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ImmunoChip study implicates antigen presentation to T cells in narcolepsy.


ABSTRACT: Recent advances in the identification of susceptibility genes and environmental exposures provide broad support for a post-infectious autoimmune basis for narcolepsy/hypocretin (orexin) deficiency. We genotyped loci associated with other autoimmune and inflammatory diseases in 1,886 individuals with hypocretin-deficient narcolepsy and 10,421 controls, all of European ancestry, using a custom genotyping array (ImmunoChip). Three loci located outside the Human Leukocyte Antigen (HLA) region on chromosome 6 were significantly associated with disease risk. In addition to a strong signal in the T cell receptor alpha (TRA@), variants in two additional narcolepsy loci, Cathepsin H (CTSH) and Tumor necrosis factor (ligand) superfamily member 4 (TNFSF4, also called OX40L), attained genome-wide significance. These findings underline the importance of antigen presentation by HLA Class II to T cells in the pathophysiology of this autoimmune disease.

SUBMITTER: Faraco J 

PROVIDER: S-EPMC3573113 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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ImmunoChip study implicates antigen presentation to T cells in narcolepsy.

Faraco Juliette J   Lin Ling L   Kornum Birgitte Rahbek BR   Kenny Eimear E EE   Trynka Gosia G   Einen Mali M   Rico Tom J TJ   Lichtner Peter P   Dauvilliers Yves Y   Arnulf Isabelle I   Lecendreux Michel M   Javidi Sirous S   Geisler Peter P   Mayer Geert G   Pizza Fabio F   Poli Francesca F   Plazzi Giuseppe G   Overeem Sebastiaan S   Lammers Gert Jan GJ   Kemlink David D   Sonka Karel K   Nevsimalova Sona S   Rouleau Guy G   Desautels Alex A   Montplaisir Jacques J   Frauscher Birgit B   Ehrmann Laura L   Högl Birgit B   Jennum Poul P   Bourgin Patrice P   Peraita-Adrados Rosa R   Iranzo Alex A   Bassetti Claudio C   Chen Wei-Min WM   Concannon Patrick P   Thompson Susan D SD   Damotte Vincent V   Fontaine Bertrand B   Breban Maxime M   Gieger Christian C   Klopp Norman N   Deloukas Panos P   Wijmenga Cisca C   Hallmayer Joachim J   Onengut-Gumuscu Suna S   Rich Stephen S SS   Winkelmann Juliane J   Mignot Emmanuel E  

PLoS genetics 20130214 2


Recent advances in the identification of susceptibility genes and environmental exposures provide broad support for a post-infectious autoimmune basis for narcolepsy/hypocretin (orexin) deficiency. We genotyped loci associated with other autoimmune and inflammatory diseases in 1,886 individuals with hypocretin-deficient narcolepsy and 10,421 controls, all of European ancestry, using a custom genotyping array (ImmunoChip). Three loci located outside the Human Leukocyte Antigen (HLA) region on chr  ...[more]

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