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主要组织相容性基因座上的自身免疫等位基因修饰黑色素瘤易感性。

Autoimmune alleles at the major histocompatibility locus modify melanoma susceptibility.

机构信息

Department of Medicine, Division of Medical Genetics, University of California San Diego, La Jolla, CA 92093, USA; Bioinformatics and Systems Biology Program, University of California San Diego, La Jolla, CA 92093, USA.

Biomedical Science Program, University of California San Diego, La Jolla, CA 92093, USA.

出版信息

Am J Hum Genet. 2023 Jul 6;110(7):1138-1161. doi: 10.1016/j.ajhg.2023.05.013. Epub 2023 Jun 19.

Abstract

Autoimmunity and cancer represent two different aspects of immune dysfunction. Autoimmunity is characterized by breakdowns in immune self-tolerance, while impaired immune surveillance can allow for tumorigenesis. The class I major histocompatibility complex (MHC-I), which displays derivatives of the cellular peptidome for immune surveillance by CD8 T cells, serves as a common genetic link between these conditions. As melanoma-specific CD8 T cells have been shown to target melanocyte-specific peptide antigens more often than melanoma-specific antigens, we investigated whether vitiligo- and psoriasis-predisposing MHC-I alleles conferred a melanoma-protective effect. In individuals with cutaneous melanoma from both The Cancer Genome Atlas (n = 451) and an independent validation set (n = 586), MHC-I autoimmune-allele carrier status was significantly associated with a later age of melanoma diagnosis. Furthermore, MHC-I autoimmune-allele carriers were significantly associated with decreased risk of developing melanoma in the Million Veteran Program (OR = 0.962, p = 0.024). Existing melanoma polygenic risk scores (PRSs) did not predict autoimmune-allele carrier status, suggesting these alleles provide orthogonal risk-relevant information. Mechanisms of autoimmune protection were neither associated with improved melanoma-driver mutation association nor improved gene-level conserved antigen presentation relative to common alleles. However, autoimmune alleles showed higher affinity relative to common alleles for particular windows of melanocyte-conserved antigens and loss of heterozygosity of autoimmune alleles caused the greatest reduction in presentation for several conserved antigens across individuals with loss of HLA alleles. Overall, this study presents evidence that MHC-I autoimmune-risk alleles modulate melanoma risk unaccounted for by current PRSs.

摘要

自身免疫和癌症代表免疫功能障碍的两个不同方面。自身免疫的特征是免疫自身耐受的崩溃,而免疫监视受损则可能导致肿瘤发生。I 类主要组织相容性复合体(MHC-I),其展示细胞肽组的衍生物,用于 CD8 T 细胞的免疫监视,是这些情况之间的常见遗传联系。由于黑色素瘤特异性 CD8 T 细胞已被证明比黑色素瘤特异性抗原更经常靶向黑素细胞特异性肽抗原,因此我们研究了是否患有白癜风和银屑病的 MHC-I 自身免疫等位基因赋予了黑色素瘤保护作用。在来自癌症基因组图谱(n = 451)和独立验证集(n = 586)的皮肤黑色素瘤个体中,MHC-I 自身免疫等位基因携带者状态与黑色素瘤诊断的年龄较大显著相关。此外,MHC-I 自身免疫等位基因携带者与百万退伍军人计划中黑色素瘤发病风险降低显著相关(OR = 0.962,p = 0.024)。现有的黑色素瘤多基因风险评分(PRS)不能预测自身免疫等位基因携带者状态,表明这些等位基因提供了正交的风险相关信息。自身免疫保护机制既与黑色素瘤驱动突变的关联改善无关,也与常见等位基因相比基因水平的保守抗原呈递改善无关。然而,与常见等位基因相比,自身免疫等位基因与特定的黑素细胞保守抗原窗口具有更高的亲和力,并且自身免疫等位基因的杂合性丢失导致个体中几个保守抗原的呈递降低最大。总体而言,这项研究提供了证据表明,MHC-I 自身免疫风险等位基因调节了当前 PRS 无法解释的黑色素瘤风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1062/10357503/eed46673041b/fx1.jpg

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