Variants in BANK1 are associated with lupus nephritis of European ancestry

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Documents

  • Karin Bolin
  • Juliana Imgenberg-Kreuz
  • Dag Leonard
  • Johanna K. Sandling
  • Andrei Alexsson
  • Pascal Pucholt
  • Malena Loberg Haarhaus
  • Jonas Carlsson Almlöf
  • Joanne Nititham
  • Andreas Jönsen
  • Christopher Sjöwall
  • Anders A. Bengtsson
  • Solbritt Rantapää-Dahlqvist
  • Elisabet Svenungsson
  • Iva Gunnarsson
  • Ann Christine Syvänen
  • Karoline Lerang
  • Anne Troldborg
  • Anne Voss
  • Øyvind Molberg
  • Lindsey Criswell
  • Lars Rönnblom
  • Gunnel Nordmark

The genetic background of lupus nephritis (LN) has not been completely elucidated. We performed a case-only study of 2886 SLE patients, including 947 (33%) with LN. Renal biopsies were available from 396 patients. The discovery cohort (Sweden, n = 1091) and replication cohort 1 (US, n = 962) were genotyped on the Immunochip and replication cohort 2 (Denmark/Norway, n = 833) on a custom array. Patients with LN, proliferative nephritis, or LN with end-stage renal disease were compared with SLE without nephritis. Six loci were associated with LN (p < 1 × 10−4, NFKBIA, CACNA1S, ITGA1, BANK1, OR2Y, and ACER3) in the discovery cohort. Variants in BANK1 showed the strongest association with LN in replication cohort 1 (p = 9.5 × 10−4) and proliferative nephritis in a meta-analysis of discovery and replication cohort 1. There was a weak association between BANK1 and LN in replication cohort 2 (p = 0.052), and in the meta-analysis of all three cohorts the association was strengthened (p = 2.2 × 10−7). DNA methylation data in 180 LN patients demonstrated methylation quantitative trait loci (meQTL) effects between a CpG site and BANK1 variants. To conclude, we describe genetic variations in BANK1 associated with LN and evidence for genetic regulation of DNA methylation within the BANK1 locus. This indicates a role for BANK1 in LN pathogenesis.

Original languageEnglish
JournalGenes and Immunity
Volume22
Pages (from-to)194–202
ISSN1466-4879
DOIs
Publication statusPublished - 2021

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© 2021, The Author(s).

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