A genome-wide association study in progressive multiple sclerosis

被引:39
作者
Martinelli-Boneschi, Filippo [1 ,2 ]
Esposito, Federica [1 ,2 ]
Brambilla, Paola [1 ,2 ]
Lindstrom, Eva [3 ]
Lavorgna, Giovanni [4 ]
Stankovich, Jim [5 ]
Rodegher, Mariaemma [1 ,2 ]
Capra, Ruggero
Ghezzi, Angelo
Coniglio, Gabriella [6 ]
Colombo, Bruno [1 ,2 ]
Sorosina, Melissa [1 ,2 ]
Martinelli, Vittorio [1 ,2 ]
Booth, David [7 ]
Oturai, Annette Bang [8 ]
Stewart, Graeme [7 ]
Harbo, Hanne F. [9 ,10 ]
Kilpatrick, Trevor John [11 ]
Hillert, Jan [3 ]
Rubio, Justin P. [11 ]
Abderrahim, Hadi [12 ]
Wojcik, Jerome [12 ]
Comi, Giancarlo [1 ,2 ]
机构
[1] Ist Sci San Raffaele, Inst Expt Neurol INSPE, Div Neurosci, I-20132 Milan, Italy
[2] Ist Sci San Raffaele, Dept Neurol, I-20132 Milan, Italy
[3] Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
[4] Ist Sci San Raffaele, DIBIT, I-20132 Milan, Italy
[5] Univ Tasmania, Menzies Res Inst, Hobart, Tas 7001, Australia
[6] San Carlo Hosp, Dept Neurol, Potenza, Italy
[7] Univ Sydney, Westmead Millennium Inst, Sydney, NSW 2006, Australia
[8] Rigshosp, Copenhagen Univ Hosp, Dept Neurol, Danish Multiple Sclerosis Ctr, Copenhagen, Denmark
[9] Univ Oslo, Dept Neurol, N-0316 Oslo, Norway
[10] Hosp & Univ Oslo, Oslo, Norway
[11] Univ Melbourne, Florey Neurosci Inst, Melbourne, Vic 3010, Australia
[12] Merck Serono Genet Res Ctr, Geneva, Switzerland
基金
澳大利亚研究理事会; 英国医学研究理事会;
关键词
multiple sclerosis; association studies in genetics; single nucleotide polymorphism; genome-wide association study; primary progressive; GENE-EXPRESSION; SUSCEPTIBILITY; IDENTIFICATION; CNTNAP2; RISK; HLA; FAMILIES; RECEPTOR; LINKAGE; REGION;
D O I
10.1177/1352458512439118
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: The role played by genetic factors in influencing the clinical course of multiple sclerosis (MS) is not yet well established. Objective: We aimed to identify genetic variants associated with progressive MS (PrMS). Methods: We conducted a genome-wide association study (GWAS) in 197 patients with PrMS and 234 controls of Italian origin. We tested the top 20 single nucleotide polymorphisms (SNPs) with suggestive evidence of association (p-value < 10(-4)) in two independent sets of primary progressive MS cases and controls. Results: We identified a risk-associated SNP in the HLA region in linkage disequilibrium (LD) with DRB1*1501 and DQB*0602 loci, with genome-wide significance (rs3129934(T), p(combined)=6.7x10(-16), OR=2.34, 95% CI=1.90-2.87), and a novel locus on chromosome 7q35 with suggestive evidence of association (rs996343(G), p(combined)=2.4x10(-5), OR=0.70, 95% CI=0.59-0.83) which maps within a human endogenous retroviral (HERV) element. The new locus did not have a 'cis' effect on RNA expression in lymphoblastic cell lines, but pathway analyses of 'trans' effects point to an expression regulation of genes involved in neurodegeneration, including glutamate metabolism (p < 0.01) and axonal guidance signalling (p < 0.02). Conclusions: We have confirmed the established association with the HLA region and, despite the low statistical power of the study, we found suggestive evidence for association with a novel locus on chromosome 7, with a putative regulatory role.
引用
收藏
页码:1384 / 1394
页数:11
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