Rosa-Baez Carlos, Rangel-Pelaez Carlos, Rodriguez-Martin Inmaculada, Kerick Martin, Guillen-Del-Castillo Alfredo, Simeon-Aznar Carmen P, Callejas José Luis, Voskuyl Alexandre E, Kreuter Alexander, Distler Oliver, Proudman Susanna M, Nikpour Mandana, Hunzelmann Nicolas, De Vries-Bouwstra Jeska K, Herrick Ariane L, Allanore Yannick, Beretta Lorenzo, Mayes Maureen D, Denton Christopher P, Assassi Shervin, Martin Javier, Acosta-Herrera Marialbert
Department of Cell Biology and Immunology, Institute of Parasitology and Biomedicine Lopez-Neyra, CSIC, Granada, Spain.
Unit of Autoimmune Diseases, Department of Internal Medicine, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
RMD Open. 2025 Aug 12;11(3):e005754. doi: 10.1136/rmdopen-2025-005754.
OBJECTIVE: The common gain-of-function variant rs35705950, located in the promoter of gene, has been strongly associated with interstitial lung diseases (ILDs) of different aetiology, such as idiopathic pulmonary fibrosis (IPF) and rheumatoid arthritis-associated ILD (RA-ILD). In this study, we aimed to investigate the association of this variant and its nearby single nucleotide polymorphisms (SNPs) in the largest cohort of systemic sclerosis-associated ILD (SSc-ILD) to date. METHODS: Samples were collected from blood/saliva, followed by DNA extraction and genotyping using SNP arrays. Data for rs35705950 and additional 903 variants within 100 Kb were obtained using genomic imputation. Subsequently, we tested their association in a meta-analysis to increase the consistency of the results, including 10 European ancestry cohorts comprising 2363 patients with SSc-ILD, 3526 SSc patients without ILD and 15 076 controls. RESULTS: Meta-analysis showed no significant association between rs35705950 and SSc-ILD, either comparing patients with SSc with and without ILD (p value: 0.588, OR: 1.05, 95% CI: 0.87 to 1.27) nor patients with SSc-ILD with controls (p value: 0.061, OR: 1.16, 95% CI: 0.99 to 1.36). Moreover, none of the additional 903 variants tested in the genomic region reached statistical significance. CONCLUSION: Despite analysing the largest and most statistically powered SSc-ILD cohort to date, we found no evidence of association between the promoter variant rs35705950 and its surrounding SNPs with SSc-ILD. These results suggest that the pathogenic mechanisms underlying SSc-ILD may only partially overlap with those of other similar ILDs, such as IPF or RA-ILD. This highlights the need for further studies regarding their genetic architecture.
目的:位于基因启动子区域的常见功能获得性变异rs35705950与不同病因的间质性肺疾病(ILDs)密切相关,如特发性肺纤维化(IPF)和类风湿关节炎相关的ILD(RA-ILD)。在本研究中,我们旨在调查该变异及其附近的单核苷酸多态性(SNPs)在迄今为止最大的系统性硬化症相关ILD(SSc-ILD)队列中的相关性。 方法:从血液/唾液中采集样本,随后进行DNA提取,并使用SNP阵列进行基因分型。使用基因组推算获得rs35705950以及100 Kb内另外903个变异的数据。随后,我们在荟萃分析中测试它们的相关性,以提高结果的一致性,该分析包括10个欧洲血统队列,其中有2363例SSc-ILD患者、3526例无ILD的SSc患者和15076例对照。 结果:荟萃分析显示,rs35705950与SSc-ILD之间无显著相关性,无论是比较有ILD和无ILD的SSc患者(p值:0.588,OR:1.05,95% CI:0.87至1.27),还是比较SSc-ILD患者与对照(p值:0.061,OR:1.16,95% CI:0.99至1.36)。此外,在基因组区域测试的另外903个变异均未达到统计学显著性。 结论:尽管分析了迄今为止最大且统计学效力最强的SSc-ILD队列,但我们未发现基因启动子变异rs35705950及其周围的SNPs与SSc-ILD之间存在关联的证据。这些结果表明,SSc-ILD的致病机制可能仅部分与其他类似ILD(如IPF或RA-ILD)的致病机制重叠。这凸显了对其遗传结构进行进一步研究的必要性。
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