ERAP1, ERAP2, and Two Copies of HLA-Aw19 Alleles Increase the Risk for Birdshot Chorioretinopathy in HLA-A29 Carriers

Autor: Xiaodong Bai, Dominique Monnet, Thierry Tabary, Carmelo Romano, Jack A. Kosmicki, Sahar Gelfman, Antoine P. Brézin, Eli A. Stahl, Manuel A. R. Ferreira, Jonathan Weyne, Aris Baras, Giovanni Coppola, Arden Moscati, Jacques H. M. Cohen, Blerta Cooper, Sarah Wolf, Ann J. Ligocki, Jan Freudenberg, John D. Overton
Rok vydání: 2021
Předmět:
Zdroj: Investigative Ophthalmology & Visual Science
ISSN: 1552-5783
Popis: PurposeBirdshot Chorioretinopathy (BSCR) is strongly associated with HLA-A29. This study was designed to elucidate the genetic modifiers of BSCR in HLA-A29 carriers.MethodsWe sequenced the largest BSCR cohort to date, including 286 cases and 108 HLA-A29 positive controls to perform genome wide common and rare variant associations. We further typed the HLA alleles of cases and 45,386 HLA-A29 controls of European ancestry to identify HLA alleles that associate with BSCR risk.ResultsCarrying a second allele that belongs to the HLA-Aw19 broad antigen family (including HLA-A29, A30, A31, and A33) increases the risk for BSCR (OR=4.44, p=2.2e-03). This result was validated by comparing allele frequencies to large HLA-A29-controlled cohorts (n=45,386, OR>2.5, pConclusionsThe genetic factors increasing BSCR risk demonstrate a pattern of increased processing, as well as increased presentation of ERAP2 specific peptides. This suggests a mechanism in which exceeding a peptide presentation threshold activates the immune response in choroids of A29 carriers.
Databáze: OpenAIRE