A functionally relevant IRF5 haplotype is associated with reduced risk to Wegener's granulomatosis

J Mol Med (Berl). 2010 Apr;88(4):413-21. doi: 10.1007/s00109-009-0580-y. Epub 2010 Jan 5.

Abstract

Wegener's granulomatosis (WG), characterized by systemic vasculitis and granulomatous inflammation, is a rare chronic rheumatic condition potentially sharing some etiopathological principles with other autoimmune disorders, e.g., rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Several large association studies have identified genetic risk factors for RA and SLE. Thereof, we have evaluated the relevance of the most promising ones in WG. 22 single nucleotide polymorphisms (SNPs) within or in the vicinity of CCL21, CD40, CDK6, IL21, IL2RB, IRF5, KIF5A, KLF12, MMEL1, PRKCQ, STAT4, TNFAIP3, and TRAF1/C5 have been genotyped in >600 German WG cases and >800 matched controls. While most polymorphisms did not show suspicious effects on WG susceptibility, SNPs representing TNFAIP3 (rs6922466, p = 0.032, odds ratio (OR) 0.83, 95% confidence interval (CI) 0.7--0.98) and CDK6 (rs42041, p = 0.0201, OR 1.21, 95% CI 1.03-1.43) revealed nominally significant differences in allele distribution. The strongest association was detected for a functionally relevant four SNP haplotype of IRF5, which comprised a protective effect (p = 0.0000897, p (corrected) = 0.0012, OR 0.73, 95% CI 0.62-0.85) similar to those previously seen in RA and SLE. Thus, we suggest that WG, SLE, and RA share some, but not many, genetic risk factors, which supports models of partly overlapping etiopathological mechanisms in these disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autoimmunity
  • Case-Control Studies
  • Cohort Studies
  • Genetic Association Studies
  • Genotype
  • Granulomatosis with Polyangiitis / genetics*
  • Granulomatosis with Polyangiitis / metabolism
  • Haplotypes*
  • Humans
  • Inflammation
  • Interferon Regulatory Factors / genetics*
  • Models, Genetic
  • Odds Ratio
  • Polymorphism, Genetic
  • Polymorphism, Single Nucleotide
  • Risk

Substances

  • IRF5 protein, human
  • Interferon Regulatory Factors