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HLA and autoantibodies define scleroderma subtypes and risk in African and European Americans and suggest a role for molecular mimicry.


ABSTRACT: Systemic sclerosis (SSc) is a clinically heterogeneous autoimmune disease characterized by mutually exclusive autoantibodies directed against distinct nuclear antigens. We examined HLA associations in SSc and its autoantibody subsets in a large, newly recruited African American (AA) cohort and among European Americans (EA). In the AA population, the African ancestry-predominant HLA-DRB1*08:04 and HLA-DRB1*11:02 alleles were associated with overall SSc risk, and the HLA-DRB1*08:04 allele was strongly associated with the severe antifibrillarin (AFA) antibody subset of SSc (odds ratio = 7.4). These African ancestry-predominant alleles may help explain the increased frequency and severity of SSc among the AA population. In the EA population, the HLA-DPB1*13:01 and HLA-DRB1*07:01 alleles were more strongly associated with antitopoisomerase (ATA) and anticentromere antibody-positive subsets of SSc, respectively, than with overall SSc risk, emphasizing the importance of HLA in defining autoantibody subtypes. The association of the HLA-DPB1*13:01 allele with the ATA+ subset of SSc in both AA and EA patients demonstrated a transancestry effect. A direct correlation between SSc prevalence and HLA-DPB1*13:01 allele frequency in multiple populations was observed (r = 0.98, P = 3 × 10-6). Conditional analysis in the autoantibody subsets of SSc revealed several associated amino acid residues, mostly in the peptide-binding groove of the class II HLA molecules. Using HLA ?/? allelic heterodimers, we bioinformatically predicted immunodominant peptides of topoisomerase 1, fibrillarin, and centromere protein A and discovered that they are homologous to viral protein sequences from the Mimiviridae and Phycodnaviridae families. Taken together, these data suggest a possible link between HLA alleles, autoantibodies, and environmental triggers in the pathogenesis of SSc.

SUBMITTER: Gourh P 

PROVIDER: S-EPMC6955366 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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<i>HLA</i> and autoantibodies define scleroderma subtypes and risk in African and European Americans and suggest a role for molecular mimicry.

Gourh Pravitt P   Safran Sarah A SA   Alexander Theresa T   Boyden Steven E SE   Morgan Nadia D ND   Shah Ami A AA   Mayes Maureen D MD   Doumatey Ayo A   Bentley Amy R AR   Shriner Daniel D   Domsic Robyn T RT   Medsger Thomas A TA   Ramos Paula S PS   Silver Richard M RM   Steen Virginia D VD   Varga John J   Hsu Vivien V   Saketkoo Lesley Ann LA   Schiopu Elena E   Khanna Dinesh D   Gordon Jessica K JK   Kron Brynn B   Criswell Lindsey A LA   Gladue Heather H   Derk Chris T CT   Bernstein Elana J EJ   Bridges S Louis SL   Shanmugam Victoria K VK   Kolstad Kathleen D KD   Chung Lorinda L   Kafaja Suzanne S   Jan Reem R   Trojanowski Marcin M   Goldberg Avram A   Korman Benjamin D BD   Steinbach Peter J PJ   Chandrasekharappa Settara C SC   Mullikin James C JC   Adeyemo Adebowale A   Rotimi Charles C   Wigley Fredrick M FM   Kastner Daniel L DL   Boin Francesco F   Remmers Elaine F EF  

Proceedings of the National Academy of Sciences of the United States of America 20191223 1


Systemic sclerosis (SSc) is a clinically heterogeneous autoimmune disease characterized by mutually exclusive autoantibodies directed against distinct nuclear antigens. We examined <i>HLA</i> associations in SSc and its autoantibody subsets in a large, newly recruited African American (AA) cohort and among European Americans (EA). In the AA population, the African ancestry-predominant <i>HLA-DRB1</i>*<i>08:04</i> and <i>HLA-DRB1</i>*<i>11:02</i> alleles were associated with overall SSc risk, and  ...[more]

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