PMID- 36778313 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240216 DP - 2023 Apr 3 TI - HLA in isolated REM sleep behavior disorder and Lewy body dementia. LID - 2023.01.31.23284682 [pii] LID - 10.1101/2023.01.31.23284682 [doi] AB - BACKGROUND AND OBJECTIVES: Isolated/idiopathic REM sleep behavior disorder (iRBD) and Lewy body dementia (LBD) are synucleinopathies that have partial genetic overlap with Parkinson's disease (PD). Previous studies have shown that neuroinflammation plays a substantial role in these disorders. In PD, specific residues of the human leukocyte antigen ( HLA ) were suggested to be associated with a protective effect. This study examined whether the HLA locus plays a similar role in iRBD, LBD and PD. METHODS: We performed HLA imputation on iRBD genotyping data (1,072 patients and 9,505 controls) and LBD whole-genome sequencing (2,604 patients and 4,032 controls) using the multi-ethnic HLA reference panel v2 from the Michigan Imputation Server. Using logistic regression, we tested the association of HLA alleles, amino acids and haplotypes with disease susceptibility. We included age, sex and the top 10 principal components as covariates. We also performed an omnibus test to examine which HLA residue positions explain the most variance. RESULTS: In iRBD, HLA-DRB1 *11:01 was the only allele passing FDR correction (OR=1.57, 95% CI=1.27-1.93, p =2.70e-05). We also discovered associations between iRBD and HLA-DRB1 70D (OR=1.26, 95%CI=1.12-1.41, p =8.76e-05), 70Q (OR=0.81, 95% CI=0.72-0.91, p =3.65e-04) and 71R (OR=1.21, 95% CI=1.08-1.35, p =1.35e-03). In HLA-DRB1 , position 71 ( p (omnibus) =0.00102) and 70 ( p (omnibus) =0.00125) were associated with iRBD. We found no association in LBD. DISCUSSION: This study identified an association between HLA-DRB1 11:01 and iRBD, distinct from the previously reported association in PD. Therefore, the HLA locus may play different roles across synucleinopathies. Additional studies are required better to understand HLA's role in iRBD and LBD. FAU - Yu, Eric AU - Yu E AD - Department of Human Genetics, McGill University, Montreal, QC, Canada. AD - The Neuro (Montreal Neurological Institute-Hospital), McGill University, Montreal, QC, Canada. FAU - Krohn, Lynne AU - Krohn L AD - Department of Human Genetics, McGill University, Montreal, QC, Canada. AD - The Neuro (Montreal Neurological Institute-Hospital), McGill University, Montreal, QC, Canada. FAU - Ruskey, Jennifer A AU - Ruskey JA AD - The Neuro (Montreal Neurological Institute-Hospital), McGill University, Montreal, QC, Canada. AD - Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada. FAU - Asayesh, Farnaz AU - Asayesh F AD - The Neuro (Montreal Neurological Institute-Hospital), McGill University, Montreal, QC, Canada. AD - Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada. FAU - Spiegelman, Dan AU - Spiegelman D AD - The Neuro (Montreal Neurological Institute-Hospital), McGill University, Montreal, QC, Canada. AD - Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada. FAU - Shah, Zalak AU - Shah Z AD - Neurodegenerative Diseases Research Unit, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA. FAU - Chia, Ruth AU - Chia R AD - Neuromuscular Diseases Research Section, National Institute on Aging, Bethesda, MD, USA. FAU - Arnulf, Isabelle AU - Arnulf I AD - Sleep Disorders Unit, Pitie Salpetriere Hospital, Paris Brain Institute and Sorbonne University, Paris, France. FAU - Hu, Michele T M AU - Hu MTM AD - Oxford Parkinson's Disease Centre (OPDC), University of Oxford, Oxford, United Kingdom. AD - Division of Neurology, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom. FAU - Montplaisir, Jacques Y AU - Montplaisir JY AD - Center for Advanced Research in Sleep Medicine, Centre Integre Universitaire de Sante et de Services Sociaux du Nord-de-l'ile-de-Montreal - Hopital du Sacre-Coeur de Montreal, Montreal, QC, Canada. AD - Department of Psychiatry, Universite de Montreal, Montreal, QC, Canada. FAU - Gagnon, Jean-Francois AU - Gagnon JF AD - Center for Advanced Research in Sleep Medicine, Centre Integre Universitaire de Sante et de Services Sociaux du Nord-de-l'ile-de-Montreal - Hopital du Sacre-Coeur de Montreal, Montreal, QC, Canada. AD - Department of Psychology, Universite du Quebec a Montreal, Montreal, QC, Canada. FAU - Desautels, Alex AU - Desautels A AD - Center for Advanced Research in Sleep Medicine, Centre Integre Universitaire de Sante et de Services Sociaux du Nord-de-l'ile-de-Montreal - Hopital du Sacre-Coeur de Montreal, Montreal, QC, Canada. AD - Department of Neurosciences, Universite de Montreal, Montreal, QC, Canada. FAU - Dauvilliers, Yves AU - Dauvilliers Y AD - National Reference Center for Narcolepsy, Sleep Unit, Department of Neurology, Gui-de-Chauliac Hospital, CHU Montpellier, University of Montpellier, Inserm U1061, Montpellier, France. FAU - Gigli, Gian Luigi AU - Gigli GL AD - Clinical Neurology Unit, Department of Neurosciences, University Hospital of Udine, Udine, Italy. AD - Department of Medicine (DAME), University of Udine, Udine, Italy. FAU - Valente, Mariarosaria AU - Valente M AD - Clinical Neurology Unit, Department of Neurosciences, University Hospital of Udine, Udine, Italy. AD - Department of Medicine (DAME), University of Udine, Udine, Italy. FAU - Janes, Francesco AU - Janes F AD - Clinical Neurology Unit, Department of Neurosciences, University Hospital of Udine, Udine, Italy. FAU - Bernardini, Andrea AU - Bernardini A AD - Clinical Neurology Unit, Department of Neurosciences, University Hospital of Udine, Udine, Italy. FAU - Hogl, Birgit AU - Hogl B AD - Sleep Disorders Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria. FAU - Stefani, Ambra AU - Stefani A AD - Sleep Disorders Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria. FAU - Ibrahim, Abubaker AU - Ibrahim A AD - Sleep Disorders Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria. FAU - Heidbreder, Anna AU - Heidbreder A AD - Sleep Disorders Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria. AD - Department for Sleep Medicine and Neuromuscular disease, University Hospital Muenster, Muenster, Germany. FAU - Sonka, Karel AU - Sonka K AD - Department of Neurology and Centre of Clinical Neuroscience, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic. FAU - Dusek, Petr AU - Dusek P AD - Department of Neurology and Centre of Clinical Neuroscience, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic. FAU - Kemlink, David AU - Kemlink D AD - Department of Neurology and Centre of Clinical Neuroscience, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic. FAU - Oertel, Wolfgang AU - Oertel W AD - Department of Neurology, Philipps University, Marburg, Germany. FAU - Janzen, Annette AU - Janzen A AD - Department of Neurology, Philipps University, Marburg, Germany. FAU - Plazzi, Giuseppe AU - Plazzi G AD - Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio-Emilia, Modena, Italy. AD - IRCCS, Institute of Neurological Sciences of Bologna, Bologna, Italy. FAU - Antelmi, Elena AU - Antelmi E AD - Neurology Unit, Movement Disorders Division, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy. FAU - Figorilli, Michela AU - Figorilli M AD - Department of Medical Sciences and Public Health, Sleep Disorder Research Center, University of Cagliari, Cagliari, Italy. FAU - Puligheddu, Monica AU - Puligheddu M AD - Department of Medical Sciences and Public Health, Sleep Disorder Research Center, University of Cagliari, Cagliari, Italy. FAU - Mollenhauer, Brit AU - Mollenhauer B AD - Paracelsus-Elena-Klinik, Kassel, Germany. AD - Department of Neurosurgery, University Medical Centre Gaettingen, Gottingen, Germany. FAU - Trenkwalder, Claudia AU - Trenkwalder C AD - Paracelsus-Elena-Klinik, Kassel, Germany. AD - Department of Neurosurgery, University Medical Centre Gaettingen, Gottingen, Germany. FAU - Sixel-Doring, Friederike AU - Sixel-Doring F AD - Department of Neurology, Philipps University, Marburg, Germany. AD - Paracelsus-Elena-Klinik, Kassel, Germany. FAU - De Cock, Valerie Cochen AU - De Cock VC AD - Sleep and Neurology Unit, Beau Soleil Clinic, Montpellier, France. AD - EuroMov Digital Health in Motion, University of Montpellier IMT Mines Ales, Montpellier, France. FAU - Ferini-Strambi, Luigi AU - Ferini-Strambi L AD - Department of Neurological Sciences, Universita Vita-Salute San Raffaele, Milan, Italy. FAU - Dijkstra, Femke AU - Dijkstra F AD - Laboratory for Sleep Disorders, St. Dimpna Regional Hospital, Geel, Belgium. AD - Department of Neurology, St. Dimpna Regional Hospital, Geel, Belgium. AD - Department of Neurology, University Hospital Antwerp, Edegem, Antwerp, Belgium. FAU - Viaene, Mineke AU - Viaene M AD - Laboratory for Sleep Disorders, St. Dimpna Regional Hospital, Geel, Belgium. AD - Department of Neurology, St. Dimpna Regional Hospital, Geel, Belgium. FAU - Abril, Beatriz AU - Abril B AD - Sleep disorder Unit, Caremeau Hospital, University Hospital of Nimes, France. FAU - Boeve, Bradley F AU - Boeve BF AD - Department of Neurology, Mayo Clinic, Rochester, MN, USA. FAU - Rouleau, Guy A AU - Rouleau GA AD - Department of Human Genetics, McGill University, Montreal, QC, Canada. AD - The Neuro (Montreal Neurological Institute-Hospital), McGill University, Montreal, QC, Canada. AD - Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada. FAU - Postuma, Ronald B AU - Postuma RB AD - The Neuro (Montreal Neurological Institute-Hospital), McGill University, Montreal, QC, Canada. AD - Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada. AD - Center for Advanced Research in Sleep Medicine, Centre Integre Universitaire de Sante et de Services Sociaux du Nord-de-l'ile-de-Montreal - Hopital du Sacre-Coeur de Montreal, Montreal, QC, Canada. FAU - Scholz, Sonja W AU - Scholz SW AD - Neurodegenerative Diseases Research Unit, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA. AD - Department of Neurology, Johns Hopkins University Medical Center, Baltimore, MD, USA. CN - International LBD Genomics Consortium FAU - Gan-Or, Ziv AU - Gan-Or Z AD - Department of Human Genetics, McGill University, Montreal, QC, Canada. AD - The Neuro (Montreal Neurological Institute-Hospital), McGill University, Montreal, QC, Canada. AD - Department of Neurology and Neurosurgery, McGill University, Montreal, QC, Canada. LA - eng GR - ZIA NS003154/ImNIH/Intramural NIH HHS/United States PT - Preprint DEP - 20230403 PL - United States TA - medRxiv JT - medRxiv : the preprint server for health sciences JID - 101767986 UIN - Ann Clin Transl Neurol. 2023 Jul 4;:. PMID: 37401389 PMC - PMC9915822 EDAT- 2023/02/14 06:00 MHDA- 2023/02/14 06:01 PMCR- 2023/04/07 CRDT- 2023/02/13 03:46 PHST- 2023/02/14 06:00 [pubmed] PHST- 2023/02/14 06:01 [medline] PHST- 2023/02/13 03:46 [entrez] PHST- 2023/04/07 00:00 [pmc-release] AID - 2023.01.31.23284682 [pii] AID - 10.1101/2023.01.31.23284682 [doi] PST - epublish SO - medRxiv [Preprint]. 2023 Apr 3:2023.01.31.23284682. doi: 10.1101/2023.01.31.23284682.