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Discovery of new myositis genetic associations through leveraging other immune-mediated diseases

G. Reales, CI. Amos, O. Benveniste, H. Chinoy, J. De Bleecker, B. De Paepe, A. Doria, PK. Gregersen, JA. Lamb, V. Limaye, IE. Lundberg, PM. Machado, B. Maurer, FW. Miller, Ø. Molberg, LM. Pachman, L. Padyukov, TR. Radstake, AM. Reed, LG. Rider,...

. 2024 ; 5 (4) : 100336. [pub] 20240722

Language English Country United States

Document type Journal Article

Genome-wide association studies (GWASs) have been successful at finding associations between genetic variants and human traits, including the immune-mediated diseases (IMDs). However, the requirement of large sample sizes for discovery poses a challenge for learning about less common diseases, where increasing volunteer numbers might not be feasible. An example of this is myositis (or idiopathic inflammatory myopathies [IIM]s), a group of rare, heterogeneous autoimmune diseases affecting skeletal muscle and other organs, severely impairing life quality. Here, we applied a feature engineering method to borrow information from larger IMD GWASs to find new genetic associations with IIM and its subgroups. Combining this approach with two clustering methods, we found 17 IMDs genetically close to IIM, including some common comorbid conditions, such as systemic sclerosis and Sjögren's syndrome, as well as hypo- and hyperthyroidism. All IIM subtypes were genetically similar within this framework. Next, we colocalized IIM signals that overlapped IMD signals, and found seven potentially novel myositis associations mapped to immune-related genes, including BLK, IRF5/TNPO3, and ITK/HAVCR2, implicating a role for both B and T cells in IIM. This work proposes a new paradigm of genetic discovery in rarer diseases by leveraging information from more common IMD, and can be expanded to other conditions and traits beyond IMD.

Cambridge Institute of Therapeutic Immunology and Infectious Disease University of Cambridge Cambridge UK

Centre for Adolescent Rheumatology Versus Arthritis UCL Great Ormond Street Institute of Child Health University College London London UK

Centre for Genetics and Genomics Versus Arthritis Centre for Musculoskeletal Research Faculty of Biology Medicine and Health University of Manchester Manchester UK

Centre for Rheumatology UCL Division of Medicine University College London London UK

Children's Hospital of Chicago Northwestern University Feinberg School of Medicine Chicago IL USA

Department of Internal Medicine and Clinical Immunology Pitié Salpêtrière Hospital Paris France

Department of Medicine Baylor College of Medicine Houston TX USA

Department of Medicine University of Cambridge Cambridge UK

Department of Neurology Ghent University Ghent Belgium

Department of Neuromuscular Diseases UCL Queen Square Institute of Neurology London UK

Department of Pediatrics Duke University Durham NC USA

Department of Rheumatology and Clinical Immunology University Medical Center Utrecht the Netherlands

Department of Rheumatology and Immunology Inselspital Bern University Hospital University of Bern Bern Switzerland

Department of Rheumatology Oslo University Hospital Oslo Norway

Department of Rheumatology Salford Royal Hospital Northern Care Alliance NHS Foundation Trust Manchester Academic Health Science Centre Salford UK

Discipline of Medicine Adelaide University Adelaide South Australia Australia

Division of Musculoskeletal and Dermatological Sciences Faculty of Biology Medicine and Health The University of Manchester Manchester UK

Division of Rheumatology Department of Medicine Solna Karolinska Institutet Karolinska University Hospital Stockholm Sweden

Environmental Autoimmunity Group National Institute of Environmental Health Sciences NIH Bethesda MD USA

Epidemiology and Public Health Group Division of Population Health Health Services Research and Primary Care Faculty of Biology Medicine and Health University of Manchester Manchester UK

Institute of Rheumatology and Department of Rheumatology 1st Medical Faculty Charles University Prague Czech Republic

Internal Medicine Department Vall d'Hebron General Hospital Universitat Autonoma de Barcelona Barcelona Spain

MRC Biostatistics Unit University of Cambridge Cambridge UK

Neuromuscular Reference Center Ghent University Hospital Ghent Belgium

NIHR Biomedical Research Centre at Great Ormond Street Hospital London UK

Rheumatology Unit Department of Medicine University of Padova Padova Italy

Rheumatology Unit Royal Adelaide Hospital Adelaide South Australia Australia

The Robert S Boas Center for Genomics and Human Genetics The Feinstein Institute Manhasset NY USA

References provided by Crossref.org

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