PMID- 35470498 OWN - NLM STAT- MEDLINE DCOM- 20220608 LR - 20220716 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 36 IP - 6 DP - 2022 Jun TI - Genome-wide association study of 7661 Chinese Han individuals and fine-mapping major histocompatibility complex identifies HLA-DRB1 as associated with IgA vasculitis. PG - e24457 LID - 10.1002/jcla.24457 [doi] LID - e24457 AB - BACKGROUND: Immunoglobulin-A vasculitis (IgAV) is an immune-related systemic vasculitis with an unclear etiology. Genetic predisposition is now considered to be closely associated with the development of the disease, and it is essential to reveal the relationship between them. To explore the role of heredity in the disease, we performed a genome-wide association study (GWAS) of 496 IgAV cases and 7165 controls using an Illumina Infinium Global Screening Array chip. METHODS: In the first stage of analysis, a significant correlation between the major histocompatibility complex (MHC) and IgAV was observed. Subsequently, human leukocyte antigen (HLA) analysis was conducted using a new large-scale Han-MHC reference panel. Fine mapping of IgAV risk in the MHC region indicated that two amino acid positions, 120 and 11, of HLA-DRB1 and three potential HLA alleles (HLA-DRB1 *04, HLA-DRB1 *16, and HLA-DRB1 *16:02) were significantly associated. RESULTS: Further stepwise conditional analysis demonstrated that 3 amino acid positions (120, 26, 96) of HLA-DRB1 and 6 HLA-DRB1 alleles (HLA-DRB1*04, HLA-DRB1*16, HLA-DRB1*01, HLA-DRB1*12:02, HLA-DRB1*10, and HLA-DRB1*15:02) were independent signals. Among them, the most significant signal was HLA-DRB1 amino acid Ser120 (OR = 1.59, p = 3.19 x 10(-8) ); no independent signal in the MHC region except for HLA-DRB1 was found. CONCLUSIONS: Our study confirms that the pathogenesis of IgAV has a genetic component and that HLA-DRB1 is strongly associated with susceptibility to IgAV. CI - (c) 2022 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC. FAU - Xia, Liang AU - Xia L AD - Institute of Dermatology and Department of Dermatology of the First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. AD - Department of Hematology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. FAU - Chen, Mengyun AU - Chen M AD - Institute of Dermatology and Department of Dermatology of the First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Zhang, Hanshuo AU - Zhang H AD - Department of Hematology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. FAU - Zheng, Xiaodong AU - Zheng X AD - Institute of Dermatology and Department of Dermatology of the First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Bao, Jing AU - Bao J AD - Department of Hematology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. FAU - Gao, Jinping AU - Gao J AD - Institute of Dermatology and Department of Dermatology of the First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Zhu, Caihong AU - Zhu C AD - Institute of Dermatology and Department of Dermatology of the First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Sun, Liangdan AU - Sun L AD - Institute of Dermatology and Department of Dermatology of the First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Xia, Hailong AU - Xia H AD - Department of Hematology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Department of Hematology, Chaohu Hospital, Anhui Medical University, Hefei, China. FAU - Zhang, Xuejun AU - Zhang X AUID- ORCID: 0000-0002-7958-498X AD - Institute of Dermatology and Department of Dermatology of the First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. LA - eng GR - 81320108016/National Natural Science Foundation of China/ PT - Journal Article DEP - 20220425 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 RN - 0 (Amino Acids) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Alleles MH - Amino Acids MH - China/epidemiology MH - Genetic Predisposition to Disease/genetics MH - *Genome-Wide Association Study MH - HLA-DRB1 Chains/genetics MH - Humans MH - *IgA Vasculitis MH - Major Histocompatibility Complex PMC - PMC9169162 OTO - NOTNLM OT - HLA-DRB1 OT - Henoch-Schonlein purpura OT - Immunoglobulin-A vasculitis OT - susceptibility COIS- The authors declare that they have no competing interests. EDAT- 2022/04/27 06:00 MHDA- 2022/06/09 06:00 PMCR- 2022/04/25 CRDT- 2022/04/26 06:00 PHST- 2022/03/21 00:00 [revised] PHST- 2021/10/21 00:00 [received] PHST- 2022/04/14 00:00 [accepted] PHST- 2022/04/27 06:00 [pubmed] PHST- 2022/06/09 06:00 [medline] PHST- 2022/04/26 06:00 [entrez] PHST- 2022/04/25 00:00 [pmc-release] AID - JCLA24457 [pii] AID - 10.1002/jcla.24457 [doi] PST - ppublish SO - J Clin Lab Anal. 2022 Jun;36(6):e24457. doi: 10.1002/jcla.24457. Epub 2022 Apr 25.