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A whole-genome sequence study identifies genetic risk factors for neuromyelitis optica

Neuromyelitis optica (NMO) is a rare autoimmune disease that affects the optic nerve and spinal cord. Most NMO patients ( > 70%) are seropositive for circulating autoantibodies against aquaporin 4 (NMO-IgG+). Here, we meta-analyze whole-genome sequences from 86 NMO cases and 460 controls with gen...

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Published in:Nature communications 2018-05, Vol.9 (1), p.1929-10, Article 1929
Main Authors: Estrada, Karol, Whelan, Christopher W., Zhao, Fengmei, Bronson, Paola, Handsaker, Robert E., Sun, Chao, Carulli, John P., Harris, Tim, Ransohoff, Richard M., McCarroll, Steven A., Day-Williams, Aaron G., Greenberg, Benjamin M., MacArthur, Daniel G.
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creator Estrada, Karol
Whelan, Christopher W.
Zhao, Fengmei
Bronson, Paola
Handsaker, Robert E.
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McCarroll, Steven A.
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MacArthur, Daniel G.
description Neuromyelitis optica (NMO) is a rare autoimmune disease that affects the optic nerve and spinal cord. Most NMO patients ( > 70%) are seropositive for circulating autoantibodies against aquaporin 4 (NMO-IgG+). Here, we meta-analyze whole-genome sequences from 86 NMO cases and 460 controls with genome-wide SNP array from 129 NMO cases and 784 controls to test for association with SNPs and copy number variation (total N  = 215 NMO cases, 1244 controls). We identify two independent signals in the major histocompatibility complex (MHC) region associated with NMO-IgG+, one of which may be explained by structural variation in the complement component 4 genes. Mendelian Randomization analysis reveals a significant causal effect of known systemic lupus erythematosus (SLE), but not multiple sclerosis (MS), risk variants in NMO-IgG+. Our results suggest that genetic variants in the MHC region contribute to the etiology of NMO-IgG+ and that NMO-IgG+ is genetically more similar to SLE than MS. Neuromyelitis optica (NMO) is a rare autoimmune condition characterized by inflammation and demyelination of the optic nerve and the spinal cord. Here, Estrada et al. identify NMO susceptibility variants in the MHC region and find that autoantibody-positive NMO genetically overlaps with lupus.
doi_str_mv 10.1038/s41467-018-04332-3
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Most NMO patients ( &gt; 70%) are seropositive for circulating autoantibodies against aquaporin 4 (NMO-IgG+). Here, we meta-analyze whole-genome sequences from 86 NMO cases and 460 controls with genome-wide SNP array from 129 NMO cases and 784 controls to test for association with SNPs and copy number variation (total N  = 215 NMO cases, 1244 controls). We identify two independent signals in the major histocompatibility complex (MHC) region associated with NMO-IgG+, one of which may be explained by structural variation in the complement component 4 genes. Mendelian Randomization analysis reveals a significant causal effect of known systemic lupus erythematosus (SLE), but not multiple sclerosis (MS), risk variants in NMO-IgG+. Our results suggest that genetic variants in the MHC region contribute to the etiology of NMO-IgG+ and that NMO-IgG+ is genetically more similar to SLE than MS. Neuromyelitis optica (NMO) is a rare autoimmune condition characterized by inflammation and demyelination of the optic nerve and the spinal cord. Here, Estrada et al. identify NMO susceptibility variants in the MHC region and find that autoantibody-positive NMO genetically overlaps with lupus.</description><identifier>ISSN: 2041-1723</identifier><identifier>EISSN: 2041-1723</identifier><identifier>DOI: 10.1038/s41467-018-04332-3</identifier><identifier>PMID: 29769526</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>45 ; 45/23 ; 631/208/205/2138 ; 631/250/371 ; 692/699/249/1313 ; 692/699/375/1411 ; Adult ; Aquaporin 4 ; Aquaporin 4 - immunology ; Autoantibodies ; Autoimmune diseases ; Chronic conditions ; Copy number ; DNA Copy Number Variations ; Etiology ; Female ; Gene sequencing ; Genetic diversity ; Genetic Predisposition to Disease - genetics ; Genetic variance ; Genomes ; Haplotypes ; Humanities and Social Sciences ; Humans ; Immunoglobulin G ; Immunoglobulin G - immunology ; Major histocompatibility complex ; Major Histocompatibility Complex - genetics ; Male ; Middle Aged ; multidisciplinary ; Multiple sclerosis ; Neuromyelitis ; Neuromyelitis Optica - genetics ; Neuromyelitis Optica - immunology ; Nucleotide sequence ; Optic nerve ; Polymorphism, Single Nucleotide ; Risk analysis ; Risk Factors ; Science ; Science (multidisciplinary) ; Single-nucleotide polymorphism ; Spinal cord ; Systemic lupus erythematosus ; Whole Genome Sequencing - methods</subject><ispartof>Nature communications, 2018-05, Vol.9 (1), p.1929-10, Article 1929</ispartof><rights>The Author(s) 2018</rights><rights>2018. 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Most NMO patients ( &gt; 70%) are seropositive for circulating autoantibodies against aquaporin 4 (NMO-IgG+). Here, we meta-analyze whole-genome sequences from 86 NMO cases and 460 controls with genome-wide SNP array from 129 NMO cases and 784 controls to test for association with SNPs and copy number variation (total N  = 215 NMO cases, 1244 controls). We identify two independent signals in the major histocompatibility complex (MHC) region associated with NMO-IgG+, one of which may be explained by structural variation in the complement component 4 genes. Mendelian Randomization analysis reveals a significant causal effect of known systemic lupus erythematosus (SLE), but not multiple sclerosis (MS), risk variants in NMO-IgG+. Our results suggest that genetic variants in the MHC region contribute to the etiology of NMO-IgG+ and that NMO-IgG+ is genetically more similar to SLE than MS. 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Most NMO patients ( &gt; 70%) are seropositive for circulating autoantibodies against aquaporin 4 (NMO-IgG+). Here, we meta-analyze whole-genome sequences from 86 NMO cases and 460 controls with genome-wide SNP array from 129 NMO cases and 784 controls to test for association with SNPs and copy number variation (total N  = 215 NMO cases, 1244 controls). We identify two independent signals in the major histocompatibility complex (MHC) region associated with NMO-IgG+, one of which may be explained by structural variation in the complement component 4 genes. Mendelian Randomization analysis reveals a significant causal effect of known systemic lupus erythematosus (SLE), but not multiple sclerosis (MS), risk variants in NMO-IgG+. Our results suggest that genetic variants in the MHC region contribute to the etiology of NMO-IgG+ and that NMO-IgG+ is genetically more similar to SLE than MS. 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language eng
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subjects 45
45/23
631/208/205/2138
631/250/371
692/699/249/1313
692/699/375/1411
Adult
Aquaporin 4
Aquaporin 4 - immunology
Autoantibodies
Autoimmune diseases
Chronic conditions
Copy number
DNA Copy Number Variations
Etiology
Female
Gene sequencing
Genetic diversity
Genetic Predisposition to Disease - genetics
Genetic variance
Genomes
Haplotypes
Humanities and Social Sciences
Humans
Immunoglobulin G
Immunoglobulin G - immunology
Major histocompatibility complex
Major Histocompatibility Complex - genetics
Male
Middle Aged
multidisciplinary
Multiple sclerosis
Neuromyelitis
Neuromyelitis Optica - genetics
Neuromyelitis Optica - immunology
Nucleotide sequence
Optic nerve
Polymorphism, Single Nucleotide
Risk analysis
Risk Factors
Science
Science (multidisciplinary)
Single-nucleotide polymorphism
Spinal cord
Systemic lupus erythematosus
Whole Genome Sequencing - methods
title A whole-genome sequence study identifies genetic risk factors for neuromyelitis optica
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