Association of the thyroid stimulating hormone receptor gene (TSHR) with Graves' disease

被引:100
作者
Brand, Oliver J. [1 ]
Barrett, Jeffrey C. [2 ]
Simmonds, Matthew J. [1 ]
Newby, Paul R. [1 ]
McCabe, Christopher J. [1 ]
Bruce, Christopher K. [1 ]
Kysela, Boris [1 ]
Carr-Smith, Jackie D. [1 ]
Brix, Thomas [4 ]
Hunt, Penny J. [1 ]
Wiersinga, Wilmar M. [5 ]
Hegedus, Laszlo [4 ]
Connell, John [6 ]
Wass, John A. H. [3 ]
Franklyn, Jayne A. [1 ]
Weetman, Anthony P. [7 ]
Heward, Joanne M. [1 ]
Gough, Stephen C. L. [1 ]
机构
[1] Univ Birmingham, Inst Biomed Res, Coll Med & Dent Sci, Sch Clin & Expt Med, Birmingham B15 2TT, W Midlands, England
[2] Univ Oxford, Churchill Hosp, Wellcome Trust Ctr Human Genet, Oxford, England
[3] Univ Oxford, Churchill Hosp, Dept Endocrinol, Oxford, England
[4] Odense Univ Hosp, Dept Endocrinol & Metab, Odense, Denmark
[5] Univ Amsterdam, Acad Med Ctr, Dept Endocrinol & Metab, NL-1012 WX Amsterdam, Netherlands
[6] Univ Glasgow, Glasgow, Lanark, Scotland
[7] Univ Sheffield, Sch Med, Sheffield, S Yorkshire, England
基金
英国惠康基金;
关键词
HUMAN THYROTROPIN RECEPTOR; GERMLINE POLYMORPHISM; HAPLOTYPE; REGION; DOMAIN; AUTOIMMUNITY; REPLICATION; MEMBRANE; COMPLEX; LOCUS;
D O I
10.1093/hmg/ddp087
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Graves' disease (GD) is a common autoimmune disease (AID) that shares many of its susceptibility loci with other AIDs. The thyroid stimulating hormone receptor (TSHR) represents the primary autoantigen in GD, in which autoantibodies bind to the receptor and mimic its ligand, thyroid stimulating hormone, causing the characteristic clinical phenotype. Although early studies investigating the TSHR and GD proved inconclusive, more recently we provided convincing evidence for association of the TSHR region with disease. In the current study, we investigated a combined panel of 98 SNPs, including 70 tag SNPs, across an extended 800 kb region of the TSHR to refine association in a cohort of 768 GD subjects and 768 matched controls. In total, 28 SNPs revealed association with GD (P < 0.05), with strongest SNP associations at rs179247 (chi(2) = 32.45, P = 8.90 x 10(-8), OR = 1.53, 95% CI = 1.32-1.78) and rs12101255 (chi(2) = 30.91, P = 1.95 x 10(-7), OR = 1.55, 95% CI = 1.33-1.81), both located in intron 1 of the TSHR. Association of the most associated SNP, rs179247, was replicated in 303 GD families (P = 7.8 x 10(-4)). In addition, we provide preliminary evidence that the disease-associated genotypes of rs179247 (AA) and rs12101255 (TT) show reduced mRNA expression ratios of flTSHR relative to two alternate TSHR mRNA splice variants.
引用
收藏
页码:1704 / 1713
页数:10
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