Genome-wide association study in alopecia areata implicates both innate and adaptive immunity

Alopecia areata genetics The genetic basis of alopecia areata, a common autoimmune disease that causes disfiguring hair loss due to the collapse of immune privilege of the hair follicle, is largely unknown. A genome-wide association study has now identified several susceptibility loci for alopecia a...

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Published inNature (London) Vol. 466; no. 7302; pp. 113 - 117
Main Authors Petukhova, Lynn, Duvic, Madeleine, Hordinsky, Maria, Norris, David, Price, Vera, Shimomura, Yutaka, Kim, Hyunmi, Singh, Pallavi, Lee, Annette, Chen, Wei V., Meyer, Katja C., Paus, Ralf, Jahoda, Colin A. B., Amos, Christopher I., Gregersen, Peter K., Christiano, Angela M.
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 01.07.2010
Nature Publishing Group
Subjects
Online AccessGet full text
ISSN0028-0836
1476-4687
1476-4687
DOI10.1038/nature09114

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Abstract Alopecia areata genetics The genetic basis of alopecia areata, a common autoimmune disease that causes disfiguring hair loss due to the collapse of immune privilege of the hair follicle, is largely unknown. A genome-wide association study has now identified several susceptibility loci for alopecia areata, most of them clustered into eight genomic regions. The spectrum of gene activities affected implies the involvement of both acquired and innate immunity in the condition. Among significant associations are the ULBP genes that encode activating ligands for the natural killer cell receptor NKG2D, which have not been previously linked to autoimmune disease. The genetic basis of alopecia areata, one of the most common human autoimmune diseases, is largely unknown. This study reports a genome-wide association for this trait that implies the involvement of acquired and innate immunity. Among significant associations are the cytomegalovirus UL16-binding protein genes, which encode activating ligands for the natural killer cell receptor, NKG2D, here implicated for the first time in any autoimmune disease. Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack 1 , 2 . The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA ( P  ≤ 5 × 10 −7 ). Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells (T reg cells), cytotoxic T lymphocyte-associated antigen 4 ( CTLA4 ), interleukin ( IL ) -2/IL-21 , IL-2 receptor A ( IL-2RA; CD25 ) and Eos (also known as Ikaros family zinc finger 4; IKZF4 ), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself ( PRDX5 and STX17 ). A region of strong association resides within the ULBP (cytomegalovirus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity.
AbstractList Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack. The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA (P ≤ 5 × 10^sup -7^). Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells (T^sub reg^ cells), cytotoxic T lymphocyte-associated antigen 4 (CTLA4), interleukin (IL)-2/IL-21, IL-2 receptor A (IL-2RA; CD25) and Eos (also known as Ikaros family zinc finger 4; IKZF4), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself (PRDX5 and STX17). A region of strong association resides within the ULBP (cytomegalo-virus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity. [PUBLICATION ABSTRACT]
Alopecia areata genetics The genetic basis of alopecia areata, a common autoimmune disease that causes disfiguring hair loss due to the collapse of immune privilege of the hair follicle, is largely unknown. A genome-wide association study has now identified several susceptibility loci for alopecia areata, most of them clustered into eight genomic regions. The spectrum of gene activities affected implies the involvement of both acquired and innate immunity in the condition. Among significant associations are the ULBP genes that encode activating ligands for the natural killer cell receptor NKG2D, which have not been previously linked to autoimmune disease. The genetic basis of alopecia areata, one of the most common human autoimmune diseases, is largely unknown. This study reports a genome-wide association for this trait that implies the involvement of acquired and innate immunity. Among significant associations are the cytomegalovirus UL16-binding protein genes, which encode activating ligands for the natural killer cell receptor, NKG2D, here implicated for the first time in any autoimmune disease. Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack 1 , 2 . The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA ( P  ≤ 5 × 10 −7 ). Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells (T reg cells), cytotoxic T lymphocyte-associated antigen 4 ( CTLA4 ), interleukin ( IL ) -2/IL-21 , IL-2 receptor A ( IL-2RA; CD25 ) and Eos (also known as Ikaros family zinc finger 4; IKZF4 ), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself ( PRDX5 and STX17 ). A region of strong association resides within the ULBP (cytomegalovirus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity.
Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack 1 , 2 . The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA ( P ≤ 5 × 10 −7 ). Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells (T reg cells), cytotoxic T lymphocyte-associated antigen 4 ( CTLA4 ), interleukin ( IL ) -2/IL-21 , IL-2 receptor A ( IL-2RA; CD25 ) and Eos (also known as Ikaros family zinc finger 4; IKZF4 ), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself ( PRDX5 and STX17 ). A region of strong association resides within the ULBP (cytomegalovirus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity.
Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack. The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA (P <or= 5 x 10(-7)). Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells (T(reg) cells), cytotoxic T lymphocyte-associated antigen 4 (CTLA4), interleukin (IL)-2/IL-21, IL-2 receptor A (IL-2RA; CD25) and Eos (also known as Ikaros family zinc finger 4; IKZF4), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself (PRDX5 and STX17). A region of strong association resides within the ULBP (cytomegalovirus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity.Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack. The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA (P <or= 5 x 10(-7)). Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells (T(reg) cells), cytotoxic T lymphocyte-associated antigen 4 (CTLA4), interleukin (IL)-2/IL-21, IL-2 receptor A (IL-2RA; CD25) and Eos (also known as Ikaros family zinc finger 4; IKZF4), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself (PRDX5 and STX17). A region of strong association resides within the ULBP (cytomegalovirus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity.
Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack. The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA (P,510 super(& #x2212; 7)). Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells (T sub(reg) cells), cytotoxic T lymphocyte-associated antigen 4 (CTLA4), interleukin (IL)-2/IL-21, IL-2 receptor A (IL-2RA; CD25) and Eos (also known as Ikaros family zinc finger 4; IKZF4), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself (PRDX5 and STX17). A region of strong association resides within the ULBP (cytomegalovirus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity.
Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack (1,2). The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA (P ≤ 5 X [10.sup.-7]).Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells ([T.sub.reg] cells), cytotoxic T lymphocyte-associated antigen 4 (CTLA4), interleukin (IL)-2/IL-21,IL-2 receptor A (IL-2RA; CD25)and Eos (also known as Ikaros family zinc finger 4; IKZF4), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself (PRDX5 and STX17). A region of strong association resides within the ULBP (cytomegalovirus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity.
Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of the hair follicle and subsequent autoimmune attack. The genetic basis of AA is largely unknown. We undertook a genome-wide association study (GWAS) in a sample of 1,054 cases and 3,278 controls and identified 139 single nucleotide polymorphisms that are significantly associated with AA (P <or= 5 x 10(-7)). Here we show an association with genomic regions containing several genes controlling the activation and proliferation of regulatory T cells (T(reg) cells), cytotoxic T lymphocyte-associated antigen 4 (CTLA4), interleukin (IL)-2/IL-21, IL-2 receptor A (IL-2RA; CD25) and Eos (also known as Ikaros family zinc finger 4; IKZF4), as well as the human leukocyte antigen (HLA) region. We also find association evidence for regions containing genes expressed in the hair follicle itself (PRDX5 and STX17). A region of strong association resides within the ULBP (cytomegalovirus UL16-binding protein) gene cluster on chromosome 6q25.1, encoding activating ligands of the natural killer cell receptor NKG2D that have not previously been implicated in an autoimmune disease. By probing the role of ULBP3 in disease pathogenesis, we also show that its expression in lesional scalp from patients with AA is markedly upregulated in the hair follicle dermal sheath during active disease. This study provides evidence for the involvement of both innate and acquired immunity in the pathogenesis of AA. We have defined the genetic underpinnings of AA, placing it within the context of shared pathways among autoimmune diseases, and implicating a novel disease mechanism, the upregulation of ULBP ligands, in triggering autoimmunity.
Audience Academic
Author Lee, Annette
Christiano, Angela M.
Hordinsky, Maria
Gregersen, Peter K.
Norris, David
Chen, Wei V.
Meyer, Katja C.
Amos, Christopher I.
Singh, Pallavi
Kim, Hyunmi
Price, Vera
Petukhova, Lynn
Jahoda, Colin A. B.
Paus, Ralf
Duvic, Madeleine
Shimomura, Yutaka
AuthorAffiliation 4 Department of Dermatology, University of Colorado, Denver, Colorado 80010, USA
6 The Feinstein Institute for Medical Research, North Shore LIJHS, Manhasset, New York 11030, USA
11 Department of Genetics and Development, Columbia University, New York, New York 10032, USA
1 Department of Dermatology, Columbia University, New York, New York 10032, USA
2 Department of Dermatology, M. D. Anderson Cancer Center, Houston, Texas 77030, USA
5 Department of Dermatology, UCSF, San Francisco, California 94115, USA
8 Department of Dermatology, University of Lübeck, 23538 Lübeck, Germany
7 Department of Epidemiology, M. D. Anderson Cancer Center, Houston, Texas 77030, USA
9 School of Translational Medicine, University of Manchester, Manchester M13 9PT, UK
10 Department of Biological Sciences, University of Durham, Durham DH1 3LE, UK
3 Department of Dermatology, University of Minnesota, Minneapolis, Minnesota 55455, USA
AuthorAffiliation_xml – name: 1 Department of Dermatology, Columbia University, New York, New York 10032, USA
– name: 6 The Feinstein Institute for Medical Research, North Shore LIJHS, Manhasset, New York 11030, USA
– name: 10 Department of Biological Sciences, University of Durham, Durham DH1 3LE, UK
– name: 9 School of Translational Medicine, University of Manchester, Manchester M13 9PT, UK
– name: 4 Department of Dermatology, University of Colorado, Denver, Colorado 80010, USA
– name: 7 Department of Epidemiology, M. D. Anderson Cancer Center, Houston, Texas 77030, USA
– name: 11 Department of Genetics and Development, Columbia University, New York, New York 10032, USA
– name: 3 Department of Dermatology, University of Minnesota, Minneapolis, Minnesota 55455, USA
– name: 2 Department of Dermatology, M. D. Anderson Cancer Center, Houston, Texas 77030, USA
– name: 5 Department of Dermatology, UCSF, San Francisco, California 94115, USA
– name: 8 Department of Dermatology, University of Lübeck, 23538 Lübeck, Germany
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  surname: Petukhova
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  organization: Department of Dermatology, Columbia University, New York, New York 10032, USA
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  surname: Duvic
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  organization: Department of Dermatology, M. D. Anderson Cancer Center, Houston, Texas 77030, USA
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  surname: Hordinsky
  fullname: Hordinsky, Maria
  organization: Department of Dermatology, University of Minnesota, Minneapolis, Minnesota 55455, USA
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  surname: Norris
  fullname: Norris, David
  organization: Department of Dermatology, University of Colorado, Denver, Colorado 80010, USA
– sequence: 5
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  surname: Price
  fullname: Price, Vera
  organization: Department of Dermatology, UCSF, San Francisco, California 94115, USA
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  surname: Shimomura
  fullname: Shimomura, Yutaka
  organization: Department of Dermatology, Columbia University, New York, New York 10032, USA
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  surname: Kim
  fullname: Kim, Hyunmi
  organization: Department of Dermatology, Columbia University, New York, New York 10032, USA
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  givenname: Pallavi
  surname: Singh
  fullname: Singh, Pallavi
  organization: Department of Dermatology, Columbia University, New York, New York 10032, USA
– sequence: 9
  givenname: Annette
  surname: Lee
  fullname: Lee, Annette
  organization: The Feinstein Institute for Medical Research, North Shore LIJHS, Manhasset, New York 11030, USA
– sequence: 10
  givenname: Wei V.
  surname: Chen
  fullname: Chen, Wei V.
  organization: Department of Epidemiology, M. D. Anderson Cancer Center, Houston, Texas 77030, USA
– sequence: 11
  givenname: Katja C.
  surname: Meyer
  fullname: Meyer, Katja C.
  organization: Department of Dermatology, University of Lübeck
– sequence: 12
  givenname: Ralf
  surname: Paus
  fullname: Paus, Ralf
  organization: Department of Dermatology, University of Lübeck, School of Translational Medicine, University of Manchester
– sequence: 13
  givenname: Colin A. B.
  surname: Jahoda
  fullname: Jahoda, Colin A. B.
  organization: Department of Biological Sciences, University of Durham
– sequence: 14
  givenname: Christopher I.
  surname: Amos
  fullname: Amos, Christopher I.
  organization: Department of Epidemiology, M. D. Anderson Cancer Center, Houston, Texas 77030, USA
– sequence: 15
  givenname: Peter K.
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  organization: The Feinstein Institute for Medical Research, North Shore LIJHS, Manhasset, New York 11030, USA
– sequence: 16
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  surname: Christiano
  fullname: Christiano, Angela M.
  email: amc65@columbia.edu
  organization: Department of Dermatology, Columbia University, New York, New York 10032, USA, Department of Genetics and Development, Columbia University, New York, New York 10032, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/20596022$$D View this record in MEDLINE/PubMed
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Snippet Alopecia areata genetics The genetic basis of alopecia areata, a common autoimmune disease that causes disfiguring hair loss due to the collapse of immune...
Alopecia areata (AA) is among the most highly prevalent human autoimmune diseases, leading to disfiguring hair loss due to the collapse of immune privilege of...
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pubmed
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StartPage 113
SubjectTerms 631/208/205/2138
631/80/304
692/420/2780
692/699/249/1313
Adaptive Immunity - genetics
Adaptive Immunity - immunology
Adult
Aged
Alleles
Alopecia
Alopecia Areata - genetics
Alopecia Areata - immunology
Antigens
Antigens, CD - genetics
Autoimmune diseases
Autoimmune Diseases - genetics
Autoimmune Diseases - immunology
Baldness
Case-Control Studies
Celiac disease
Chromosomes
CTLA-4 Antigen
Cytomegalovirus
Female
Genes
Genetic aspects
Genetic Predisposition to Disease
Genetics
Genome-Wide Association Study
GPI-Linked Proteins
Hair
Hair Follicle - cytology
Hair Follicle - immunology
Hair Follicle - metabolism
Haplotypes
Health aspects
Health risk assessment
Humanities and Social Sciences
Humans
Ikaros Transcription Factor - genetics
Immune response
Immune system
Immunity, Innate - genetics
Immunity, Innate - immunology
Intercellular Signaling Peptides and Proteins - genetics
Intercellular Signaling Peptides and Proteins - metabolism
Interleukin-2 Receptor alpha Subunit - genetics
letter
Lymphocytes
Male
Middle Aged
multidisciplinary
NK Cell Lectin-Like Receptor Subfamily K - immunology
Pathogenesis
Peroxiredoxins - genetics
Polymorphism, Single Nucleotide - genetics
Principal components analysis
Qa-SNARE Proteins - genetics
Receptors
Review boards
Rheumatoid arthritis
Risk factors
Science
Science (multidisciplinary)
T-Lymphocytes, Regulatory - cytology
T-Lymphocytes, Regulatory - immunology
Validation studies
Zinc
Title Genome-wide association study in alopecia areata implicates both innate and adaptive immunity
URI https://link.springer.com/article/10.1038/nature09114
https://www.ncbi.nlm.nih.gov/pubmed/20596022
https://www.proquest.com/docview/610402571
https://www.proquest.com/docview/1753555009
https://www.proquest.com/docview/733628841
https://www.proquest.com/docview/746165829
https://pubmed.ncbi.nlm.nih.gov/PMC2921172
Volume 466
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