TY - JOUR
T1 - Genomewide association study of acute anterior uveitis identifies new susceptibility loci
AU - Huang, Xiu Feng
AU - Li, Zhixiu
AU - de Guzman, Erika
AU - Robinson, Philip
AU - Gensler, Lianne
AU - Ward, Michael M.
AU - Rahbar, Mohammad Hossein
AU - Lee, Min Jae
AU - Weisman, Michael H.
AU - Macfarlane, Gary J.
AU - Jones, Gareth T.
AU - Klingberg, Eva
AU - Forsblad-D’Elia, Helena
AU - McCluskey, Peter
AU - Wakefield, Denis
AU - Coombes, Jeff S.
AU - Fiatarone Singh, Maria A.
AU - Mavros, Yorgi
AU - Vlahovich, Nicole
AU - Hughes, David C.
AU - Marzo-Ortega, Helena
AU - van der Horste-Bruinsma, Irene
AU - O’Shea, Finbar
AU - Martin, Tammy M.
AU - Rosenbaum, James
AU - Breban, Maxime
AU - Jin, Zi Bing
AU - Leo, Paul
AU - Reveille, John D.
AU - Wordsworth, B. Paul
AU - Brown, Matthew A.
N1 - Publisher Copyright:
© 2020 Association for Research in Vision and Ophthalmology Inc.. All rights reserved.
PY - 2020/6
Y1 - 2020/6
N2 - PURPOSE. Acute anterior uveitis (AAU) is a common intraocular inflammatory disease. AAU occurs in 30% to 50% of patients with ankylosing spondylitis (AS), and both conditions are strongly associated with human leukocyte antigen (HLA)-B27, implying a shared etiology. This study aims to apply genomewide association study (GWAS) to characterize the genetic associations of AAU and their relationship to the genetics of AS. METHODS. We undertook the GWAS analyses in 2752 patients with AS with AAU (cases) and 3836 patients with AS without AAU (controls). There were 7,436,415 single-nucleotide polymorphisms (SNPs) available after SNP microarray genotyping, imputation, and quality-control filtering. RESULTS. We identified one locus associated with AAU at genomewide significance: rs9378248 (P = 2.69 × 10−8, odds ratio [OR] = 0.78), lying close to HLA-B. Suggestive association was observed at 11 additional loci, including previously reported AS loci ERAP1 (rs27529, P = 2.19 × 10−7, OR = 1.22) and NOS2 (rs2274894, P = 8.22 × 10−7, OR = 0.83). Multiple novel suggestive associations were also identified, including MERTK (rs10171979, P = 2.56 × 10−6, OR = 1.20), KIFAP3 (rs508063, P = 5.64 × 10−7, OR = 1.20), CLCN7 (rs67412457, P = 1.33 × 10−6, OR = 1.25), ACAA2 (rs9947182, P = 9.70 × 10−7, OR = 1.37), and 5 intergenic loci. The SNP-based heritability is approximately 0.5 for AS alone, and is much higher (approximately 0.7) for AS with AAU. Consistent with the high heritability, a genomewide polygenic risk score shows strong power in identifying individuals at high risk of either AS with AAU or AS alone. CONCLUSIONS. We report here the first GWAS for AAU and identify new susceptibility loci. Our findings confirm the strong overlap in etiopathogenesis of AAU with AS, and also provide new insights into the genetic basis of AAU.
AB - PURPOSE. Acute anterior uveitis (AAU) is a common intraocular inflammatory disease. AAU occurs in 30% to 50% of patients with ankylosing spondylitis (AS), and both conditions are strongly associated with human leukocyte antigen (HLA)-B27, implying a shared etiology. This study aims to apply genomewide association study (GWAS) to characterize the genetic associations of AAU and their relationship to the genetics of AS. METHODS. We undertook the GWAS analyses in 2752 patients with AS with AAU (cases) and 3836 patients with AS without AAU (controls). There were 7,436,415 single-nucleotide polymorphisms (SNPs) available after SNP microarray genotyping, imputation, and quality-control filtering. RESULTS. We identified one locus associated with AAU at genomewide significance: rs9378248 (P = 2.69 × 10−8, odds ratio [OR] = 0.78), lying close to HLA-B. Suggestive association was observed at 11 additional loci, including previously reported AS loci ERAP1 (rs27529, P = 2.19 × 10−7, OR = 1.22) and NOS2 (rs2274894, P = 8.22 × 10−7, OR = 0.83). Multiple novel suggestive associations were also identified, including MERTK (rs10171979, P = 2.56 × 10−6, OR = 1.20), KIFAP3 (rs508063, P = 5.64 × 10−7, OR = 1.20), CLCN7 (rs67412457, P = 1.33 × 10−6, OR = 1.25), ACAA2 (rs9947182, P = 9.70 × 10−7, OR = 1.37), and 5 intergenic loci. The SNP-based heritability is approximately 0.5 for AS alone, and is much higher (approximately 0.7) for AS with AAU. Consistent with the high heritability, a genomewide polygenic risk score shows strong power in identifying individuals at high risk of either AS with AAU or AS alone. CONCLUSIONS. We report here the first GWAS for AAU and identify new susceptibility loci. Our findings confirm the strong overlap in etiopathogenesis of AAU with AS, and also provide new insights into the genetic basis of AAU.
KW - Acute anterior uveitis
KW - Ankylosing spondylitis
KW - GWAS
KW - Genetic risk scores
KW - Heritability
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U2 - 10.1167/IOVS.61.6.3
DO - 10.1167/IOVS.61.6.3
M3 - Article
C2 - 32492107
AN - SCOPUS:85085909401
SN - 0146-0404
VL - 61
JO - Investigative Ophthalmology and Visual Science
JF - Investigative Ophthalmology and Visual Science
IS - 6
M1 - 3
ER -