PMID- 37546732 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240313 DP - 2023 Jul 24 TI - Association study of human leukocyte antigen (HLA) variants and idiopathic pulmonary fibrosis. LID - 2023.07.20.23292940 [pii] LID - 10.1101/2023.07.20.23292940 [doi] AB - INTRODUCTION: Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial pneumonia marked by progressive lung fibrosis and a poor prognosis. Recent studies have highlighted the potential role of infection in the pathogenesis of IPF and a prior association of the HLA-DQB1 gene with idiopathic fibrotic interstitial pneumonia (including IPF) has been reported. Due to the important role that the Human Leukocyte Antigen (HLA) region plays in the immune response, here we evaluated if HLA genetic variation was associated specifically with IPF risk. METHODS: We performed a meta-analysis of associations of the HLA region with IPF risk in individuals of European ancestry from seven independent case-control studies of IPF (comprising a total of 5,159 cases and 27,459 controls, including the prior study of fibrotic interstitial pneumonia). Single nucleotide polymorphisms, classical HLA alleles and amino acids were analysed and signals meeting a region-wide association threshold p<4.5x10(-4) and a posterior probability of replication >90% were considered significant. We sought to replicate the previously reported HLA-DQB1 association in the subset of studies independent of the original report. RESULTS: The meta-analysis of all seven studies identified four significant independent single nucleotide polymorphisms associated with IPF risk. However, none met the posterior probability for replication criterion. The HLA-DQB1 association was not replicated in the independent IPF studies. CONCLUSION: Variation in the HLA region was not consistently associated with risk in studies of IPF. However, this does not preclude the possibility that other genomic regions linked to the immune response may be involved in the aetiology of IPF. FAU - Guillen-Guio, Beatriz AU - Guillen-Guio B AD - Department of Population Health Sciences, University of Leicester, UK. AD - NIHR Leicester Biomedical Research Centre, Leicester, UK. FAU - Paynton, Megan L AU - Paynton ML AD - Department of Population Health Sciences, University of Leicester, UK. FAU - Allen, Richard J AU - Allen RJ AD - Department of Population Health Sciences, University of Leicester, UK. AD - NIHR Leicester Biomedical Research Centre, Leicester, UK. FAU - Chin, Daniel P W AU - Chin DPW AD - Department of Population Health Sciences, University of Leicester, UK. AD - NIHR Leicester Biomedical Research Centre, Leicester, UK. FAU - Donoghue, Lauren J AU - Donoghue LJ AD - Genentech, California, USA. FAU - Stockwell, Amy AU - Stockwell A AD - Genentech, California, USA. FAU - Leavy, Olivia C AU - Leavy OC AD - Department of Population Health Sciences, University of Leicester, UK. AD - NIHR Leicester Biomedical Research Centre, Leicester, UK. FAU - Hernandez-Beeftink, Tamara AU - Hernandez-Beeftink T AD - Department of Population Health Sciences, University of Leicester, UK. AD - NIHR Leicester Biomedical Research Centre, Leicester, UK. FAU - Reynolds, Carl AU - Reynolds C AD - Imperial College London, London, UK. FAU - Cullinan, Paul AU - Cullinan P AD - Imperial College London, London, UK. FAU - Martinez, Fernando AU - Martinez F AD - Weill Cornell Medicine, New York, USA. CN - CleanUP-IPF Investigators of the Pulmonary Trials Cooperative FAU - Booth, Helen L AU - Booth HL AD - University College London Hospitals, London, UK. FAU - Fahy, William A AU - Fahy WA AD - GlaxoSmithKline, London, UK. FAU - Hall, Ian P AU - Hall IP AD - University of Nottingham, Nottingham, UK. AD - National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, UK. FAU - Hart, Simon P AU - Hart SP AD - University of Hull, Hull, UK. FAU - Hill, Mike R AU - Hill MR AD - University of Oxford, Oxford, UK. FAU - Hirani, Nik AU - Hirani N AD - University of Edinburgh, Edinburgh, UK. FAU - Hubbard, Richard B AU - Hubbard RB AD - University of Nottingham, Nottingham, UK. AD - National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham, UK. FAU - McAnulty, Robin J AU - McAnulty RJ AD - University College London, London, UK. FAU - Millar, Ann B AU - Millar AB AD - University of Bristol, Bristol, UK. FAU - Navaratnam, Vidya AU - Navaratnam V AD - Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK. AD - National Institute for Health Research, Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK. AD - Queensland Lung Transplant Service, The Prince Charles Hospital, Brisbane, QLD, Australia. FAU - Oballa, Eunice AU - Oballa E AD - GlaxoSmithKline, London, UK. FAU - Parfrey, Helen AU - Parfrey H AD - Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK. FAU - Saini, Gauri AU - Saini G AD - University of Nottingham, Nottingham, UK. FAU - Sayers, Ian AU - Sayers I AD - Centre for Respiratory Research, NIHR Nottingham Biomedical Research Centre, School of Medicine, Biodiscovery Institute, University of Nottingham, Nottingham, UK. FAU - Tobin, Martin D AU - Tobin MD AD - Department of Population Health Sciences, University of Leicester, UK. AD - NIHR Leicester Biomedical Research Centre, Leicester, UK. FAU - Whyte, Moira K B AU - Whyte MKB AD - University of Edinburgh, Edinburgh, UK. FAU - Adegunsoye, Ayodeji AU - Adegunsoye A AD - University of Chicago, Chicago, USA. FAU - Kaminski, Naftali AU - Kaminski N AD - Yale School of Medicine, Connecticut, USA. FAU - Shwu-Fan, Ma AU - Shwu-Fan M AD - University of Virginia, Virginia, USA. FAU - Strek, Mary E AU - Strek ME AD - University of Chicago, Chicago, USA. FAU - Zhang, Yingze AU - Zhang Y AD - University of Pittsburgh, Pittsburgh, USA. FAU - Fingerlin, Tasha E AU - Fingerlin TE AD - National Jewish Health, Colorado, USA. FAU - Molina-Molina, Maria AU - Molina-Molina M AD - Servei de Pneumologia, Laboratori de Pneumologia Experimental, Instituto de Investigacion Biomedica de Bellvitge (IDIBELL), Barcelona, Spain. AD - Campus de Bellvitge, Universitat de Barcelona, Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain. FAU - Neighbors, Margaret AU - Neighbors M AD - Genentech, California, USA. FAU - Sheng, X Rebecca AU - Sheng XR AD - Genentech, California, USA. FAU - Oldham, Justin M AU - Oldham JM AD - University of Michigan, Michigan, USA. FAU - Maher, Toby M AU - Maher TM AD - National Heart and Lung Institute, Imperial College London, London, UK. AD - Division of Pulmonary and Critical Care Medicine, University of Southern California, Los Angeles, USA. FAU - Molyneaux, Philip L AU - Molyneaux PL AD - National Heart and Lung Institute, Imperial College London, London, UK. AD - Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK. FAU - Flores, Carlos AU - Flores C AD - Centro de Investigacion Biomedica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain. AD - Research Unit, Hospital Universitario Nuestra Senora de Candelaria, Santa Cruz de Tenerife, Spain. AD - Genomics Division, Instituto Tecnologico y de Energias Renovables, Santa Cruz de Tenerife, Spain. AD - Facultad de Ciencias de la Salud, Universidad Fernando Pessoa Canarias, Las Palmas de Gran Canaria, Spain. FAU - Noth, Imre AU - Noth I AD - University of Virginia, Virginia, USA. FAU - Schwartz, David A AU - Schwartz DA AD - University of Colorado Medicine, Colorado, USA. FAU - Yaspan, Brian L AU - Yaspan BL AD - Genentech, California, USA. FAU - Jenkins, R Gisli AU - Jenkins RG AD - National Heart and Lung Institute, Imperial College London, London, UK. FAU - Wain, Louise V AU - Wain LV AD - Department of Population Health Sciences, University of Leicester, UK. AD - NIHR Leicester Biomedical Research Centre, Leicester, UK. FAU - Hollox, Edward J AU - Hollox EJ AD - Department of Genetics and Genome Biology, University of Leicester, UK. LA - eng GR - MC_PC_19004/MRC_/Medical Research Council/United Kingdom GR - K23 HL146942/HL/NHLBI NIH HHS/United States GR - R56 HL158935/HL/NHLBI NIH HHS/United States GR - WT_/Wellcome Trust/United Kingdom GR - K23 HL138190/HL/NHLBI NIH HHS/United States PT - Preprint DEP - 20230724 PL - United States TA - medRxiv JT - medRxiv : the preprint server for health sciences JID - 101767986 UIN - ERJ Open Res. 2024 Feb 19;10(1):. PMID: 38375425 PMC - PMC10402235 COIS- COMPETING INTERESTS LJD, AS, MN, XRS and BLY are full-time employees of Genentech; AS, MN, XRS, and BLY and hold stock options in Roche. JMO reports personal fees from Boehringer Ingelheim, Genentech, United Therapeutics, AmMax Bio and Lupin Pharmaceuticals outside of the submitted work. DAS is the founder and chief scientific officer of Eleven P15, a company focused on the early detection and treatment of pulmonary fibrosis. RGJ reports honoraria from Chiesi, Roche, PatientMPower, AstraZeneca, GSK, Boehringer Ingelheim, and consulting fees from Bristol Myers Squibb, Daewoong, Veracyte, Resolution Therapeutics, RedX, Pliant, Chiesi. LVW reports research funding from GlaxoSmithKline, Roche and Orion Pharma, and consultancy for GlaxoSmithKline and Galapagos, outside of the submitted work. The other authors declare no competing interests. EDAT- 2023/08/07 06:42 MHDA- 2023/08/07 06:43 PMCR- 2023/08/04 CRDT- 2023/08/07 04:42 PHST- 2023/08/07 06:42 [pubmed] PHST- 2023/08/07 06:43 [medline] PHST- 2023/08/07 04:42 [entrez] PHST- 2023/08/04 00:00 [pmc-release] AID - 2023.07.20.23292940 [pii] AID - 10.1101/2023.07.20.23292940 [doi] PST - epublish SO - medRxiv [Preprint]. 2023 Jul 24:2023.07.20.23292940. doi: 10.1101/2023.07.20.23292940.