Replication and meta-analysis of GWAS identified susceptibility loci in Kawasaki disease confirm the importance of B lymphoid tyrosine kinase (BLK) in disease susceptibility.

The BLK and CD40 loci have been associated with Kawasaki disease (KD) in two genome-wide association studies (GWAS) conducted in a Taiwanese population of Han Chinese ancestry (Taiwanese) and in Japanese cohorts. Here we build on these findings with replication studies of the BLK and CD40 loci in po...

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Autores principales: Chia-Jung Chang, Ho-Chang Kuo, Jeng-Sheng Chang, Jong-Keuk Lee, Fuu-Jen Tsai, Chiea Chuen Khor, Li-Ching Chang, Shih-Ping Chen, Tai-Ming Ko, Yi-Min Liu, Ying-Ju Chen, Young Mi Hong, Gi Young Jang, Martin L Hibberd, Taco Kuijpers, David Burgner, Michael Levin, Jane C Burns, Sonia Davila, International Kawasaki Disease Genetics Consortium, Korean Kawasaki Disease Genetics Consortium, Taiwan Kawasaki Disease Genetics Consortium, Yuan-Tsong Chen, Chien-Hsiun Chen, Jer-Yuarn Wu, Yi-Ching Lee
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spelling oai:doaj.org-article:f785e0ce8cb442d28b33506526470cec2021-11-18T08:57:39ZReplication and meta-analysis of GWAS identified susceptibility loci in Kawasaki disease confirm the importance of B lymphoid tyrosine kinase (BLK) in disease susceptibility.1932-620310.1371/journal.pone.0072037https://doaj.org/article/f785e0ce8cb442d28b33506526470cec2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24023612/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203The BLK and CD40 loci have been associated with Kawasaki disease (KD) in two genome-wide association studies (GWAS) conducted in a Taiwanese population of Han Chinese ancestry (Taiwanese) and in Japanese cohorts. Here we build on these findings with replication studies of the BLK and CD40 loci in populations of Korean and European descent. The BLK region was significantly associated with KD susceptibility in both populations. Within the BLK gene the rs2736340-located linkage disequilibrium (LD ) comprising the promoter and first intron was strongly associated with KD, with the combined results of Asian studies including Taiwanese, Japanese, and Korean populations (2,539 KD patients and 7,021 controls) providing very compelling evidence of association (rs2736340, OR = 1.498, 1.354-1.657; P = 4.74×10(-31)). We determined the percentage of B cells present in the peripheral blood mononuclear cell (PBMC) population and the expression of BLK in the peripheral blood leukocytes (leukocytes) of KD patients during the acute and convalescent stages. The percentage of B cells in the PBMC population and the expression of BLK in leukocytes were induced in patients in the acute stage of KD. In B cell lines derived from KD patients, and in purified B cells from KD patients obtained during the acute stage, those with the risk allele of rs2736340 expressed significantly lower levels of BLK. These results suggest that peripheral B cells play a pathogenic role during the acute stage of KD. Decreased BLK expression in peripheral blood B cells may alter B cell function and predispose individuals to KD. These associative data suggest a role for B cells during acute KD. Understanding the functional implications may facilitate the development of B cell-mediated therapy for KD.Chia-Jung ChangHo-Chang KuoJeng-Sheng ChangJong-Keuk LeeFuu-Jen TsaiChiea Chuen KhorLi-Ching ChangShih-Ping ChenTai-Ming KoYi-Min LiuYing-Ju ChenYoung Mi HongGi Young JangMartin L HibberdTaco KuijpersDavid BurgnerMichael LevinJane C BurnsSonia DavilaInternational Kawasaki Disease Genetics ConsortiumKorean Kawasaki Disease Genetics ConsortiumTaiwan Kawasaki Disease Genetics ConsortiumYuan-Tsong ChenChien-Hsiun ChenJer-Yuarn WuYi-Ching LeePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 8, p e72037 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Chia-Jung Chang
Ho-Chang Kuo
Jeng-Sheng Chang
Jong-Keuk Lee
Fuu-Jen Tsai
Chiea Chuen Khor
Li-Ching Chang
Shih-Ping Chen
Tai-Ming Ko
Yi-Min Liu
Ying-Ju Chen
Young Mi Hong
Gi Young Jang
Martin L Hibberd
Taco Kuijpers
David Burgner
Michael Levin
Jane C Burns
Sonia Davila
International Kawasaki Disease Genetics Consortium
Korean Kawasaki Disease Genetics Consortium
Taiwan Kawasaki Disease Genetics Consortium
Yuan-Tsong Chen
Chien-Hsiun Chen
Jer-Yuarn Wu
Yi-Ching Lee
Replication and meta-analysis of GWAS identified susceptibility loci in Kawasaki disease confirm the importance of B lymphoid tyrosine kinase (BLK) in disease susceptibility.
description The BLK and CD40 loci have been associated with Kawasaki disease (KD) in two genome-wide association studies (GWAS) conducted in a Taiwanese population of Han Chinese ancestry (Taiwanese) and in Japanese cohorts. Here we build on these findings with replication studies of the BLK and CD40 loci in populations of Korean and European descent. The BLK region was significantly associated with KD susceptibility in both populations. Within the BLK gene the rs2736340-located linkage disequilibrium (LD ) comprising the promoter and first intron was strongly associated with KD, with the combined results of Asian studies including Taiwanese, Japanese, and Korean populations (2,539 KD patients and 7,021 controls) providing very compelling evidence of association (rs2736340, OR = 1.498, 1.354-1.657; P = 4.74×10(-31)). We determined the percentage of B cells present in the peripheral blood mononuclear cell (PBMC) population and the expression of BLK in the peripheral blood leukocytes (leukocytes) of KD patients during the acute and convalescent stages. The percentage of B cells in the PBMC population and the expression of BLK in leukocytes were induced in patients in the acute stage of KD. In B cell lines derived from KD patients, and in purified B cells from KD patients obtained during the acute stage, those with the risk allele of rs2736340 expressed significantly lower levels of BLK. These results suggest that peripheral B cells play a pathogenic role during the acute stage of KD. Decreased BLK expression in peripheral blood B cells may alter B cell function and predispose individuals to KD. These associative data suggest a role for B cells during acute KD. Understanding the functional implications may facilitate the development of B cell-mediated therapy for KD.
format article
author Chia-Jung Chang
Ho-Chang Kuo
Jeng-Sheng Chang
Jong-Keuk Lee
Fuu-Jen Tsai
Chiea Chuen Khor
Li-Ching Chang
Shih-Ping Chen
Tai-Ming Ko
Yi-Min Liu
Ying-Ju Chen
Young Mi Hong
Gi Young Jang
Martin L Hibberd
Taco Kuijpers
David Burgner
Michael Levin
Jane C Burns
Sonia Davila
International Kawasaki Disease Genetics Consortium
Korean Kawasaki Disease Genetics Consortium
Taiwan Kawasaki Disease Genetics Consortium
Yuan-Tsong Chen
Chien-Hsiun Chen
Jer-Yuarn Wu
Yi-Ching Lee
author_facet Chia-Jung Chang
Ho-Chang Kuo
Jeng-Sheng Chang
Jong-Keuk Lee
Fuu-Jen Tsai
Chiea Chuen Khor
Li-Ching Chang
Shih-Ping Chen
Tai-Ming Ko
Yi-Min Liu
Ying-Ju Chen
Young Mi Hong
Gi Young Jang
Martin L Hibberd
Taco Kuijpers
David Burgner
Michael Levin
Jane C Burns
Sonia Davila
International Kawasaki Disease Genetics Consortium
Korean Kawasaki Disease Genetics Consortium
Taiwan Kawasaki Disease Genetics Consortium
Yuan-Tsong Chen
Chien-Hsiun Chen
Jer-Yuarn Wu
Yi-Ching Lee
author_sort Chia-Jung Chang
title Replication and meta-analysis of GWAS identified susceptibility loci in Kawasaki disease confirm the importance of B lymphoid tyrosine kinase (BLK) in disease susceptibility.
title_short Replication and meta-analysis of GWAS identified susceptibility loci in Kawasaki disease confirm the importance of B lymphoid tyrosine kinase (BLK) in disease susceptibility.
title_full Replication and meta-analysis of GWAS identified susceptibility loci in Kawasaki disease confirm the importance of B lymphoid tyrosine kinase (BLK) in disease susceptibility.
title_fullStr Replication and meta-analysis of GWAS identified susceptibility loci in Kawasaki disease confirm the importance of B lymphoid tyrosine kinase (BLK) in disease susceptibility.
title_full_unstemmed Replication and meta-analysis of GWAS identified susceptibility loci in Kawasaki disease confirm the importance of B lymphoid tyrosine kinase (BLK) in disease susceptibility.
title_sort replication and meta-analysis of gwas identified susceptibility loci in kawasaki disease confirm the importance of b lymphoid tyrosine kinase (blk) in disease susceptibility.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/f785e0ce8cb442d28b33506526470cec
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