IRF5公司
单倍型
医学
基因型
表型
免疫学
遗传学
干扰素调节因子
生物
基因
免疫系统
先天免疫系统
作者
Philippe Dieudé,Karen Dawidowicz,Mickaël Guedj,Yona Legrain,Julien Wipff,É. Hachulla,Élisabeth Diot,Jean Sibilia,Luc Mouthon,J. Cabané,Zahir Amoura,Jean-Luc Crakowski,P. Carpentier,Jérôme Avouac,Olivier Meyer,André Kahan,Cathérine Boileau,Yannick Allanore
标识
DOI:10.3899/jrheum.091163
摘要
Objective. Identification of an association between IRF5 rs2004640 and systemic sclerosis (SSc) has highlighted a key role for type 1 interferon (IFN). Additional functional IRF5 variants have been identified as autoimmune susceptibility factors. Our aim was to investigate whether IRF5 haplotypes confer susceptibility to SSc, and to perform genotype haplotype-phenotype correlation analyses. Methods. We genotyped IRF5 rs377385, rs2004640, and rs10954213 in 1623 individuals of French European Caucasian origin. SSc patient subphenotypes were analyzed according to cutaneous subsets and for SSc-related pulmonary fibrosis. Results. Case-control studies of single markers revealed an association between IRF5 rs3757385, rs2004640, and rs10954213 variants and SSc. We identified an IRF5 risk haplotype “R” (p adj = 0.024, OR 1.23, 95% CI 1.07–1.40) and a mirrored protective haplotype “P” (p adj = 8.8 × 10 −3 , OR 0.78, 95% CI 0.68–0.90) for SSc susceptibility. Genotype-phenotype correlation analyses failed to detect any association with a single marker. By contrast, phenotype-haplotype correlation analysis was able to detect intra-cohort association and to discriminate SSc patients with from those without the following clinical traits: “R” and/or “P” haplotypes identified diffuse cutaneous SSc (p = 0.0081) and fibrosing alveolitis (p = 0.018). Conclusion. IRF5 haplotypes are more informative than single markers, suggesting that they could be helpful for risk stratification of SSc patients. Our study provides further evidence of a key role of IRF5 in SSc severity.
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