PMID- 37479888 OWN - NLM STAT- MEDLINE DCOM- 20240206 LR - 20240206 IS - 1434-9949 (Electronic) IS - 0770-3198 (Linking) VI - 42 IP - 11 DP - 2023 Nov TI - A novel missense compound heterozygous variant in TLR1 gene is associated with susceptibility to rheumatoid arthritis - structural perspective and functional annotations. PG - 3097-3111 LID - 10.1007/s10067-023-06702-9 [doi] AB - INTRODUCTION: Besides human leukocyte antigen (HLA-DRB1) locus, more than 100 loci across the genome have been identified and linked with the onset, expression and/or progression of rheumatoid arthritis (RA). However, there are still grey areas in our understanding of the key genetic contributors of the disease, particularly in familial cases. METHODS: In the present study, we have performed the whole exome sequencing (WES) of RA patients from two consanguineous families of Pakistan in a quest to identify novel, high-impact, RA-susceptibility genetic variants. RESULTS: Through stepwise filtering, around 17,000 variants (common in the affected members) were recognized, out of which 2651 were predicted to be deleterious. Of these, 196 had direct relevance to RA. When selected for homozygous recessive mode of inheritance, two novel pathogenic variants (c.1324T>C, p.Cys(442)-->Arg(442); c.2036T>C, p.Ile(679)-->Thr(679)) in the TLR1 gene displayed the role of compound heterozygosity in modulating the phenotypic expression and penetrance of RA. The structural and functional consequences of the TLR1 missense single nucleotide mutations (Cys(442)-->Arg(442); Ile(679)-->Thr(679)) were evaluated through molecular dynamic simulation (MDS) studies. Analysis showed domain's rigidification, conferring stability to mutant TLR1-TIR/TIRAP-TIR complex with concomitant increase in molecular interactions with pro-inflammatory cytokines, compared to the wild-type conformation. Gene co-expression network analysis highlighted interlinked partnering genes along with interleukin-6 production of TLR1 (corrected p-value 2.98e-4) and acetylcholine receptor activity of CHRNG (corrected p-value 6.12e-2) as highly enriched associated functions. CONCLUSION: The results, validated through case-control study subjects, suggested that the variants identified through WES and confirmed through Sanger sequencing and MDS are the novel disease variants and are likely to confer RA-susceptibility, independently and/or in a family-specific context. Key Points * Exploration of population based/ethno-specific big data is imperative to identify novel causal variants of RA. * Two new deleterious missense mutations in mutational hotspot exon 4 of TLR1 gene have been identified in Pakistani RA patients. * MD simulation data provides evidence for domain's rigidification, conferring stability to mutant TLR1-TIR/TIRAP-TIR complex, with concomitant increase in production of pro-inflammatory cytokines, thus adding to the onset/erosive outcome of RA. CI - (c) 2023. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR). FAU - Pasha, Usman AU - Pasha U AD - School of Biochemistry and Biotechnology, University of the Punjab, Lahore, 54590, Pakistan. FAU - Hanif, Kiran AU - Hanif K AD - School of Biochemistry and Biotechnology, University of the Punjab, Lahore, 54590, Pakistan. FAU - Nisar, Haseeb AU - Nisar H AD - School of Biochemistry and Biotechnology, University of the Punjab, Lahore, 54590, Pakistan. AD - Department of Life Sciences, University of Management and Technology, Lahore, Pakistan. FAU - Abid, Rizwan AU - Abid R AD - School of Biochemistry and Biotechnology, University of the Punjab, Lahore, 54590, Pakistan. FAU - Mirza, Muhammad Usman AU - Mirza MU AD - Department of Pharmaceutical and Pharmacological Sciences, Rega Institute for Medical Research, Medicinal Chemistry, University of Leuven, Leuven, Belgium. FAU - Wajid, Bilal AU - Wajid B AD - Department of Computer Engineering, University of Engineering and Technology, Lahore, Pakistan. FAU - Sadaf, Saima AU - Sadaf S AUID- ORCID: 0000-0002-5680-7976 AD - School of Biochemistry and Biotechnology, University of the Punjab, Lahore, 54590, Pakistan. saima.sbb@pu.edu.pk. LA - eng GR - 8488/2017/Higher Education Commision, Pakistan/ PT - Journal Article DEP - 20230721 PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 RN - 0 (Cytokines) RN - 0 (Toll-Like Receptor 1) RN - 0 (TLR1 protein, human) SB - IM MH - Humans MH - *Arthritis, Rheumatoid/genetics MH - Case-Control Studies MH - Cytokines MH - Genetic Predisposition to Disease MH - *Mutation, Missense MH - Toll-Like Receptor 1/genetics OTO - NOTNLM OT - Autoimmunity OT - Consanguineous OT - Exome sequencing OT - Rheumatoid arthritis OT - Single nucleotide mutation OT - Toll-like receptor EDAT- 2023/07/22 10:42 MHDA- 2024/01/29 06:43 CRDT- 2023/07/21 23:29 PHST- 2023/01/12 00:00 [received] PHST- 2023/07/13 00:00 [accepted] PHST- 2023/07/07 00:00 [revised] PHST- 2024/01/29 06:43 [medline] PHST- 2023/07/22 10:42 [pubmed] PHST- 2023/07/21 23:29 [entrez] AID - 10.1007/s10067-023-06702-9 [pii] AID - 10.1007/s10067-023-06702-9 [doi] PST - ppublish SO - Clin Rheumatol. 2023 Nov;42(11):3097-3111. doi: 10.1007/s10067-023-06702-9. Epub 2023 Jul 21.