Dataset Information

Resolving TYK2 locus genotype-to-phenotype differences in autoimmunity.

ABSTRACT: Thousands of genetic variants have been identified, which contribute to the development of complex diseases, but determining how to elucidate their biological consequences for translation into clinical benefit is challenging. Conflicting evidence regarding the functional impact of genetic variants in the tyrosine kinase 2 (TYK2) gene, which is differentially associated with common autoimmune diseases, currently obscures the potential of TYK2 as a therapeutic target. We aimed to resolve this conflict by performing genetic meta-analysis across disorders; subsequent molecular, cellular, in vivo, and structural functional follow-up; and epidemiological studies. Our data revealed a protective homozygous effect that defined a signaling optimum between autoimmunity and immunodeficiency and identified TYK2 as a potential drug target for certain common autoimmune disorders.

SUBMITTER: Dendrou CA

PROVIDER: S-EPMC5737835 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature

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Resolving TYK2 locus genotype-to-phenotype differences in autoimmunity.

Dendrou Calliope A CA Cortes Adrian A Shipman Lydia L Evans Hayley G HG Attfield Kathrine E KE Jostins Luke L Barber Thomas T Kaur Gurman G Kuttikkatte Subita Balaram SB Leach Oliver A OA Desel Christiane C Faergeman Soren L SL Cheeseman Jane J Neville Matt J MJ Sawcer Stephen S Compston Alastair A Johnson Adam R AR Everett Christine C Bell John I JI Karpe Fredrik F Ultsch Mark M Eigenbrot Charles C McVean Gil G Fugger Lars L

Science translational medicine 20161101 363

Thousands of genetic variants have been identified, which contribute to the development of complex diseases, but determining how to elucidate their biological consequences for translation into clinical benefit is challenging. Conflicting evidence regarding the functional impact of genetic variants in the tyrosine kinase 2 (TYK2) gene, which is differentially associated with common autoimmune diseases, currently obscures the potential of TYK2 as a therapeutic target. We aimed to resolve this conf ...[more]

PMID: 27807284

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Project description:Importanceα-Synuclein (SNCA) locus duplications are associated with variable clinical features and reduced penetrance but the reasons underlying this variability are unknown.ObjectivesTo report a novel family carrying a heterozygous 6.4 Mb duplication of the SNCA locus with an atypical clinical presentation strongly reminiscent of frontotemporal dementia and late-onset pallidopyramidal syndromes and study phenotype-genotype correlations in SNCA locus duplications.Design, setting, and participantsWe report the clinical and neuropathologic features of a family carrying a 6.4 Mb duplication of the SNCA locus. To identify candidate disease modifiers, we completed a genetic analysis of the family and conducted statistical analysis on previously published cases carrying SNCA locus duplications using regression modeling with robust standard errors to account for clustering at the family level.Main outcomes and measuresWe assessed whether length of the SNCA locus duplication influences disease penetrance and severity and whether extraduplication factors have a disease-modifying role.ResultsWe identified a large 6.4 Mb duplication of the SNCA locus in this family. Neuropathological analysis showed extensive α-synuclein pathology with minimal phospho-tau pathology. Genetic analysis showed an increased burden of Parkinson disease-related risk factors and the disease-predisposing H1/H1 microtubule-associated protein tau haplotype. Statistical analysis of previously published cases suggested there is a trend toward increasing disease severity and disease penetrance with increasing duplication size. The corresponding odds ratios from the univariable analyses were 1.17 (95% CI, 0.81-1.68) and 1.34 (95% CI, 0.78-2.31), respectively. Sex was significantly associated with both disease risk and severity; men compared with women had increased disease risk and severity and the corresponding odds ratios from the univariable analyses were 8.36 (95% CI, 1.97-35.42) and 5.55 (95% CI, 1.39-22.22), respectively.Conclusions and relevanceThese findings further expand the phenotypic spectrum of SNCA locus duplications. Increased dosage of genes located within the duplicated region probably cannot increase disease risk and disease severity without the contribution of additional risk factors. Identification of disease modifiers accounting for the substantial phenotypic heterogeneity of patients with SNCA locus duplications could provide insight into molecular events involved in α-synuclein aggregation.

Dataset Information

Resolving TYK2 locus genotype-to-phenotype differences in autoimmunity.

Publications

Resolving TYK2 locus genotype-to-phenotype differences in autoimmunity.

Similar Datasets

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