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DNA methylation as a mediator of HLA-DRB1*15:01 and a protective variant in multiple sclerosis.

Lara Kular | Yun Liu | Sabrina Ruhrmann | Galina Zheleznyakova | Francesco Marabita | David Gomez-Cabrero | Tojo James | Ewoud Ewing | Magdalena Lindén | Bartosz Górnikiewicz | Shahin Aeinehband | Pernilla Stridh | Jenny Link | Till F M Andlauer | Christiane Gasperi | Heinz Wiendl | Frauke Zipp | Ralf Gold | Björn Tackenberg | Frank Weber | Bernhard Hemmer | Konstantin Strauch | Stefanie Heilmann-Heimbach | Rajesh Rawal | Ulf Schminke | Carsten O Schmidt | Tim Kacprowski | Andre Franke | Matthias Laudes | Alexander T Dilthey | Elisabeth G Celius | Helle B Søndergaard | Jesper Tegnér | Hanne F Harbo | Annette B Oturai | Sigurgeir Olafsson | Hannes P Eggertsson | Bjarni V Halldorsson | Haukur Hjaltason | Elias Olafsson | Ingileif Jonsdottir | Kari Stefansson | Tomas Olsson | Fredrik Piehl | Tomas J Ekström | Ingrid Kockum | Andrew P Feinberg | Maja Jagodic
Nature communications | 2018

The human leukocyte antigen (HLA) haplotype DRB1*15:01 is the major risk factor for multiple sclerosis (MS). Here, we find that DRB1*15:01 is hypomethylated and predominantly expressed in monocytes among carriers of DRB1*15:01. A differentially methylated region (DMR) encompassing HLA-DRB1 exon 2 is particularly affected and displays methylation-sensitive regulatory properties in vitro. Causal inference and Mendelian randomization provide evidence that HLA variants mediate risk for MS via changes in the HLA-DRB1 DMR that modify HLA-DRB1 expression. Meta-analysis of 14,259 cases and 171,347 controls confirms that these variants confer risk from DRB1*15:01 and also identifies a protective variant (rs9267649, p < 3.32 × 10-8, odds ratio = 0.86) after conditioning for all MS-associated variants in the region. rs9267649 is associated with increased DNA methylation at the HLA-DRB1 DMR and reduced expression of HLA-DRB1, suggesting a modulation of the DRB1*15:01 effect. Our integrative approach provides insights into the molecular mechanisms of MS susceptibility and suggests putative therapeutic strategies targeting a methylation-mediated regulation of the major risk gene.

Pubmed ID: 29921915

Associated grants

  • Agency: NIEHS NIH HHS, United States
    Id: DP1 ES022579

Publication data is provided by the National Library of Medicine ® and PubMed ®. Data is retrieved from PubMed ® on a weekly schedule. For terms and conditions see the National Library of Medicine Terms and Conditions.

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