Variants at multiple loci implicated in both innate and adaptive immune responses are associated with Sjögren's syndrome (original) (raw)

Accession codes

Primary accessions

Gene Expression Omnibus

References

  1. Helmick, C.G. et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part I. Arthritis Rheum. 58, 15–25 (2008).
    Article PubMed Google Scholar
  2. Pillemer, S.R. et al. Incidence of physician-diagnosed primary Sjögren syndrome in residents of Olmsted County, Minnesota. Mayo Clin. Proc. 76, 593–599 (2001).
    Article CAS PubMed Google Scholar
  3. Plesivcnik Novljan, M. et al. Incidence of primary Sjögren's syndrome in Slovenia. Ann. Rheum. Dis. 63, 874–876 (2004).
    Article CAS PubMed Google Scholar
  4. Jonsson, R. et al. The complexity of Sjögren's syndrome: novel aspects on pathogenesis. Immunol. Lett. 141, 1–9 (2011).
    Article CAS PubMed Google Scholar
  5. Vitali, C. et al. Classification criteria for Sjögren's syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. Ann. Rheum. Dis. 61, 554–558 (2002).
    Article CAS PubMed PubMed Central Google Scholar
  6. Thanou-Stavraki, A. & James, J.A. Primary Sjögren's syndrome: current and prospective therapies. Semin. Arthritis Rheum. 37, 273–292 (2008).
    Article CAS PubMed Google Scholar
  7. Cobb, B.L., Lessard, C.J., Harley, J.B. & Moser, K.L. Genes and Sjögren's syndrome. Rheum. Dis. Clin. North Am. 34, 847–868 (2008).
    Article PubMed PubMed Central Google Scholar
  8. Hjelmervik, T.O., Petersen, K., Jonassen, I., Jonsson, R. & Bolstad, A.I. Gene expression profiling of minor salivary glands clearly distinguishes primary Sjögren's syndrome patients from healthy control subjects. Arthritis Rheum. 52, 1534–1544 (2005).
    Article CAS PubMed Google Scholar
  9. Emamian, E.S. et al. Peripheral blood gene expression profiling in Sjögren's syndrome. Genes Immun. 10, 285–296 (2009).
    Article CAS PubMed PubMed Central Google Scholar
  10. Ice, J.A. et al. Genetics of Sjögren's syndrome in the genome-wide association era. J. Autoimmun. 39, 57–63 (2012).
    Article CAS PubMed PubMed Central Google Scholar
  11. Cruz-Tapias, P., Rojas-Villarraga, A., Maier-Moore, S. & Anaya, J.M. HLA and Sjögren's syndrome susceptibility. A meta-analysis of worldwide studies. Autoimmun. Rev. 11, 281–287 (2012).
    Article CAS PubMed Google Scholar
  12. Korman, B.D. et al. Variant form of STAT4 is associated with primary Sjögren's syndrome. Genes Immun. 9, 267–270 (2008).
    Article CAS PubMed Google Scholar
  13. Miceli-Richard, C. et al. Association of an IRF5 gene functional polymorphism with Sjögren's syndrome. Arthritis Rheum. 56, 3989–3994 (2007).
    Article CAS PubMed PubMed Central Google Scholar
  14. Nordmark, G. et al. Association of EBF1, FAM167A(C8orf13)-BLK and TNFSF4 gene variants with primary Sjögren's syndrome. Genes Immun. 12, 100–109 (2011).
    Article CAS PubMed Google Scholar
  15. Nordmark, G. et al. Additive effects of the major risk alleles of IRF5 and STAT4 in primary Sjögren's syndrome. Genes Immun. 10, 68–76 (2009).
    Article CAS PubMed Google Scholar
  16. Kang, H.I. et al. Comparison of HLA class II genes in Caucasoid, Chinese, and Japanese patients with primary Sjögren's syndrome. J. Immunol. 150, 3615–3623 (1993).
    CAS PubMed Google Scholar
  17. ENCODE Project Consortium. A user's guide to the encyclopedia of DNA elements (ENCODE). PLoS Biol. 9, e1001046 (2011).
  18. Rossin, E.J. et al. Proteins encoded in genomic regions associated with immune-mediated disease physically interact and suggest underlying biology. PLoS Genet. 7, e1001273 (2011).
    Article CAS PubMed PubMed Central Google Scholar
  19. Frisch, M., Klocke, B., Haltmeier, M. & Frech, K. LitInspector: literature and signal transduction pathway mining in PubMed abstracts. Nucleic Acids Res. 37, W135–W140 (2009).
    Article CAS PubMed PubMed Central Google Scholar
  20. Nekrep, N. et al. Mutation in a winged-helix DNA-binding motif causes atypical bare lymphocyte syndrome. Nat. Immunol. 3, 1075–1081 (2002).
    Article CAS PubMed Google Scholar
  21. Meissner, T.B. et al. NLRC5 cooperates with the RFX transcription factor complex to induce MHC class I gene expression. J. Immunol. 188, 4951–4958 (2012).
    Article CAS PubMed Google Scholar
  22. Loiseau, P. et al. HLA class I and class II are both associated with the genetic predisposition to primary Sjögren syndrome. Hum. Immunol. 62, 725–731 (2001).
    Article CAS PubMed Google Scholar
  23. Raychaudhuri, S. et al. Five amino acids in three HLA proteins explain most of the association between MHC and seropositive rheumatoid arthritis. Nat. Genet. 44, 291–296 (2012).
    Article CAS PubMed PubMed Central Google Scholar
  24. Savitsky, D., Tamura, T., Yanai, H. & Taniguchi, T. Regulation of immunity and oncogenesis by the IRF transcription factor family. Cancer Immunol. Immunother. 59, 489–510 (2010).
    Article CAS PubMed Google Scholar
  25. Takaoka, A. et al. Integral role of IRF-5 in the gene induction programme activated by Toll-like receptors. Nature 434, 243–249 (2005).
    Article CAS PubMed Google Scholar
  26. Sigurdsson, S. et al. Polymorphisms in the tyrosine kinase 2 and interferon regulatory factor 5 genes are associated with systemic lupus erythematosus. Am. J. Hum. Genet. 76, 528–537 (2005).
    Article CAS PubMed PubMed Central Google Scholar
  27. Sigurdsson, S. et al. Association of a haplotype in the promoter region of the interferon regulatory factor 5 gene with rheumatoid arthritis. Arthritis Rheum. 56, 2202–2210 (2007).
    Article CAS PubMed Google Scholar
  28. Stahl, E.A. et al. Genome-wide association study meta-analysis identifies seven new rheumatoid arthritis risk loci. Nat. Genet. 42, 508–514 (2010).
    Article CAS PubMed PubMed Central Google Scholar
  29. Dideberg, V. et al. An insertion-deletion polymorphism in the interferon regulatory Factor 5 (IRF5) gene confers risk of inflammatory bowel diseases. Hum. Mol. Genet. 16, 3008–3016 (2007).
    Article CAS PubMed Google Scholar
  30. Liu, X. et al. Genome-wide meta-analyses identify three loci associated with primary biliary cirrhosis. Nat. Genet. 42, 658–660 (2010).
    Article CAS PubMed PubMed Central Google Scholar
  31. Dieudé, P. et al. Association between the IRF5 rs2004640 functional polymorphism and systemic sclerosis: a new perspective for pulmonary fibrosis. Arthritis Rheum. 60, 225–233 (2009).
    Article PubMed CAS Google Scholar
  32. Radstake, T.R. et al. Genome-wide association study of systemic sclerosis identifies CD247 as a new susceptibility locus. Nat. Genet. 42, 426–429 (2010).
    Article CAS PubMed PubMed Central Google Scholar
  33. Harley, J.B. et al. Genome-wide association scan in women with systemic lupus erythematosus identifies susceptibility variants in ITGAM, PXK, KIAA1542 and other loci. Nat. Genet. 40, 204–210 (2008).
    Article CAS PubMed PubMed Central Google Scholar
  34. Graham, R.R. et al. Three functional variants of IFN regulatory factor 5 (IRF5) define risk and protective haplotypes for human lupus. Proc. Natl. Acad. Sci. USA 104, 6758–6763 (2007).
    Article CAS PubMed PubMed Central Google Scholar
  35. Miceli-Richard, C. et al. The CGGGG insertion/deletion polymorphism of the IRF5 promoter is a strong risk factor for primary Sjögren's syndrome. Arthritis Rheum. 60, 1991–1997 (2009).
    Article CAS PubMed Google Scholar
  36. Sigurdsson, S. et al. Comprehensive evaluation of the genetic variants of interferon regulatory factor 5 (IRF5) reveals a novel 5 bp length polymorphism as strong risk factor for systemic lupus erythematosus. Hum. Mol. Genet. 17, 872–881 (2008).
    Article CAS PubMed Google Scholar
  37. Dawidowicz, K. et al. The interferon regulatory factor 5 gene confers susceptibility to rheumatoid arthritis and influences its erosive phenotype. Ann. Rheum. Dis. 70, 117–121 (2011).
    Article PubMed Google Scholar
  38. Kristjansdottir, G. et al. Interferon regulatory factor 5 (IRF5) gene variants are associated with multiple sclerosis in three distinct populations. J. Med. Genet. 45, 362–369 (2008).
    Article CAS PubMed Google Scholar
  39. Kaplan, M.H. STAT4: a critical regulator of inflammation in vivo. Immunol. Res. 31, 231–242 (2005).
    Article CAS PubMed Google Scholar
  40. Remmers, E.F. et al. STAT4 and the risk of rheumatoid arthritis and systemic lupus erythematosus. N. Engl. J. Med. 357, 977–986 (2007).
    Article CAS PubMed PubMed Central Google Scholar
  41. Rueda, B. et al. The STAT4 gene influences the genetic predisposition to systemic sclerosis phenotype. Hum. Mol. Genet. 18, 2071–2077 (2009).
    Article CAS PubMed Google Scholar
  42. Mells, G.F. et al. Genome-wide association study identifies 12 new susceptibility loci for primary biliary cirrhosis. Nat. Genet. 43, 329–332 (2011).
    Article CAS PubMed PubMed Central Google Scholar
  43. Gestermann, N. et al. STAT4 is a confirmed genetic risk factor for Sjogren's syndrome and could be involved in type 1 interferon pathway signaling. Genes Immun. 11, 432–438 (2010).
    Article CAS PubMed Google Scholar
  44. Watford, W.T. et al. Signaling by IL-12 and IL-23 and the immunoregulatory roles of STAT4. Immunol. Rev. 202, 139–156 (2004).
    Article CAS PubMed Google Scholar
  45. Xu, M. et al. Regulation of antitumor immune responses by the IL-12 family cytokines, IL-12, IL-23, and IL-27. Clin. Dev. Immunol. 2010, 832454 (2010).
    PubMed PubMed Central Google Scholar
  46. Hirschfield, G.M. et al. Primary biliary cirrhosis associated with HLA, IL12A, and IL12RB2 variants. N. Engl. J. Med. 360, 2544–2555 (2009).
    Article CAS PubMed PubMed Central Google Scholar
  47. Hunt, K.A. et al. Newly identified genetic risk variants for celiac disease related to the immune response. Nat. Genet. 40, 395–402 (2008).
    Article CAS PubMed PubMed Central Google Scholar
  48. Lessard, C.J. et al. Identification of IRF8, TMEM39A, and IKZF3-ZPBP2 as susceptibility loci for systemic lupus erythematosus in a large-scale multiracial replication study. Am. J. Hum. Genet. 90, 648–660 (2012).
    Article CAS PubMed PubMed Central Google Scholar
  49. Gottenberg, J.E. et al. Activation of IFN pathways and plasmacytoid dendritic cell recruitment in target organs of primary Sjögren's syndrome. Proc. Natl. Acad. Sci. USA 103, 2770–2775 (2006).
    Article CAS PubMed PubMed Central Google Scholar
  50. Pérez, P. et al. Gene expression and chromosomal location for susceptibility to Sjögren's syndrome. J. Autoimmun. 33, 99–108 (2009).
    Article PubMed CAS Google Scholar
  51. Cornall, R.J. & Goodnow, C.C. B cell antigen receptor signalling in the balance of tolerance and immunity. Novartis Found. Symp. 215, 21–30 (1998).
    CAS PubMed Google Scholar
  52. Nemazee, D. & Weigert, M. Revising B cell receptors. J. Exp. Med. 191, 1813–1817 (2000).
    Article CAS PubMed PubMed Central Google Scholar
  53. Hom, G. et al. Association of systemic lupus erythematosus with C8orf13-BLK and ITGAM-ITGAX. N. Engl. J. Med. 358, 900–909 (2008).
    Article CAS PubMed Google Scholar
  54. Simpfendorfer, K.R. et al. The autoimmunity-associated BLK haplotype exhibits _cis_-regulatory effects on mRNA and protein expression that are prominently observed in B cells early in development. Hum. Mol. Genet. 21, 3918–3925 (2012).
    Article CAS PubMed PubMed Central Google Scholar
  55. Sawcer, S. et al. Genetic risk and a primary role for cell-mediated immune mechanisms in multiple sclerosis. Nature 476, 214–219 (2011).
    Article CAS PubMed PubMed Central Google Scholar
  56. Hansen, A., Lipsky, P.E. & Dorner, T. B cells in Sjögren's syndrome: indications for disturbed selection and differentiation in ectopic lymphoid tissue. Arthritis Res. Ther. 9, 218 (2007).
    Article PubMed PubMed Central CAS Google Scholar
  57. Ma, C.S. et al. Early commitment of naive human CD4+ T cells to the T follicular helper (TFH) cell lineage is induced by IL-12. Immunol. Cell Biol. 87, 590–600 (2009).
    Article CAS PubMed Google Scholar
  58. Adrianto, I. et al. Association of a functional variant downstream of TNFAIP3 with systemic lupus erythematosus. Nat. Genet. 43, 253–258 (2011).
    Article CAS PubMed PubMed Central Google Scholar
  59. Uddin, M., Sturge, M., Rahman, P. & Woods, M.O. Autosome-wide copy number variation association analysis for rheumatoid arthritis using the WTCCC high-density SNP genotype data. J. Rheumatol. 38, 797–801 (2011).
    Article PubMed Google Scholar
  60. Allanore, Y. et al. Genome-wide scan identifies TNIP1, PSORS1C1, and RHOB as novel risk loci for systemic sclerosis. PLoS Genet. 7, e1002091 (2011).
    Article CAS PubMed PubMed Central Google Scholar
  61. Nair, R.P. et al. Genome-wide scan reveals association of psoriasis with IL-23 and NF-κB pathways. Nat. Genet. 41, 199–204 (2009).
    Article CAS PubMed PubMed Central Google Scholar
  62. Adrianto, I. et al. Two independent functional risk haplotypes in TNIP1 are associated with systemic lupus erythematosus. Arthritis Rheum. 64, 3695–3705 (2012).
    Article CAS PubMed PubMed Central Google Scholar
  63. Gateva, V. et al. A large-scale replication study identifies TNIP1, PRDM1, JAZF1, UHRF1BP1 and IL10 as risk loci for systemic lupus erythematosus. Nat. Genet. 41, 1228–1233 (2009).
    Article CAS PubMed PubMed Central Google Scholar
  64. Purcell, S. et al. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am. J. Hum. Genet. 81, 559–575 (2007).
    CAS PubMed PubMed Central Google Scholar
  65. Cortes, A. & Brown, M.A. Promise and pitfalls of the Immunochip. Arthritis Res. Ther. 13, 101 (2011).
    Article PubMed PubMed Central Google Scholar
  66. Price, A.L. et al. Principal components analysis corrects for stratification in genome-wide association studies. Nat. Genet. 38, 904–909 (2006).
    Article CAS PubMed Google Scholar
  67. McKeigue, P.M., Carpenter, J.R., Parra, E.J. & Shriver, M.D. Estimation of admixture and detection of linkage in admixed populations by a Bayesian approach: application to African-American populations. Ann. Hum. Genet. 64, 171–186 (2000).
    Article CAS PubMed Google Scholar
  68. Halder, I., Shriver, M., Thomas, M., Fernandez, J.R. & Frudakis, T. A panel of ancestry informative markers for estimating individual biogeographical ancestry and admixture from four continents: utility and applications. Hum. Mutat. 29, 648–658 (2008).
    Article CAS PubMed Google Scholar
  69. Willer, C.J., Li, Y. & Abecasis, G.R. METAL: fast and efficient meta-analysis of genomewide association scans. Bioinformatics 26, 2190–2191 (2010).
    Article CAS PubMed PubMed Central Google Scholar
  70. Cochran, W.G. The combination of estimates from different experiments. Biometrics 10, 101–129 (1954).
    Article Google Scholar
  71. Higgins, J.P., Thompson, S.G., Deeks, J.J. & Altman, D.G. Measuring inconsistency in meta-analyses. Br. Med. J. 327, 557–560 (2003).
    Article Google Scholar
  72. Barrett, J.C., Fry, B., Maller, J. & Daly, M.J. Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 21, 263–265 (2005).
    Article CAS PubMed Google Scholar
  73. Pruim, R.J. et al. LocusZoom: regional visualization of genome-wide association scan results. Bioinformatics 26, 2336–2337 (2010).
    Article CAS PubMed PubMed Central Google Scholar
  74. Frazer, K.A. et al. A second generation human haplotype map of over 3.1 million SNPs. Nature 449, 851–861 (2007).
    Article CAS PubMed Google Scholar
  75. Howie, B.N., Donnelly, P. & Marchini, J. A flexible and accurate genotype imputation method for the next generation of genome-wide association studies. PLoS Genet. 5, e1000529 (2009).
    Article PubMed PubMed Central CAS Google Scholar
  76. Via, M., Gignoux, C. & Burchard, E.G. The 1000 Genomes Project: new opportunities for research and social challenges. Genome Med. 2, 3 (2010).
    Article PubMed PubMed Central Google Scholar
  77. Zheng, X. et al. HIBAG-HLA genotype imputation with attribute bagging. Pharmacogenomics J. published online, doi:10.1038/tpj.2013.18 (28 May 2013).10.1038/tpj.2013.18
    Article CAS PubMed PubMed Central Google Scholar
  78. Barbosa-Morais, N.L. et al. A re-annotation pipeline for Illumina BeadArrays: improving the interpretation of gene expression data. Nucleic Acids Res. 38, e17 (2010).
    Article CAS PubMed Google Scholar
  79. Irizarry, R.A. et al. Exploration, normalization, and summaries of high density oligonucleotide array probe level data. Biostatistics 4, 249–264 (2003).
    Article PubMed Google Scholar
  80. Johnson, W.E., Li, C. & Rabinovic, A. Adjusting batch effects in microarray expression data using empirical Bayes methods. Biostatistics 8, 118–127 (2007).
    Article PubMed Google Scholar
  81. Shabalin, A.A. Matrix eQTL: ultra fast eQTL analysis via large matrix operations. Bioinformatics 28, 1353–1358 (2012).
    Article CAS PubMed PubMed Central Google Scholar
  82. Dozmorov, M.G., Cara, L.R., Giles, C.B. & Wren, J.D. GenomeRunner: automating genome exploration. Bioinformatics 28, 419–420 (2012).
    Article CAS PubMed Google Scholar
  83. Fujita, P.A. et al. The UCSC Genome Browser database: update 2011. Nucleic Acids Res. 39, D876–D882 (2011).
    Article CAS PubMed Google Scholar
  84. Quinlan, A.R. & Hall, I.M. BEDTools: a flexible suite of utilities for comparing genomic features. Bioinformatics 26, 841–842 (2010).
    Article CAS PubMed PubMed Central Google Scholar

Download references

Acknowledgements

We are grateful to all the individuals with Sjögren's syndrome and those serving as healthy controls who participated in this study. We thank the following individuals for their help in the collection and ascertainment of the samples used in this study: E. Rothrock, J. Harris, S. Johnson, S. Cioli, N. Weber, D. Williams, W. Daniels, C. Pritchett-Frazee, K. Crouch, L. Battiest, J. Rodgers, J. Robertson, T. Nguyen, A. Crosbie, E. James, C. Meyer, A. McElroy, E. Emamian, J. Ermer, K. Rohlf, J. Leon, A. Petersen, D. Hartle, J. Novizke, W. Ortman, C. Espy, B. Cobb, G. Kristjansdottir, M. Eidsheim, J. Benessiano, Centre de Ressources Biologiques, Hôpital Bichat, Paris, and the SNP&SEQ Technology Platform, Uppsala, Sweden. We also thank S. Glenn and J. Ning for their ongoing assistance in developing and maintaining the computational infrastructure used to perform this study.

We thank the following funding agencies for their support: this publication was made possible by grants P50 AR0608040 (K.L.S., C.J.L., R.H.S. and A.D.F.), 5R01 DE015223 (K.L.S. and J.B.H.), 5RC2 AR058959 (P.M.G.), 5P01 AR049084-10 (J.B.H.), 5P30 AR053483 (J.A.J. and J.M.G.), 5U19 AI082714 (K.L.S., J.A.J. and C.J.L.), 1R01 DE018209-02 (K.L.S. and J.B.H.), 5R01 DE018209 (K.L.S.), 8P20 GM103456 (P.M.G., C.J.L., J.D.W. and I.A.), P20 GM103636 (M.G.D. and J.D.W.), 5R37 AI024717-25 (J.B.H.), 5P01 AI083194-03 (K.L.S. and J.B.H.), 7S10 RR027190-02 (J.B.H.), 1U01 AI101934 (J.A.J. and J.M.G.), 1RC1 AR058554 (J.A.J. and J.M.G.) and 5P30 GM103510 (J.A.J. and J.M.G.) from the NIH. The contents are the sole responsibility of the authors and do not necessarily represent the official views of the NIH. Additional funding was obtained from Intramural Research Program of the National Institute of Dental and Craniofacial Research (G.G.I.), US Department of Veterans Affairs IMMA 9 (J.B.H.), US Department of Defense PR094002 (J.B.H.), American College of Rheumatology Research and Education Foundation/Abbott Health Professional Graduate Student Preceptorship Award 2009 (C.J.L. and K.L.S.), Oklahoma Medical Research Foundation (C.J.L. and K.L.S.), Sjögren's Syndrome Foundation (K.L.S.), Phileona Foundation (K.L.S.), the French ministry of health (PHRC 2006-AOM06133) and the French ministry of research (ANR-2010-BLAN-1133) (X.M. and C.M.-R.), The Strategic Research Program at Helse Bergen, Western Norway Regional Health Authority (L.G.G., J.G.B. and R.J.), The Broegelmann Foundation (J.G.B. and R.J.), Norwegian Foundation for Health and Rehabilitation (E.H.), KFO 250 TP03, WI 1031/6-1 (T.W.), KFO 250, Z1 (T.W.), Medical Research Council, UK G0800629 (W.-F.N. and S.B.), Northumberland, Tyne and Wear Comprehensive Local Research Network (CLRN) (W.-F.N.), The Swedish Research Council (M.W.-H. and L. Rönnblom), The King Gustaf the V-th 80-year Foundation (M.W.-H.), Knut and Alice Wallenberg Foundation (L. Rönnblom) and The Swedish Rheumatism Association (M.W.-H., G.N., L. Rönnblom and P.E.). This study made use of genotypes available through dbGAP, with acknowledgments provided in the Supplementary Note.

Author information

Authors and Affiliations

  1. Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma, USA
    Christopher J Lessard, He Li, Indra Adrianto, John A Ice, Astrid Rasmussen, Kiely M Grundahl, Jennifer A Kelly, Mikhail G Dozmorov, Joel M Guthridge, Adam J Adler, Jacen S Maier-Moore, A Darise Farris, Jonathan D Wren, Patrick M Gaffney, Judith A James, R Hal Scofield, Courtney G Montgomery & Kathy L Sivils
  2. Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
    Christopher J Lessard, He Li, Judith A James & Kathy L Sivils
  3. Université Paris-Sud, Assistance Publique–Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Paris-Sud, Institut National de la Santé et de la Recherche Médicale (INSERM) U1012, Paris, France
    Corinne Miceli-Richard & Xavier Mariette
  4. Rheumatology Department, University Hospital Birmingham, Birmingham, UK
    Simon Bowman
  5. Department of Rheumatology, The Queen Elizabeth Hospital, South Australia
    Sue Lester & Maureen Rischmueller
  6. Department of Rheumatology, Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden
    Per Eriksson
  7. Department of Medical Sciences, Rheumatology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden
    Maija-Leena Eloranta, Lars Rönnblom & Gunnel Nordmark
  8. Department of Clinical Science, Section for Rheumatology, University of Bergen, Bergen, Norway
    Johan G Brun
  9. Department of Rheumatology, Haukeland University Hospital, Bergen, Norway
    Johan G Brun & Roland Jonsson
  10. Department of Internal Medicine, Clinical Immunology Unit, Stavanger University Hospital, Stavanger, Norway
    Lasse G Gøransson, Erna Harboe & Roald Omdal
  11. Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
    Kenneth M Kaufman & John B Harley
  12. Department of Veterans Affairs Medical Center, Cincinnati, Ohio, USA
    Kenneth M Kaufman & John B Harley
  13. Department of Medicine, Karolinska Institutet, Stockholm, Sweden
    Marika Kvarnström, Helmi Jazebi & Marie Wahren-Herlenius
  14. Department of Rheumatology, Örebro University Hospital, Örebro, Sweden
    Helmi Jazebi
  15. Department of Medical and Molecular Genetics, King's College London, London, UK
    Deborah S Cunninghame Graham & Timothy J Vyse
  16. United Medical Specialties, St. Paul, Minnesota, USA
    Martha E Grandits
  17. School of Dental Medicine, University of Colorado–Denver, Denver, Colorado, USA
    Abu N M Nazmul-Hossain
  18. Department of Developmental and Surgical Science, Division of Oral and Maxillofacial Surgery, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA
    Ketan Patel & Pamela J Hughes
  19. Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
    Jacen S Maier-Moore, Judith A James & R Hal Scofield
  20. Department of Oral Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA
    Michael T Brennan
  21. Valley Bone and Joint Clinic, Grand Forks, North Dakota, USA
    James A Lessard
  22. Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA
    James Chodosh
  23. Department of Diagnostic and Biological Sciences, Division of Oral and Maxillofacial Pathology, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA
    Rajaram Gopalakrishnan
  24. Hefner Eye Care and Optical Center, Oklahoma City, Oklahoma, USA
    Kimberly S Hefner
  25. Department of Oral and Maxillofacial Pathology, University of Oklahoma College of Dentistry, Oklahoma City, Oklahoma, USA
    Glen D Houston & David M Lewis
  26. Department of Ophthalmology and Visual Sciences, Washington University, St. Louis, Missouri, USA
    Andrew J W Huang
  27. Oral Diagnosis and Radiology Department, University of Oklahoma College of Dentistry, Oklahoma City, Oklahoma, USA
    Lida Radfar
  28. Hard Tissue Research Laboratory, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA
    Michael D Rohrer
  29. Department of Ophthalmology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
    Donald U Stone
  30. Department of Biochemistry and Molecular Biology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
    Jonathan D Wren
  31. National Institute of Dental and Craniofacial Research, National Institutes of Health (NIH), Bethesda, Maryland, USA
    Gabor G Illei
  32. Department of Clinical Immunology and Rheumatology, Hannover Medical School, Hannover, Germany
    Torsten Witte
  33. Department of Clinical Science, Broegelmann Research Laboratory, University of Bergen, Bergen, Norway
    Roland Jonsson
  34. Department of Rheumatology, The Queen Elizabeth Hospital and Discipline of Medicine, University of Adelaide, South Australia
    Maureen Rischmueller
  35. Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK
    Wan-Fai Ng
  36. Center for Autoimmune Diseases Research (CREA), Universidad del Rosario, Bogotá, Colombia
    Juan-Manuel Anaya
  37. Department of Oral Surgery, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA
    Nelson L Rhodus
  38. Division of Rheumatology, University of Minnesota Medical School, Minneapolis, Minnesota, USA
    Barbara M Segal
  39. Department of Veterans Affairs Medical Center, Oklahoma City, Oklahoma, USA
    R Hal Scofield

Authors

  1. Christopher J Lessard
    You can also search for this author inPubMed Google Scholar
  2. He Li
    You can also search for this author inPubMed Google Scholar
  3. Indra Adrianto
    You can also search for this author inPubMed Google Scholar
  4. John A Ice
    You can also search for this author inPubMed Google Scholar
  5. Astrid Rasmussen
    You can also search for this author inPubMed Google Scholar
  6. Kiely M Grundahl
    You can also search for this author inPubMed Google Scholar
  7. Jennifer A Kelly
    You can also search for this author inPubMed Google Scholar
  8. Mikhail G Dozmorov
    You can also search for this author inPubMed Google Scholar
  9. Corinne Miceli-Richard
    You can also search for this author inPubMed Google Scholar
  10. Simon Bowman
    You can also search for this author inPubMed Google Scholar
  11. Sue Lester
    You can also search for this author inPubMed Google Scholar
  12. Per Eriksson
    You can also search for this author inPubMed Google Scholar
  13. Maija-Leena Eloranta
    You can also search for this author inPubMed Google Scholar
  14. Johan G Brun
    You can also search for this author inPubMed Google Scholar
  15. Lasse G Gøransson
    You can also search for this author inPubMed Google Scholar
  16. Erna Harboe
    You can also search for this author inPubMed Google Scholar
  17. Joel M Guthridge
    You can also search for this author inPubMed Google Scholar
  18. Kenneth M Kaufman
    You can also search for this author inPubMed Google Scholar
  19. Marika Kvarnström
    You can also search for this author inPubMed Google Scholar
  20. Helmi Jazebi
    You can also search for this author inPubMed Google Scholar
  21. Deborah S Cunninghame Graham
    You can also search for this author inPubMed Google Scholar
  22. Martha E Grandits
    You can also search for this author inPubMed Google Scholar
  23. Abu N M Nazmul-Hossain
    You can also search for this author inPubMed Google Scholar
  24. Ketan Patel
    You can also search for this author inPubMed Google Scholar
  25. Adam J Adler
    You can also search for this author inPubMed Google Scholar
  26. Jacen S Maier-Moore
    You can also search for this author inPubMed Google Scholar
  27. A Darise Farris
    You can also search for this author inPubMed Google Scholar
  28. Michael T Brennan
    You can also search for this author inPubMed Google Scholar
  29. James A Lessard
    You can also search for this author inPubMed Google Scholar
  30. James Chodosh
    You can also search for this author inPubMed Google Scholar
  31. Rajaram Gopalakrishnan
    You can also search for this author inPubMed Google Scholar
  32. Kimberly S Hefner
    You can also search for this author inPubMed Google Scholar
  33. Glen D Houston
    You can also search for this author inPubMed Google Scholar
  34. Andrew J W Huang
    You can also search for this author inPubMed Google Scholar
  35. Pamela J Hughes
    You can also search for this author inPubMed Google Scholar
  36. David M Lewis
    You can also search for this author inPubMed Google Scholar
  37. Lida Radfar
    You can also search for this author inPubMed Google Scholar
  38. Michael D Rohrer
    You can also search for this author inPubMed Google Scholar
  39. Donald U Stone
    You can also search for this author inPubMed Google Scholar
  40. Jonathan D Wren
    You can also search for this author inPubMed Google Scholar
  41. Timothy J Vyse
    You can also search for this author inPubMed Google Scholar
  42. Patrick M Gaffney
    You can also search for this author inPubMed Google Scholar
  43. Judith A James
    You can also search for this author inPubMed Google Scholar
  44. Roald Omdal
    You can also search for this author inPubMed Google Scholar
  45. Marie Wahren-Herlenius
    You can also search for this author inPubMed Google Scholar
  46. Gabor G Illei
    You can also search for this author inPubMed Google Scholar
  47. Torsten Witte
    You can also search for this author inPubMed Google Scholar
  48. Roland Jonsson
    You can also search for this author inPubMed Google Scholar
  49. Maureen Rischmueller
    You can also search for this author inPubMed Google Scholar
  50. Lars Rönnblom
    You can also search for this author inPubMed Google Scholar
  51. Gunnel Nordmark
    You can also search for this author inPubMed Google Scholar
  52. Wan-Fai Ng
    You can also search for this author inPubMed Google Scholar
  53. Xavier Mariette
    You can also search for this author inPubMed Google Scholar
  54. Juan-Manuel Anaya
    You can also search for this author inPubMed Google Scholar
  55. Nelson L Rhodus
    You can also search for this author inPubMed Google Scholar
  56. Barbara M Segal
    You can also search for this author inPubMed Google Scholar
  57. R Hal Scofield
    You can also search for this author inPubMed Google Scholar
  58. Courtney G Montgomery
    You can also search for this author inPubMed Google Scholar
  59. John B Harley
    You can also search for this author inPubMed Google Scholar
  60. Kathy L Sivils
    You can also search for this author inPubMed Google Scholar

Consortia

for UK Primary Sjögren's Syndrome Registry

Contributions

C.J.L., K.M.G., J.A.K., C.G.M., J.B.H. and K.L.S. were responsible for the study design. C.J.L., J.A.I., A.R., K.M.G., C.M.-R., S.B., S.L., J.G.B., L.G.G., E.H., J.M.G., D.S.C.G., M.E.G., A.N.M.N.-H., K.P., J.S.M.-M., A.D.F., M.-L.E., J.A.L., J.C., R.G., K.S.H., G.D.H., M.T.B., A.J.W.H., P.J.H., D.M.L., L. Radfar, M.D.R., D.U.S., T.J.V., P.M.G., J.A.J., R.O., M.W.-H., M.K., H.J., G.G.I., T.W., R.J., M.R., G.N., P.E., W.-F.N., X.M., J.-M.A., L. Rönnblom, N.L.R., B.M.S., R.H.S., J.B.H. and K.L.S. assisted in the collection and characterization of the Sjögren's syndrome cases and healthy controls. K.M.K., A.J.A. and P.M.G. performed the genotyping. C.J.L., H.L., I.A. and J.A.I. performed all analyses and imputation under the guidance of C.G.M. and K.L.S. M.G.D. and J.D.W. performed the enrichment analysis. C.J.L., H.L., I.A., J.A.I., J.A.K., C.G.M. and K.L.S. prepared the manuscript, and all authors approved the final draft.

Corresponding author

Correspondence toKathy L Sivils.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Additional information

Further details appear in the Supplementary Note.

Supplementary information

Rights and permissions

About this article

Cite this article

Lessard, C., Li, H., Adrianto, I. et al. Variants at multiple loci implicated in both innate and adaptive immune responses are associated with Sjögren's syndrome.Nat Genet 45, 1284–1292 (2013). https://doi.org/10.1038/ng.2792

Download citation