PTPN22 R620W polymorphism in the ANCA-associated vasculitides (original) (raw)

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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1Genetics and Molecular Biology Unit, 2Department of Clinical Medicine and Nephrology, University Hospital, Parma, 3Department of Life and Reproduction Sciences, Section of Biology and Genetics, University of Verona, Verona, 4Nephrology Department, S. Maria della Misericordia Hospital, Perugia, 5Rheumatology Unit, Arcispedale S. Maria Nuova, Reggio Emilia, 6Internal Medicine Department, Ospedali Riuniti, Ancona, 7Allergy and Clinical Immunology Department, University of Torino, Torino, 8Nephrology Unit, Spedali Civili, Brescia, 9Nephrology Unit, Policlinico Hospital, Milano, 10Pulmonology Unit, University of Milano Bicocca, Monza, 11Nephrology and Clinical Immunology Unit, San Carlo Borromeo Hospital, Milano, 12Nephrology Unit, Legnano Hospital, Legnano, 13Nephrology Unit, S. Anna Hospital, Como, 14Internal Medicine Department, Arcispedale S. Maria Nuova, Reggio Emilia and 15Respiratory Pathophysiology Unit, University Hospital, Parma, Italy.

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Revision received:

01 December 2011

Published:

11 January 2012

Cite

Davide Martorana, Federica Maritati, Giovanni Malerba, Francesco Bonatti, Federico Alberici, Elena Oliva, Paola Sebastio, Lucio Manenti, Rachele Brugnano, Maria G. Catanoso, Paolo Fraticelli, Giuseppe Guida, Gina Gregorini, Stefano Possenti, Gabriella Moroni, Antonio Leoni, Laura Pavone, Alberto Pesci, Renato A. Sinico, Lucafrancesco Di Toma, Marco D'Amico, Bruno Tumiati, Raffaele D'Ippolito, Carlo Buzio, Tauro M. Neri, Augusto Vaglio, PTPN22 R620W polymorphism in the ANCA-associated vasculitides, Rheumatology, Volume 51, Issue 5, May 2012, Pages 805–812, https://doi.org/10.1093/rheumatology/ker446
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Abstract

Objectives. PTPN22 is involved in T-cell activation and its R620W single-nucleotide polymorphism (SNP) has been shown to predispose to different autoimmune diseases. The aims of this study were to investigate the role of the PTPN22 R620W SNP in conferring susceptibility to the ANCA-associated vasculitides (AAVs), and to explore potential associations between the PTPN22 genotype and the disease manifestations.

Methods.PTPN22 R620W SNP was genotyped in a cohort of 344 AAV patients [143 with granulomatosis with polyangiitis (Wegener's) (GPA), 102 with microscopic polyangiitis (MPA) and 99 with Churg–Strauss syndrome (CSS)] and in 945 healthy controls.

Results. The frequency of the minor allele (620W) was significantly higher in GPA patients than in controls [P = 0.005, χ2 = 7.858, odds ratio (OR) = 1.91], while no statistically significant association was found with MPA or CSS. Among GPA patients, the 620W allele was particularly enriched in ANCA-positive patients as compared with controls (P = 0.00012, χ2 = 14.73, OR = 2.31); a particularly marked association was also found with ENT involvement (P = 0.0071, χ2 = 7.258, OR = 1.98), lung involvement (P = 0.0060, χ2 = 7.541, OR = 2.07) and skin manifestations of all kinds (P = 0.000047, χ2 = 16.567, OR = 3.73).

Conclusion. The PTPN22 620W allele confers susceptibility to the development of GPA (but not of MPA or CSS), and particularly of its ANCA-positive subset.

© The Author 2012. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com

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