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 in | Nature (London) Vol. 466; no. 7302; pp. 113 - 117 |
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Main Authors | , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Nature Publishing Group UK
01.07.2010
Nature Publishing Group |
Subjects | |
Online Access | Get full text |
ISSN | 0028-0836 1476-4687 1476-4687 |
DOI | 10.1038/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 |
Author_xml | – sequence: 1 givenname: Lynn surname: Petukhova fullname: Petukhova, Lynn organization: Department of Dermatology, Columbia University, New York, New York 10032, USA – sequence: 2 givenname: Madeleine surname: Duvic fullname: Duvic, Madeleine organization: Department of Dermatology, M. D. Anderson Cancer Center, Houston, Texas 77030, USA – sequence: 3 givenname: Maria surname: Hordinsky fullname: Hordinsky, Maria organization: Department of Dermatology, University of Minnesota, Minneapolis, Minnesota 55455, USA – sequence: 4 givenname: David surname: Norris fullname: Norris, David organization: Department of Dermatology, University of Colorado, Denver, Colorado 80010, USA – sequence: 5 givenname: Vera surname: Price fullname: Price, Vera organization: Department of Dermatology, UCSF, San Francisco, California 94115, USA – sequence: 6 givenname: Yutaka surname: Shimomura fullname: Shimomura, Yutaka organization: Department of Dermatology, Columbia University, New York, New York 10032, USA – sequence: 7 givenname: Hyunmi surname: Kim fullname: Kim, Hyunmi organization: Department of Dermatology, Columbia University, New York, New York 10032, USA – sequence: 8 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. surname: Gregersen fullname: Gregersen, Peter K. organization: The Feinstein Institute for Medical Research, North Shore LIJHS, Manhasset, New York 11030, USA – sequence: 16 givenname: Angela M. 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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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 |
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