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A longitudinal and transancestral analysis of DNA methylation patterns and disease activity in lupus patients.


ABSTRACT: Epigenetic dysregulation is implicated in the pathogenesis of lupus. We performed a longitudinal analysis to assess changes in DNA methylation in lupus neutrophils over 4 years of follow-up and across disease activity levels using 229 patient samples. We demonstrate that DNA methylation profiles in lupus are partly determined by ancestry-associated genetic variations and are highly stable over time. DNA methylation levels in 2 CpG sites correlated significantly with changes in lupus disease activity. Progressive demethylation in SNX18 was observed with increasing disease activity in African American patients. Importantly, demethylation of a CpG site located within GALNT18 was associated with the development of active lupus nephritis. Differentially methylated genes between African American and European American lupus patients include type I IFN-response genes such as IRF7 and IFI44, and genes related to the NF-?B pathway. TREML4, which plays a vital role in TLR signaling, was hypomethylated in African American patients and demonstrated a strong cis-methylation quantitative trait loci (cis-meQTL) effect among 8855 cis-meQTL associations identified in our study.

SUBMITTER: Coit P 

PROVIDER: S-EPMC7710270 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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A longitudinal and transancestral analysis of DNA methylation patterns and disease activity in lupus patients.

Coit Patrick P   Ortiz-Fernandez Lourdes L   Lewis Emily E EE   McCune W Joseph WJ   Maksimowicz-McKinnon Kathleen K   Sawalha Amr H AH  

JCI insight 20201119 22


Epigenetic dysregulation is implicated in the pathogenesis of lupus. We performed a longitudinal analysis to assess changes in DNA methylation in lupus neutrophils over 4 years of follow-up and across disease activity levels using 229 patient samples. We demonstrate that DNA methylation profiles in lupus are partly determined by ancestry-associated genetic variations and are highly stable over time. DNA methylation levels in 2 CpG sites correlated significantly with changes in lupus disease acti  ...[more]

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