New Sequence Variants in HLA Class II/III Region Associated with Susceptibility to Knee Osteoarthritis Identified by Genome-Wide Association Study

Osteoarthritis (OA) is a common disease that has a definite genetic component. Only a few OA susceptibility genes that have definite functional evidence and replication of association have been reported, however. Through a genome-wide association study and a replication using a total of ∼4,800 Japanese subjects, we identified two single nucleotide polymorphisms (SNPs) (rs7775228 and rs10947262) associated with susceptibility to knee OA. The two SNPs were in a region containing HLA class II/III genes and their association reached genome-wide significance (combined P = 2.43×10−8 for rs7775228 and 6.73×10−8 for rs10947262). Our results suggest that immunologic mechanism is implicated in the etiology of OA.

[1]  M. Sheehy,et al.  The cryptic HLA-DQA2 ("DX alpha") gene is expressed in human B cell lines. , 1991, Journal of immunology.

[2]  Yusuke Nakamura,et al.  [BioBank Japan project]. , 2005, Nihon rinsho. Japanese journal of clinical medicine.

[3]  N Andrieu,et al.  Epidemiologic and genetic approaches in the study of gene-environment interaction: an overview of available methods. , 1998, Epidemiologic reviews.

[4]  S. Ikegawa,et al.  Recent advances in association studies of osteoarthritis susceptibility genes , 2010, Journal of Human Genetics.

[5]  L. Kimura,et al.  The expression of major histocompatibility antigens on human articular chondrocytes. , 1993, Clinical orthopaedics and related research.

[6]  Mark Daly,et al.  Haploview: analysis and visualization of LD and haplotype maps , 2005, Bioinform..

[7]  G. Moxley,et al.  The genotypic distribution of shared-epitope DRB1 alleles suggests a recessive mode of inheritance of the rheumatoid arthritis disease-susceptibility gene. , 1995, Arthritis and rheumatism.

[8]  T. Spector,et al.  Association of a nsSNP in ADAMTS14 to some osteoarthritis phenotypes. , 2009, Osteoarthritis and cartilage.

[9]  A. Lew,et al.  The nonpolymorphic MHC class II isotype, HLA-DQA2, is expressed on the surface of B lymphoblastoid cells. , 1997, Journal of immunology.

[10]  Dominique Charron,et al.  HLA : genetic diversity of HLA functional and medical implication , 1997 .

[11]  N. Boiani,et al.  BTNL2, a Butyrophilin/B7-Like Molecule, Is a Negative Costimulatory Molecule Modulated in Intestinal Inflammation , 2007, The Journal of Immunology.

[12]  J. Sieper,et al.  Association of HLA-DRB1*02 with osteoarthritis in a cohort of 106 patients. , 2002, Rheumatology.

[13]  K. Huse,et al.  Sarcoidosis is associated with a truncating splice site mutation in BTNL2 , 2005, Nature Genetics.

[14]  T. Spector,et al.  Association between a variation in LRCH1 and knee osteoarthritis: a genome-wide single-nucleotide polymorphism association study using DNA pooling. , 2006, Arthritis and rheumatism.

[15]  S. Ikegawa New gene associations in osteoarthritis: what do they provide, and where are we going? , 2007, Current opinion in rheumatology.

[16]  A. Hofman,et al.  Genome-wide association scan identifies a prostaglandin-endoperoxide synthase 2 variant involved in risk of knee osteoarthritis. , 2008, American journal of human genetics.

[17]  M. Sakata,et al.  Osteoarthritic articular chondrocytes stimulate autologous T cell responses in vitro. , 2003, Clinical and experimental rheumatology.

[18]  Yusuke Nakamura,et al.  An aspartic acid repeat polymorphism in asporin inhibits chondrogenesis and increases susceptibility to osteoarthritis , 2005, Nature Genetics.

[19]  Yusuke Nakamura,et al.  A functional SNP in EDG2 increases susceptibility to knee osteoarthritis in Japanese. , 2008, Human molecular genetics.

[20]  M. Yoneda,et al.  Japanese Generalised Osteoarthritis was Associated with HLA Class I – A Study of HLA-A, B, Cw, DQ, DR in 72 Patients , 2001, Clinical Rheumatology.

[21]  Yusuke Nakamura,et al.  A functional polymorphism in the 5′ UTR of GDF5 is associated with susceptibility to osteoarthritis , 2007, Nature Genetics.

[22]  A. Manhire,et al.  HLA-A, B antigens and alpha 1-antitrypsin phenotypes in nodal generalised osteoarthritis and erosive osteoarthritis. , 1989, Annals of the rheumatic diseases.

[23]  D. Reich,et al.  Principal components analysis corrects for stratification in genome-wide association studies , 2006, Nature Genetics.

[24]  Yusuke Nakamura,et al.  Common variants in DVWA on chromosome 3p24.3 are associated with susceptibility to knee osteoarthritis , 2008, Nature Genetics.

[25]  Kozo Nakamura,et al.  A functional single nucleotide polymorphism in the core promoter region of CALM1 is associated with hip osteoarthritis in Japanese. , 2005, Human molecular genetics.

[26]  C. Platsoucas,et al.  Role of T cells in the pathogenesis of osteoarthritis. , 2002, Arthritis and rheumatism.

[27]  P. Mapp,et al.  The synovial membrane in osteoarthritis: a histological study including the characterisation of the cellular infiltrate present in inflammatory osteoarthritis using monoclonal antibodies. , 1988, Annals of the rheumatic diseases.