PMID- 34976003 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220104 IS - 1664-8021 (Print) IS - 1664-8021 (Electronic) IS - 1664-8021 (Linking) VI - 12 DP - 2021 TI - STXBP6 and B3GNT6 Genes are Associated With Selective IgA Deficiency. PG - 736235 LID - 10.3389/fgene.2021.736235 [doi] LID - 736235 AB - Immunoglobulin A Deficiency (IgAD) is a polygenic primary immune deficiency, with a strong genetic association to the human leukocyte antigen (HLA) region. Previous genome-wide association studies (GWAS) have identified five non-HLA risk loci (IFIH1, PVT1, ATG13-AMBRA1, AHI1 and CLEC16A). In this study, we investigated the genetic interactions between different HLA susceptibility haplotypes and non-MHC genes in IgAD. To do this, we stratified IgAD subjects and healthy controls based on HLA haplotypes (N = 10,993), and then performed GWAS to identify novel genetic regions contributing to IgAD susceptibility. After replicating previously published HLA risk haplotypes, we compared individuals carrying at least one HLA risk allele (HLA-B*08:01-DRB1*03:01-DQB1*02:01 or HLA-DRB1*07:01-DQB1*02:02 or HLA-DRB1*01-DQB1*05:01) with individuals lacking an HLA risk allele. Subsequently, we stratified subjects based on the susceptibility alleles/haplotypes and performed gene-based association analysis using 572,856 SNPs and 24,125 genes. A significant genome-wide association in STXBP6 (rs4097492; p = 7.63 x 10(-9)) was observed in the cohort carrying at least one MHC risk allele. We also identified a significant gene-based association for B3GNT6 (P (Gene) = 2.1 x 10(-6)) in patients not carrying known HLA susceptibility alleles. Our findings indicate that the etiology of IgAD differs depending on the genetic background of HLA susceptibility haplotypes. CI - Copyright (c) 2021 Lim, Bronson, Varade, Behrens and Hammarstrom. FAU - Lim, Che Kang AU - Lim CK AD - Department of Laboratory Medicine, Karolinska Institutet, Karolinska University, Hospital Huddinge, Stockholm, Sweden. AD - Department Clinical Translation Research, Singapore General Hospital, Singapore, Singapore. FAU - Bronson, Paola G AU - Bronson PG AD - RED OMNI Human Genetics, Genentech, South San Francisco, CA, United States. FAU - Varade, Jezabel AU - Varade J AD - Department of Laboratory Medicine, Karolinska Institutet, Karolinska University, Hospital Huddinge, Stockholm, Sweden. AD - Biomedical Research Center (CINBIO) Singular Research Center, University of Vigo, Vigo, Spain. FAU - Behrens, Timothy W AU - Behrens TW AD - Maze Therapeutics, South San Francisco, CA, United States. FAU - Hammarstrom, Lennart AU - Hammarstrom L AD - Department of Laboratory Medicine, Karolinska Institutet, Karolinska University, Hospital Huddinge, Stockholm, Sweden. AD - Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden. AD - BGI-Shenzhen, Shenzhen, China. LA - eng PT - Journal Article DEP - 20211217 PL - Switzerland TA - Front Genet JT - Frontiers in genetics JID - 101560621 PMC - PMC8718598 OTO - NOTNLM OT - HLA risk allele OT - Stratification OT - immunoglobulin a deficiency OT - major histocompatibility complex (MHC) OT - non-MHC genes COIS- PB was employed by RED OMNI Human Genetics, Genentech; TB was employed by Maze Therapeutics. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling editor declared a past co-authorship with one of the authors (LH). EDAT- 2022/01/04 06:00 MHDA- 2022/01/04 06:01 PMCR- 2021/12/17 CRDT- 2022/01/03 05:39 PHST- 2021/07/04 00:00 [received] PHST- 2021/11/11 00:00 [accepted] PHST- 2022/01/03 05:39 [entrez] PHST- 2022/01/04 06:00 [pubmed] PHST- 2022/01/04 06:01 [medline] PHST- 2021/12/17 00:00 [pmc-release] AID - 736235 [pii] AID - 10.3389/fgene.2021.736235 [doi] PST - epublish SO - Front Genet. 2021 Dec 17;12:736235. doi: 10.3389/fgene.2021.736235. eCollection 2021.