Interactions between amino acid-defined major histocompatibility complex class II variants and smoking in seropositive rheumatoid arthritis.

Interactions between amino acid-defined major histocompatibility complex class II variants and smoking in seropositive rheumatoid arthritis.
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DOI:
10.1002/art.39228
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发表时间:
2015-10
期刊:
Arthritis & rheumatology (Hoboken, N.J.)
影响因子:
--
通讯作者:
Karlson EW
Karlson EW
中科院分区:
其他
文献类型:
--
作者:
Kim K;Jiang X;Cui J;Lu B;Costenbader KH;Sparks JA;Bang SY;Lee HS;Okada Y;Raychaudhuri S;Alfredsson L;Bae SC;Klareskog L;Karlson EW

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本研究的目的是完善吸烟和人类白细胞抗原(HLA)多态性之间的相互作用,在血清阳性类风湿关节炎(RA),在最近的氨基酸为基础的RA易感性的HLA模型的背景下。我们从3,588名瑞典风湿性关节炎流行病学调查(EIRA;病例/对照=1654/1934)、589名护士健康研究(NHS; 229/360)和2,125名韩国(1390/735)受试者的病例对照免疫芯片阵列数据中估算HLA氨基酸和经典等位基因。我们使用加性相互作用模型研究了重度吸烟(>10包-年)与RA相关氨基酸位点(HLA-DRβ1中的11、13、71和74; HLA-B中的9; HLA-DPβ1中的9)和HLA-DRβ1四种氨基酸单倍型的遗传风险评分(GRS)之间的相互作用效应,其中归因于相互作用的比例(AP)。重度吸烟和所有调查的HLA氨基酸位置和单倍型与RA易感性在所有三个人群。在交互作用分析中,我们发现在所有三项研究中,重度吸烟与HLA-DRβ1氨基酸单倍型之间的预期加性联合效应均存在显著偏离(0.416≤AP≤0.796)。我们进一步确定了关键的相互作用变体位于HLA-DRβ1的氨基酸位置11和13,而不是所有人群中的其他RA风险氨基酸位置。在第11和13位,有类似的模式之间的RA风险效应和残基的相互作用效应。我们的研究结果表明,吸烟产生的瓜氨酸化自身抗原与HLA-DR分子之间的物理相互作用以HLA-DRβ1四氨基酸单倍型为特征,主要是位置11和13。
This study aimed to refine the interaction between cigarette smoking and human leukocyte antigen (HLA) polymorphisms in seropositive rheumatoid arthritis (RA), in the context of a recent amino-acid based HLA model for RA susceptibility. We imputed HLA amino acids and classical alleles from case-control Immunochip array data of 3,588 Swedish Epidemiological Investigation of Rheumatoid Arthritis (EIRA; case/control=1654/1934), 589 Nurses’ Health Study (NHS; 229/360) and 2,125 Korean (1390/735) subjects. We examined interaction effects between heavy smoking (>10 pack-years) and genetic risk score (GRS) from RA-associated amino-acid positions (11, 13, 71 and 74 in HLA-DRβ1; 9 in HLA-B; and 9 in HLA-DPβ1) and from HLA-DRβ1 four-amino-acid haplotypes with an attributable proportion due to interaction (AP) using the additive interaction model. Heavy smoking and all investigated HLA amino-acid positions and haplotypes were associated with RA susceptibility in all three populations. In the interaction analysis, we found a significant deviation from the expected additive joint effect between heavy smoking and the HLA-DRβ1 amino-acid haplotype in all three studies (0.416≤AP≤0.796). We further identified the key interacting variants as being located at amino-acid positions 11 and 13 of HLA-DRβ1 but not the other RA-risk amino-acid positions in all populations. At the positions 11 and 13, there were similar patterns between RA-risk effects and interaction effects of residues. Our findings of significant gene-environment interaction effects implicate that a physical interaction between citrullinated auto-antigens produced by smoking and HLA-DR molecules is characterized by the HLA-DRβ1 four-amino-acid haplotype, primarily by the positions 11 and 13.