y AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Gao, Chengwen AU - Gao C AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Hu, Qiong-Yi AU - Hu QY AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Chi, Hui-Hui AU - Chi HH AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Yuan, Xuan AU - Yuan X AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Zhou, Zhuo-Chao AU - Zhou ZC AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Wang, Dong AU - Wang D AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China. FAU - Wang, Ke AU - Wang K AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China. FAU - Feng, Dong AU - Feng D AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Li, Changgui AU - Li C AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Sun, Yuanchao AU - Sun Y AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Niu, Yujuan AU - Niu Y AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Xu, Xiaolei AU - Xu X AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China. FAU - Chen, Lin-Jie AU - Chen LJ AD - Department of Rheumatology and Immunology, First Affiliated Hospital of Bengbu Medical College, 233000, China. FAU - Xu, Jian AU - Xu J AD - Department of Rheumatology and Immunology, First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China. FAU - Wu, Li-Jun AU - Wu LJ AD - Department of Rheumatology and Immunology, People's Hospital of Xinjiang Ugyur Autonomous Region, Urumqi, 830001, China. FAU - Zhou, Zhaowei AU - Zhou Z AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China. FAU - Pan, Dun AU - Pan D AD - Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China. FAU - Niu, Haitao AU - Niu H AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao, China; Key Laboratory, Department of Urology and Andrology, The Affiliated Hospital of Qingdao University, Qingdao, China. FAU - Yang, Cheng-de AU - Yang CD AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. FAU - Yongyong Shi AU - Yongyong Shi AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China; Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China; Institute of Social Cognitive and Behavioral Sciences, Shanghai Jiao Tong University, Shanghai, China; Institute of Neuropsychiatric Science and Systems Biological Medicine, Shanghai Jiao Tong University, Shanghai, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Department of Psychiatry, The First Teaching Hospital of Xinjiang Medical University, Urumqi, China; Changning Mental Health Center, Shanghai, China. FAU - Li, Zhiqiang AU - Li Z AD - The Affiliated Hospital of Qingdao University & the Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, China; Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), The Collaborative Innovation Center for Brain Science, Shanghai Jiao Tong University, Shanghai, China; Institute of Social Cognitive and Behavioral Sciences, Shanghai Jiao Tong University, Shanghai, China; Institute of Neuropsychiatric Science and Systems Biological Medicine, Shanghai Jiao Tong University, Shanghai, China. Electronic address: lizqsjtu@gmail.com. FAU - Liu, Hong-Lei AU - Liu HL AD - Department of Rheumatology and Immunology, Shanghai Jiao Tong University School of Medicine Affiliated Ruijin Hospital, Shanghai, China. Electronic address: hong-lei-liu@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201106 PL - England TA - J Autoimmun JT - Journal of autoimmunity JID - 8812164 RN - 0 (Amino Acids) RN - 0 (HLA-DQ alpha-Chains) RN - 0 (HLA-DQA1 antigen) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Adult MH - Alleles MH - Amino Acids/*genetics MH - Asian People/genetics MH - China MH - Gene Frequency MH - Genetic Predisposition to Disease/ethnology/*genetics MH - Genome-Wide Association Study/methods MH - Genotype MH - HLA-DQ alpha-Chains/chemistry/*genetics MH - HLA-DRB1 Chains/chemistry/*genetics MH - Haplotypes MH - Humans MH - Linkage Disequilibrium MH - Models, Molecular MH - *Polymorphism, Single Nucleotide MH - Protein Conformation MH - Still's Disease, Adult-Onset/ethnology/*genetics OTO - NOTNLM OT - Adult-onset still's disease OT - Genome-wide association studies OT - Imputation OT - MHC OT - Single nucleotide polymorphism EDAT- 2020/11/11 06:00 MHDA- 2021/11/27 06:00 CRDT- 2020/11/10 05:36 PHST- 2020/07/19 00:00 [received] PHST- 2020/10/27 00:00 [revised] PHST- 2020/10/27 00:00 [accepted] PHST- 2020/11/11 06:00 [pubmed] PHST- 2021/11/27 06:00 [medline] PHST- 2020/11/10 05:36 [entrez] AID - S0896-8411(20)30191-8 [pii] AID - 10.1016/j.jaut.2020.102562 [doi] PST - ppublish SO - J Autoimmun. 2021 Jan;116:102562. doi: 10.1016/j.jaut.2020.102562. Epub 2020 Nov 6.