PMID- 33536424 OWN - NLM STAT- MEDLINE DCOM- 20210222 LR - 20221207 IS - 2041-1723 (Electronic) IS - 2041-1723 (Linking) VI - 12 IP - 1 DP - 2021 Feb 3 TI - Identification of 38 novel loci for systemic lupus erythematosus and genetic heterogeneity between ancestral groups. PG - 772 LID - 10.1038/s41467-021-21049-y [doi] LID - 772 AB - Systemic lupus erythematosus (SLE), a worldwide autoimmune disease with high heritability, shows differences in prevalence, severity and age of onset among different ancestral groups. Previous genetic studies have focused more on European populations, which appear to be the least affected. Consequently, the genetic variations that underlie the commonalities, differences and treatment options in SLE among ancestral groups have not been well elucidated. To address this, we undertake a genome-wide association study, increasing the sample size of Chinese populations to the level of existing European studies. Thirty-eight novel SLE-associated loci and incomplete sharing of genetic architecture are identified. In addition to the human leukocyte antigen (HLA) region, nine disease loci show clear ancestral differences and implicate antibody production as a potential mechanism for differences in disease manifestation. Polygenic risk scores perform significantly better when trained on ancestry-matched data sets. These analyses help to reveal the genetic basis for disparities in SLE among ancestral groups. FAU - Wang, Yong-Fei AU - Wang YF AUID- ORCID: 0000-0002-1260-6291 AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. FAU - Zhang, Yan AU - Zhang Y AD - Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. FAU - Lin, Zhiming AU - Lin Z AUID- ORCID: 0000-0002-9341-4303 AD - Department of Rheumatology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. FAU - Zhang, Huoru AU - Zhang H AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. FAU - Wang, Ting-You AU - Wang TY AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. AD - The Hormel Institute, University of Minnesota, Austin, USA. FAU - Cao, Yujie AU - Cao Y AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. FAU - Morris, David L AU - Morris DL AUID- ORCID: 0000-0002-1754-8932 AD - Division of Genetics and Molecular Medicine, King's College London, London, UK. FAU - Sheng, Yujun AU - Sheng Y AD - Department of Dermatology, No.1 Hospital, Anhui Medical University, Hefei, China. FAU - Yin, Xianyong AU - Yin X AUID- ORCID: 0000-0001-6454-2384 AD - Department of Dermatology, No.1 Hospital, Anhui Medical University, Hefei, China. FAU - Zhong, Shi-Long AU - Zhong SL AD - Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangzhou, China. FAU - Gu, Xiaoqiong AU - Gu X AD - Department of Clinical Biological Resource Bank, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou, China. FAU - Lei, Yao AU - Lei Y AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. FAU - He, Jing AU - He J AD - Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. FAU - Wu, Qi AU - Wu Q AD - Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. FAU - Shen, Jiangshan Jane AU - Shen JJ AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. FAU - Yang, Jing AU - Yang J AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. FAU - Lam, Tai-Hing AU - Lam TH AD - School of Public Health, The University of Hong Kong, Hong Kong, China. FAU - Lin, Jia-Huang AU - Lin JH AD - School of Public Health, The University of Hong Kong, Hong Kong, China. FAU - Mai, Zhi-Ming AU - Mai ZM AUID- ORCID: 0000-0001-9772-0669 AD - School of Public Health, The University of Hong Kong, Hong Kong, China. AD - Radiation Epidemiology Branch, Division of Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, USA. FAU - Guo, Mengbiao AU - Guo M AUID- ORCID: 0000-0002-1056-9837 AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. FAU - Tang, Yuanjia AU - Tang Y AD - Shanghai Institute of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Chen, Yanhui AU - Chen Y AD - Department of Pediatrics, Union Hospital Affiliated to Fujian Medical University, Fuzhou, China. FAU - Song, Qin AU - Song Q AD - Department of Rheumatology, Affiliated Hospital of Jining Medical University, Jining, China. FAU - Ban, Bo AU - Ban B AD - Department of Endocrinology, Affiliated Hospital of Jining Medical University, Jining, China. FAU - Mok, Chi Chiu AU - Mok CC AD - Department of Medicine, Tuen Mun Hospital, Hong Kong, China. FAU - Cui, Yong AU - Cui Y AD - Department of Dermatology, China-Japan Friendship Hospital, Chaoyang, China. FAU - Lu, Liangjing AU - Lu L AD - Shanghai Institute of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Shen, Nan AU - Shen N AUID- ORCID: 0000-0002-5875-4417 AD - Shanghai Institute of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Sham, Pak C AU - Sham PC AUID- ORCID: 0000-0002-2533-7270 AD - Department of Psychiatry, The University of Hong Kong, Hong Kong, China. FAU - Lau, Chak Sing AU - Lau CS AUID- ORCID: 0000-0001-6698-8355 AD - Department of Medicine, The University of Hong Kong, Hong Kong, China. FAU - Smith, David K AU - Smith DK AD - School of Public Health, The University of Hong Kong, Hong Kong, China. FAU - Vyse, Timothy J AU - Vyse TJ AUID- ORCID: 0000-0003-1123-1464 AD - Division of Genetics and Molecular Medicine, King's College London, London, UK. FAU - Zhang, Xuejun AU - Zhang X AD - Department of Dermatology, No.1 Hospital, Anhui Medical University, Hefei, China. FAU - Lau, Yu Lung AU - Lau YL AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. lauylung@hku.hk. FAU - Yang, Wanling AU - Yang W AUID- ORCID: 0000-0003-0063-6327 AD - Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, China. yangwl@hku.hk. AD - Shenzhen Institute of Research and Innovation, The University of Hong Kong, Hong Kong, China. yangwl@hku.hk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210203 PL - England TA - Nat Commun JT - Nature communications JID - 101528555 SB - IM MH - Asian People/genetics MH - Case-Control Studies MH - *Genetic Heterogeneity MH - Genetic Predisposition to Disease/ethnology/*genetics MH - Genome-Wide Association Study/*methods MH - Genotype MH - Humans MH - Linkage Disequilibrium MH - Lupus Erythematosus, Systemic/ethnology/*genetics MH - *Polymorphism, Single Nucleotide MH - White People/genetics PMC - PMC7858632 COIS- The authors declare no competing interests. EDAT- 2021/02/05 06:00 MHDA- 2021/02/23 06:00 PMCR- 2021/02/03 CRDT- 2021/02/04 05:43 PHST- 2020/04/26 00:00 [received] PHST- 2021/01/11 00:00 [accepted] PHST- 2021/02/04 05:43 [entrez] PHST- 2021/02/05 06:00 [pubmed] PHST- 2021/02/23 06:00 [medline] PHST- 2021/02/03 00:00 [pmc-release] AID - 10.1038/s41467-021-21049-y [pii] AID - 21049 [pii] AID - 10.1038/s41467-021-21049-y [doi] PST - epublish SO - Nat Commun. 2021 Feb 3;12(1):772. doi: 10.1038/s41467-021-21049-y.