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Coronary Heart Disease in Systemic Lupus Erythematosus Is Associated With Interferon Regulatory Factor-8 Gene Variants
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2013 (English)In: Circulation: Cardiovascular Genetics, ISSN 1942-325X, Vol. 6, no 3, 255-263 p.Article in journal (Refereed) Published
Abstract [en]

Background- Patients with systemic lupus erythematosus have increased morbidity and mortality in coronary heart disease (CHD). We asked whether there was a genetic influence on CHD in systemic lupus erythematosus. Methods and Results- The association between single-nucleotide polymorphisms (SNPs) and CHD in 2 populations of patients with systemic lupus erythematosus was assessed. Patients were genotyped on a custom 12k Illumina Array. The allele frequencies were compared between patients with (n=66) and without (n=509) CHD. We found 61 SNPs with an association (P<0.01) to CHD, with the strongest association for 3 SNPs located in the interferon regulatory factor-8 (IRF8) gene. Comparison of the allele frequencies of these 61 SNPs in patients with (n=27) and without (n=212) CHD in the second study population revealed that 2 SNPs, rs925994 and rs10514610 in IRF8 (linkage disequilibrium, r(2)=0.84), were associated with CHD in both study populations. Meta-analysis of the SNP rs925994 gave an odds ratio of 3.6 (2.1-6.3), P value 1.9x10(-6). The identified IRF8 allele remained as a risk factor for CHD after adjustment for traditional CHD risk factors. The IRF8 risk allele was associated with the presence of carotid plaques (P<0.001) and increased intima-media thickness (P=0.01). By electrophoretic mobility shift assays, we show weaker binding of protein to the risk allele of the highly linked SNP rs11117415, and by flow cytometry, a reduced frequency of circulating B cells was detected in patients with the IRF8 risk allele. Conclusions- There is a considerable genetic component for CHD in systemic lupus erythematosus, with IRF8 as a strong susceptibility locus.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2013. Vol. 6, no 3, 255-263 p.
Keyword [en]
cardiovascular disease, carotid intima-media thickness, coronary disease, genes, interferon regulatory factor-8, lupus erythematosus, systemic, myocardial ischemia
National Category
Cardiac and Cardiovascular Systems
URN: urn:nbn:se:umu:diva-78965DOI: 10.1161/CIRCGENETICS.113.000044ISI: 000320580700006OAI: diva2:638246
Available from: 2013-07-29 Created: 2013-07-29 Last updated: 2013-07-29Bibliographically approved

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Bengtsson, ChristineRantapää-Dahlqvist, Solbritt
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