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Meta-Analysis
. 2021 May;80(5):632-640.
doi: 10.1136/annrheumdis-2020-219209. Epub 2020 Dec 3.

Meta-analysis of 208370 East Asians identifies 113 susceptibility loci for systemic lupus erythematosus

Xianyong Yin #  1   2   3   4   5   6 Kwangwoo Kim #  7 Hiroyuki Suetsugu #  8   9   10 So-Young Bang  11   12 Leilei Wen  1   2   3 Masaru Koido  9   13 Eunji Ha  7 Lu Liu  1   2   3 Yuma Sakamoto  14 Sungsin Jo  12 Rui-Xue Leng  15 Nao Otomo  8   9   16 Viktoryia Laurynenka  17 Young-Chang Kwon  12 Yujun Sheng  1   2   3 Nobuhiko Sugano  18 Mi Yeong Hwang  19 Weiran Li  1   2   3 Masaya Mukai  20 Kyungheon Yoon  19 Minglong Cai  1   2   3 Kazuyoshi Ishigaki  9   21   22   23 Won Tae Chung  24 He Huang  1   2   3 Daisuke Takahashi  25 Shin-Seok Lee  26 Mengwei Wang  1   2   3 Kohei Karino  27 Seung-Cheol Shim  28 Xiaodong Zheng  1   2   3 Tomoya Miyamura  29 Young Mo Kang  30 Dongqing Ye  15 Junichi Nakamura  31 Chang-Hee Suh  32 Yuanjia Tang  33 Goro Motomura  10 Yong-Beom Park  34 Huihua Ding  33 Takeshi Kuroda  35 Jung-Yoon Choe  36 Chengxu Li  5 Hiroaki Niiro  37 Youngho Park  12 Changbing Shen  38   39 Takeshi Miyamoto  40 Ga-Young Ahn  11 Wenmin Fei  5 Tsutomu Takeuchi  41 Jung-Min Shin  11 Keke Li  5 Yasushi Kawaguchi  42 Yeon-Kyung Lee  11 Yongfei Wang  43 Koichi Amano  44 Dae Jin Park  11 Wanling Yang  43 Yoshifumi Tada  45 Ken Yamaji  46 Masato Shimizu  47 Takashi Atsumi  48 Akari Suzuki  49 Takayuki Sumida  50 Yukinori Okada  51   52 Koichi Matsuda  53   54 Keitaro Matsuo  55   56 Yuta Kochi  57 Japanese Research Committee on Idiopathic Osteonecrosis of the Femoral HeadLeah C Kottyan  17   58 Matthew T Weirauch  17   58 Sreeja Parameswaran  17 Shruti Eswar  17 Hanan Salim  17 Xiaoting Chen  17 Kazuhiko Yamamoto  49 John B Harley  17   58   59 Koichiro Ohmura  60 Tae-Hwan Kim  11   12 Sen Yang  1   2   3 Takuaki Yamamoto  61 Bong-Jo Kim  19 Nan Shen  17   33   62 Shiro Ikegawa  8 Hye-Soon Lee  11   12 Xuejun Zhang  1   2   3   63 Chikashi Terao  64   65   66 Yong Cui  67 Sang-Cheol Bae  68   12
Affiliations
Meta-Analysis

Meta-analysis of 208370 East Asians identifies 113 susceptibility loci for systemic lupus erythematosus

Xianyong Yin et al. Ann Rheum Dis. 2021 May.

Abstract

Objective: Systemic lupus erythematosus (SLE), an autoimmune disorder, has been associated with nearly 100 susceptibility loci. Nevertheless, these loci only partially explain SLE heritability and their putative causal variants are rarely prioritised, which make challenging to elucidate disease biology. To detect new SLE loci and causal variants, we performed the largest genome-wide meta-analysis for SLE in East Asian populations.

Methods: We newly genotyped 10 029 SLE cases and 180 167 controls and subsequently meta-analysed them jointly with 3348 SLE cases and 14 826 controls from published studies in East Asians. We further applied a Bayesian statistical approach to localise the putative causal variants for SLE associations.

Results: We identified 113 genetic regions including 46 novel loci at genome-wide significance (p<5×10-8). Conditional analysis detected 233 association signals within these loci, which suggest widespread allelic heterogeneity. We detected genome-wide associations at six new missense variants. Bayesian statistical fine-mapping analysis prioritised the putative causal variants to a small set of variants (95% credible set size ≤10) for 28 association signals. We identified 110 putative causal variants with posterior probabilities ≥0.1 for 57 SLE loci, among which we prioritised 10 most likely putative causal variants (posterior probability ≥0.8). Linkage disequilibrium score regression detected genetic correlations for SLE with albumin/globulin ratio (rg=-0.242) and non-albumin protein (rg=0.238).

Conclusion: This study reiterates the power of large-scale genome-wide meta-analysis for novel genetic discovery. These findings shed light on genetic and biological understandings of SLE.

Keywords: epidemiology; genetic; lupus erythematosus; polymorphism; systemic.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Summary of meta-analysis association results and comparison of MAFs for lead variants within the 46 novel loci between East Asians and Europeans. (A) Manhattan plot of genome-wide association meta-analysis results from 208 370 SLE East Asians including 13 377 SLE cases and 194 993 controls. Minus log10-transformed association p values (y-axis) are plotted along chromosomal positions (x-axis). Known and novel loci are highlighted in light blue and pink, respectively. The red dashed line denotes the genome-wide association significance threshold of p=5×10−8. The grey dashed line represents p=10−30, at which the y-axis breaks. (B) Comparison of MAFs of lead variants within the 46 novel loci between East Asians (y-axis) and non-Finnish Europeans (x-axis) in the Genome Aggregation Database (gnomAD) v3. Variants with more than 10 times higher MAFs in East Asians are coloured purple above a red dashed line. MAF, minor allele frequency.
Figure 2
Figure 2
New lead exonic variants identified at three known (CSK, IKBKB and TYK2) and two novel (CHD23 and LRRK1) loci. (A) rs11553760 (synonymous variant) at CSK. (B) rs2272736 (p.Arg303Gln, missense variant) at IKBKB. (C) rs55882956 (p.Arg703Trp, missense variant) at TYK2. (D) rs10823829 (synonymous variant) at CHD23. (E) rs35985016 (p.Lys203Glu, missense variant) at LRRK1. The lead SNP is labelled as purple diamond. The LD is estimated from 7021 Chinese samples. LD, linkage disequilibrium; Mb, megabases; SNP, single nucleotide polymorphism.
Figure 3
Figure 3
Two independent association signals identified. (A) At two intronic variants within known STAT4 locus. (B) At known (rs7097397, p.Arg1816Gln) and new (rs7072606, p.Ser214Pro) missense variants within WDFY4 locus. (C) A known intronic variant within ATXN2 gene and a new (rs1131476, p.Ala352Thr) missense variant within OAS1 gene. The lead and secondary index variants are labelled in diamond. The lead variant and its LD proxies are in red while the secondary signal index variant and its LD proxies are in blue. The LD is estimated from 7021 Chinese samples. LD, linkage disequilibrium; Mb, megabases.
Figure 4
Figure 4
Results of statistical fine-mapping analysis. (A) Number of 95% credible sets of putative causal variants, binned by their sizes. (B) Number of potential causal variants with posterior probabilities (PP) ≥0.1, which are considered to be the true causal variants.

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