GWAS for systemic sclerosis identifies multiple risk loci and highlights fibrotic and vasculopathy pathways


Por: Lopez-Isac, E, Acosta-Herrera, M, Kerick, M, Assassi, S, Satpathy, AT, Granja, J, Mumbach, MR, Beretta, L, Simeon, CP, Carreira, P, Ortego-Centeno, N, Castellvi, I, Bossini-Castillo, L, Carmona, FD, Orozco, G, Hunzelmann, N, Distler, JHW, Franke, A, Lunardi, C, Moroncini, G, Gabrielli, A, de Vries-Bouwstra, J, Wijmenga, C, Koeleman, BPC, Nordin, A, Padyukov, L, Hoffmann-Vold, AM, Lie, B, Rios, R, Callejas, JL, Vargas-Hitos, JA, Garcia-Portales, R, Camps, MT, Fernandez-Nebro, A, Gonzalez-Escribano, MF, Garcia-Hernandez, FJ, Castillo, MJ, Aguirre, MA, Gomez-Gracia, I, Fernandez-Gutierrez, B, Rodriguez-Rodriguez, L, de la Pena, PG, Vicente, E, Andreu, JL, de Castro, MF, Lopez-Longo, FJ, Martinez, L, Fonollosa, V, Guillen, A, Espinosa, G, Tolosa, C, Pros, A, Rodriguez-Carballeira, M, Narvaez, FJ, Rubio-Rivas, M, Ortiz-Santamaria, V, Madronero, AB, Gonzalez-Gay, MA, Diaz, B, Trapiella, L, Sousa, A, Egurbide, MV, Fanlo-Mateo, P, Saez-Comet, L, Diaz, F, Hernandez, V, Beltran, E, Roman-Ivorra, JA, Grau, E, Alegre-Sancho, JJ, Freire, M, Blanco-Garcia, FJ, Oreiro, N, Witte, T, Kreuter, A, Riemekasten, G, Airo, P, Magro, C, Voskuyl, AE, Vonk, MC, Hesselstrand, R, Proudman, S, Stevens, W, Nikpour, M, Zochling, J, Sahhar, J, Roddy, J, Nash, P, Tymms, K, Rischmueller, M, Lester, S, Vyse, T, Herrick, AL, Worthington, J, Denton, CP, Allanore, Y, Brown, MA, Radstake, TRDJ, Fonseca, C, Chang, HY, Mayes, MD, Martin, J, European Scleroderma Grp, ASIG

Publicada: 31 oct 2019
Resumen:
Systemic sclerosis (SSc) is an autoimmune disease that shows one of the highest mortality rates among rheumatic diseases. We perform a large genome-wide association study (GWAS), and meta-analysis with previous GWASs, in 26,679 individuals and identify 27 independent genome-wide associated signals, including 13 new risk loci. The novel associations nearly double the number of genome-wide hits reported for SSc thus far. We define 95% credible sets of less than 5 likely causal variants in 12 loci. Additionally, we identify specific SSc subtype-associated signals. Functional analysis of high-priority variants shows the potential function of SSc signals, with the identification of 43 robust target genes through HiChIP. Our results point towards molecular pathways potentially involved in vasculopathy and fibrosis, two main hallmarks in SSc, and highlight the spectrum of critical cell types for the disease. This work supports a better understanding of the genetic basis of SSc and provides directions for future functional experiments.

Filiaciones:
Lopez-Isac, E:
 CSIC, IPBLN, Granada, Spain

Acosta-Herrera, M:
 CSIC, IPBLN, Granada, Spain

Kerick, M:
 CSIC, IPBLN, Granada, Spain

Assassi, S:
 Univ Texas Hlth Sci Ctr Houston, Houston, TX 77030 USA

Satpathy, AT:
 Stanford Univ, Sch Med, Ctr Personal Dynam Regulomes, Stanford, CA 94305 USA

 Stanford Univ, Howard Hughes Med Inst, Stanford, CA 94305 USA

Granja, J:
 Stanford Univ, Sch Med, Ctr Personal Dynam Regulomes, Stanford, CA 94305 USA

 Stanford Univ, Howard Hughes Med Inst, Stanford, CA 94305 USA

Mumbach, MR:
 Stanford Univ, Sch Med, Ctr Personal Dynam Regulomes, Stanford, CA 94305 USA

 Stanford Univ, Howard Hughes Med Inst, Stanford, CA 94305 USA

Beretta, L:
 Fdn IRCCS Ca Granda Osped Maggiore Policlin Milan, Referral Ctr System Autoimmune Dis, Milan, Italy

Simeon, CP:
 Valle Hebron Hosp, Dept Internal Med, Barcelona, Spain

Carreira, P:
 12 Octubre Univ Hosp, Dept Rheumatol, Madrid, Spain

Ortego-Centeno, N:
 San Cecilio Clin Univ Hosp, Dept Internal Med, Granada, Spain

Castellvi, I:
 Santa Creu & St Pau Univ Hosp, Dept Rheumatol, Barcelona, Spain

Bossini-Castillo, L:
 Wellcome Trust Sanger Inst, Hinxton, England

Carmona, FD:
 Univ Granada, Dept Genet, Granada, Spain

 Univ Granada, Inst Biotechnol, Granada, Spain

Orozco, G:
 Univ Manchester, Manchester Acad Hlth Sci Ctr, Arthrit Res UK Ctr Genet & Genom, Ctr Musculoskeletal Res,Fac Biol Med & Hlth, Oxford Rd, Manchester, Lancs, England

Hunzelmann, N:
 Univ Cologne, Dept Dermatol, Cologne, Germany

Distler, JHW:
 Univ Erlangen Nurnberg, Inst Clin Immunol, Dept Internal Med 3, Erlangen, Germany

Franke, A:
 Christian Albrechts Univ Kiel, Inst Clin Mol Biol, Kiel, Germany

Lunardi, C:
 Univ Verona, Dept Med, Verona, Italy

Moroncini, G:
 Univ Politecn Marche, Dept Clin & Mol Sci, Clin Med, Ancona, Italy

 Osped Riuniti, Ancona, Italy

Gabrielli, A:
 Univ Politecn Marche, Dept Clin & Mol Sci, Clin Med, Ancona, Italy

 Osped Riuniti, Ancona, Italy

de Vries-Bouwstra, J:
 Leiden Univ, Dept Rheumatol, Med Ctr, Leiden, Netherlands

Wijmenga, C:
 Univ Groningen, Univ Med Ctr Groningen, Dept Genet, Groningen, Netherlands

Koeleman, BPC:
 Univ Med Ctr Utrecht, Utrecht, Netherlands

Nordin, A:
 Karolinska Univ Hosp, Karolinska Inst, Dept Med, Div Rheumatol, Stockholm, Sweden

Padyukov, L:
 Karolinska Univ Hosp, Karolinska Inst, Dept Med, Div Rheumatol, Stockholm, Sweden

Hoffmann-Vold, AM:
 Oslo Univ Hosp, Dept Rheumatol, Oslo, Norway

Lie, B:
 Univ Oslo, Dept Med Genet, Oslo, Norway

 Univ Oslo, Dept Immunol, Oslo, Norway

 Oslo Univ Hosp, Oslo, Norway

Rios, R:
 San Cecilio Clin Univ Hosp, Dept Internal Med, Granada, Spain

Callejas, JL:
 San Cecilio Clin Univ Hosp, Dept Internal Med, Granada, Spain

Vargas-Hitos, JA:
 Virgen Las Nieves Hosp, Dept Internal Med, Granada, Spain

Garcia-Portales, R:
 Virgen Victoria Hosp, Dept Rheumatol, Malaga, Spain

Camps, MT:
 Carlos Haya Hosp, Dept Internal Med, Malaga, Spain

Fernandez-Nebro, A:
 Carlos Haya Hosp, Dept Rheumatol, Malaga, Spain

Gonzalez-Escribano, MF:
 Virgen Rocio Hosp, Dept Immunol, Seville, Spain

Garcia-Hernandez, FJ:
 Virgen Rocio Hosp, Dept Internal Med, Seville, Spain

Castillo, MJ:
 Virgen Rocio Hosp, Dept Internal Med, Seville, Spain

Aguirre, MA:
 Reina Sofia IMIBIC Hosp, Dept Rheumatol, Cordoba, Spain

Gomez-Gracia, I:
 Reina Sofia IMIBIC Hosp, Dept Rheumatol, Cordoba, Spain

Fernandez-Gutierrez, B:
 San Carlos Clin Hosp, Dept Rheumatol, Madrid, Spain

Rodriguez-Rodriguez, L:
 San Carlos Clin Hosp, Dept Rheumatol, Madrid, Spain

de la Pena, PG:
 Madrid Norte Sanchinarro Hosp, Dept Rheumatol, Madrid, Spain

Vicente, E:
 La Princesa Hosp, Dept Rheumatol, Madrid, Spain

Andreu, JL:
 Puerta Hierro Hosp Majadahonda, Dept Rheumatol, Madrid, Spain

de Castro, MF:
 Puerta Hierro Hosp Majadahonda, Dept Rheumatol, Madrid, Spain

Lopez-Longo, FJ:
 Gregorio Maranon Univ Hosp, Dept Rheumatol, Madrid, Spain

Martinez, L:
 Gregorio Maranon Univ Hosp, Dept Rheumatol, Madrid, Spain

Fonollosa, V:
 Valle Hebron Hosp, Dept Internal Med, Barcelona, Spain

Guillen, A:
 Valle Hebron Hosp, Dept Internal Med, Barcelona, Spain

Espinosa, G:
 Clin Hosp, Dept Internal Med, Barcelona, Spain

Tolosa, C:
 Parc Tauli Hosp, Dept Internal Med, Sabadell, Spain

Pros, A:
 Hosp del Mar, Dept Rheumatol, Barcelona, Spain

Rodriguez-Carballeira, M:
 Hosp Univ Mutua Terrasa, Dept Internal Med, Barcelona, Spain

Narvaez, FJ:
 Bellvitge Univ Hosp, Dept Rheumatol, Barcelona, Spain

Rubio-Rivas, M:
 Bellvitge Univ Hosp, Dept Internal Med, Barcelona, Spain

Ortiz-Santamaria, V:
 Granollers Hosp, Dept Rheumatol, Granollers, Spain

Madronero, AB:
 Hosp Gen San Jorge, Dept Internal Med, Huesca, Spain

Gonzalez-Gay, MA:
 Univ Cantabria, Epidemiol Genet & Atherosclerosis Res Grp Syst In, DIVAL, Santander, Spain

Diaz, B:
 Hosp Cent Asturias, Dept Internal Med, Oviedo, Spain

Trapiella, L:
 Hosp Cent Asturias, Dept Internal Med, Oviedo, Spain

Sousa, A:
 Complexo Hosp Univ Vigo, Hosp Xeral, Dept Internal Med, Infect Dis Unit, Vigo, Spain

Egurbide, MV:
 Hosp Univ Cruces, Dept Internal Med, Baracaldo, Spain

Fanlo-Mateo, P:
 Hosp Virgen Camino, Dept Internal Med, Pamplona, Spain

Saez-Comet, L:
 Hosp Univ Miguel Servet, Dept Internal Med, Zaragoza, Spain

Diaz, F:
 Hosp Univ Canarias, Dept Rheumatol, Tenerife, Spain

Hernandez, V:
 Hosp Univ Canarias, Dept Rheumatol, Tenerife, Spain

Beltran, E:
 Hosp Gen Univ Valencia, Dept Rheumatol, Valencia, Spain

Roman-Ivorra, JA:
 Hosp Univ & Politecn La Fe, Dept Rheumatol, Valencia, Spain

Grau, E:
 Hosp Univ & Politecn La Fe, Dept Rheumatol, Valencia, Spain

Alegre-Sancho, JJ:
 Hosp Univ Doctor Peset, Dept Rheumatol, Valencia, Spain

Freire, M:
 Complexo Hosp Univ Vigo, Dept Internal Med, Thrombosis & Vasculitis Unit, Vigo, Spain

Blanco-Garcia, FJ:
 INIBIC Hosp Univ A Coruna, Dept Rheumatol, La Coruna, Spain

Oreiro, N:
 INIBIC Hosp Univ A Coruna, Dept Rheumatol, La Coruna, Spain

Witte, T:
 Hannover Med Sch, Dept Clin Immunol, Hannover, Germany

Kreuter, A:
 Ruhr Univ Bochum, Josefs Hosp, Dept Dermatol, Bochum, Germany

Riemekasten, G:
 Univ Lubeck, Clin Rheumatol, Lubeck, Germany

Airo, P:
 Spedali Civil Brescia, Serv Rheumatol & Clin Immunol, Brescia, Italy

Magro, C:
 Leiden Univ, Dept Rheumatol, Med Ctr, Leiden, Netherlands

Voskuyl, AE:
 Vrije Univ Amsterdam, Med Ctr, Dept Rheumatol, Amsterdam, Netherlands

Hesselstrand, R:
 Lund Univ, Dept Rheumatol, Lund, Sweden

Proudman, S:
 Royal Adelaide Hosp, Adelaide, SA, Australia

 Univ Adelaide, Adelaide, SA, Australia

Stevens, W:
 St Vincents Hosp, Melbourne, Vic, Australia

Nikpour, M:
 Univ Melbourne, St Vincents Hosp, Melbourne, Vic, Australia

Zochling, J:
 Univ Tasmania, Menzies Res Inst Tasmania, Hobart, Tas, Australia

Sahhar, J:
 Monash Med Ctr, Dept Rheumatol, Melbourne, Vic, Australia

Roddy, J:
 Royal Perth Hosp, Rheumatol, Perth, WA, Australia

Nash, P:
 Sunshine Coast Rheumatol, Res Unit, Maroochydore, Qld, Australia

Tymms, K:
 Canberra Rheumatol, Canberra, ACT, Australia

Rischmueller, M:
 Queen Elizabeth Hosp, Dept Rheumatol, Woodville, SA, Australia

Lester, S:
 Queen Elizabeth Hosp, Dept Rheumatol, Woodville, SA, Australia

Vyse, T:
 Kings Coll London, Dept Med & Mol Genet, London, England

Herrick, AL:
 Univ Manchester, Manchester Acad Hlth Sci Ctr, Salford Royal NHS Fdn Trust, Ctr Musculoskeletal Res, Manchester, Lancs, England

 NIHR Manchester Biomed Res Ctr, Manchester, Lancs, England

Worthington, J:
 Univ Manchester, Manchester Acad Hlth Sci Ctr, Arthrit Res UK Ctr Genet & Genom, Ctr Musculoskeletal Res,Fac Biol Med & Hlth, Oxford Rd, Manchester, Lancs, England

Denton, CP:
 Royal Free & Univ Coll Med Sch, Ctr Rheumatol, London, England

Allanore, Y:
 Paris Descartes Univ, Cochin Hosp, Dept Rheumatol A, INSERM,U1016, Paris, France

Brown, MA:
 Queensland Univ Technol, Translat Res Inst, Princess Alexandra Hosp, Inst Hlth & Biomed Innovat, Brisbane, Qld, Australia

Radstake, TRDJ:
 Univ Med Ctr Utrecht, Dept Immunol, Dept Rheumatol Clin Immunol, Lab Translat Immunol, Utrecht, Netherlands

Fonseca, C:
 Royal Free & Univ Coll Med Sch, Ctr Rheumatol, London, England

Chang, HY:
 Stanford Univ, Sch Med, Ctr Personal Dynam Regulomes, Stanford, CA 94305 USA

 Stanford Univ, Howard Hughes Med Inst, Stanford, CA 94305 USA

Mayes, MD:
 Univ Texas Hlth Sci Ctr Houston, Houston, TX 77030 USA

Martin, J:
 CSIC, IPBLN, Granada, Spain

Radboud Univ Nijmegen, Med Ctr, Dept Rheumatol, Nijmegen, Netherlands.
ISSN: 20411723





Nature Communications
Editorial
NATURE PUBLISHING GROUP, MACMILLAN BUILDING, 4 CRINAN ST, LONDON N1 9XW, ENGLAND, Reino Unido
Tipo de documento: Article
Volumen: 10 Número:
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WOS Id: 000493438700003
ID de PubMed: 31672989
imagen Gold, Green Published

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