PMID- 34101054 OWN - NLM STAT- MEDLINE DCOM- 20210928 LR - 20220218 IS - 1434-9949 (Electronic) IS - 0770-3198 (Print) IS - 0770-3198 (Linking) VI - 40 IP - 10 DP - 2021 Oct TI - Association analysis of juvenile idiopathic arthritis genetic susceptibility factors in Estonian patients. PG - 4157-4165 LID - 10.1007/s10067-021-05756-x [doi] AB - BACKGROUND: Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic condition of childhood. Genetic association studies have revealed several JIA susceptibility loci with the strongest effect size observed in the human leukocyte antigen (HLA) region. Genome-wide association studies have augmented the number of JIA-associated loci, particularly for non-HLA genes. The aim of this study was to identify new associations at non-HLA loci predisposing to the risk of JIA development in Estonian patients. METHODS: We performed genome-wide association analyses in an entire JIA case-control sample (All-JIA) and in a case-control sample for oligoarticular JIA, the most prevalent JIA subtype. The entire cohort was genotyped using the Illumina HumanOmniExpress BeadChip arrays. After imputation, 16,583,468 variants were analyzed in 263 cases and 6956 controls. RESULTS: We demonstrated nominal evidence of association for 12 novel non-HLA loci not previously implicated in JIA predisposition. We replicated known JIA associations in CLEC16A and VCTN1 regions in the oligoarticular JIA sample. The strongest associations in the All-JIA analysis were identified at PRKG1 (P = 2,54 x 10(-6)), LTBP1 (P = 9,45 x 10(-6)), and ELMO1 (P = 1,05 x 10(-5)). In the oligoarticular JIA analysis, the strongest associations were identified at NFIA (P = 5,05 x 10(-6)), LTBP1 (P = 9,95 x 10(-6)), MX1 (P = 1,65 x 10(-5)), and CD200R1 (P = 2,59 x 10(-5)). CONCLUSION: This study increases the number of known JIA risk loci and provides additional evidence for the existence of overlapping genetic risk loci between JIA and other autoimmune diseases, particularly rheumatoid arthritis. The reported loci are involved in molecular pathways of immunological relevance and likely represent genomic regions that confer susceptibility to JIA in Estonian patients. Key Points * Juvenile idiopathic arthritis (JIA) is the most common childhood rheumatic disease with heterogeneous presentation and genetic predisposition. * Present genome-wide association study for Estonian JIA patients is first of its kind in Northern and Northeastern Europe. * The results of the present study increase the knowledge about JIA risk loci replicating some previously described associations, so adding weight to their relevance and describing novel loci. * The study provides additional evidence for the existence of overlapping genetic risk loci between JIA and other autoimmune diseases, particularly rheumatoid arthritis. CI - (c) 2021. The Author(s). FAU - Nikopensius, Tiit AU - Nikopensius T AD - Estonian Genome Center, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia. tiitn@ut.ee. FAU - Niibo, Priit AU - Niibo P AUID- ORCID: 0000-0001-5223-9054 AD - Institute of Dentistry, University of Tartu, Tartu, Estonia. FAU - Haller, Toomas AU - Haller T AD - Estonian Genome Center, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia. FAU - Jagomagi, Triin AU - Jagomagi T AD - Institute of Dentistry, University of Tartu, Tartu, Estonia. FAU - Voog-Oras, Ulle AU - Voog-Oras U AD - Institute of Dentistry, University of Tartu, Tartu, Estonia. AD - Stomatology Clinic, Tartu University Hospital, Tartu, Estonia. FAU - Tonisson, Neeme AU - Tonisson N AD - Estonian Genome Center, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia. AD - Department of Clinical Genetics, United Laboratories, Tartu University Hospital, Tartu, Estonia. FAU - Metspalu, Andres AU - Metspalu A AD - Estonian Genome Center, Institute of Genomics, University of Tartu, Riia 23B, 51010, Tartu, Estonia. FAU - Saag, Mare AU - Saag M AD - Institute of Dentistry, University of Tartu, Tartu, Estonia. FAU - Pruunsild, Chris AU - Pruunsild C AD - Children's Clinic, Tartu University Hospital, Tartu, Estonia. AD - Children's Clinic, Institute of Clinical Medicine, Faculty of Medicine, University of Tartu, Tartu, Estonia. LA - eng GR - ETF9255/Estonian Science Foundation/ PT - Journal Article DEP - 20210608 PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 SB - IM MH - *Arthritis, Juvenile/genetics MH - Case-Control Studies MH - Estonia MH - *Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - Humans MH - Polymorphism, Single Nucleotide PMC - PMC8463396 OTO - NOTNLM OT - Genome-wide association study OT - Juvenile idiopathic arthritis OT - Rheumatoid arthritis EDAT- 2021/06/09 06:00 MHDA- 2021/09/29 06:00 PMCR- 2021/06/08 CRDT- 2021/06/08 12:30 PHST- 2021/01/17 00:00 [received] PHST- 2021/04/27 00:00 [accepted] PHST- 2021/04/26 00:00 [revised] PHST- 2021/06/09 06:00 [pubmed] PHST- 2021/09/29 06:00 [medline] PHST- 2021/06/08 12:30 [entrez] PHST- 2021/06/08 00:00 [pmc-release] AID - 10.1007/s10067-021-05756-x [pii] AID - 5756 [pii] AID - 10.1007/s10067-021-05756-x [doi] PST - ppublish SO - Clin Rheumatol. 2021 Oct;40(10):4157-4165. doi: 10.1007/s10067-021-05756-x. Epub 2021 Jun 8.