Interaction between ERAP1 and HLA-B27 in ankylosing spondylitis implicates peptide handling in the mechanism for HLA-B27 in disease susceptibility

Research output: Contribution to journalJournal articleResearchpeer-review

  • David M. Evans
  • Chris C.A. Spencer
  • Jennifer J. Pointon
  • Zhan Su
  • David Harvey
  • Grazyna Kochan
  • Udo Opperman
  • Alexander Dilthey
  • Matti Pirinen
  • Millicent A. Stone
  • Louise Appleton
  • Loukas Moutsianis
  • Stephen Leslie
  • Tom Wordsworth
  • Tony J. Kenna
  • Gethin P. Thomas
  • Michael M. Ward
  • Michael H. Weisman
  • Claire Farrar
  • Linda A. Bradbury
  • Patrick Danoy
  • Robert D. Inman
  • Walter Maksymowych
  • Dafna Gladman
  • Proton Rahman
  • Ann Morgan
  • Helena Marzo-Ortega
  • Paul Bowness
  • Karl Gaffney
  • J. S.Hill Gaston
  • Malcolm Smith
  • Jacome Bruges-Armas
  • Ana Rita Couto
  • Rosa Sorrentino
  • Fabiana Paladini
  • Manuel A. Ferreira
  • Huji Xu
  • Lei Jiang
  • Carlos Lopez-Larrea
  • Roberto Díaz-Peña
  • Antonio Lóepez-Vázquez
  • Tetyana Zayats
  • Gavin Band
  • Céline Bellenguez
  • Hannah Blackburn
  • Jenefer M. Blackwell
  • Elvira Bramon
  • Suzannah J. Bumpstead

Ankylosing spondylitis is a common form of inflammatory arthritis predominantly affecting the spine and pelvis that occurs in approximately 5 out of 1,000 adults of European descent. Here we report the identification of three variants in the RUNX3, LTBR-TNFRSF1A and IL12B regions convincingly associated with ankylosing spondylitis (P < 5 × 10-8 in the combined discovery and replication datasets) and a further four loci at PTGER4, TBKBP1, ANTXR2 and CARD9 that show strong association across all our datasets (P < 5 × 10-6 overall, with support in each of the three datasets studied). We also show that polymorphisms of ERAP1, which encodes an endoplasmic reticulum aminopeptidase involved in peptide trimming before HLA class I presentation, only affect ankylosing spondylitis risk in HLA-B27-positive individuals. These findings provide strong evidence that HLA-B27 operates in ankylosing spondylitis through a mechanism involving aberrant processing of antigenic peptides.

Original languageEnglish
JournalNature Genetics
Volume43
Issue number8
Pages (from-to)761-767
Number of pages7
ISSN1061-4036
DOIs
Publication statusPublished - 1 Aug 2011
Externally publishedYes

ID: 226396792