Lupus & antiphospholipid syndrome

Genetic Analysis of Asymptomatic Antinuclear Antibody Production

Arthritis RheumatolPublished Genome-wide association study

Authors' conclusion

ANA production is not associated with significant genetic risk and is primarily determined by environmental factors.

Study context

Population
Asymptomatic individuals from the All of Us Research Program with an antinuclear antibodies (ANA) test by immunofluorescence and no evidence of autoimmune disease, three populationsthree populations
Participants
1,955 vs 3,634
Comparison
Asymptomatic ANA positive vs asymptomatic ANA negative individuals
  • ANA POSITIVEn = 1,955
  • ANA NEGATIVEn = 3,634reference
Outcome
Genetic association with asymptomatic ANA positivity (genome-wide)
Methodological detailsmultipopulation meta-analysis, imputation, ≈6 million single-nucleotide polymorphisms (SNPs)
  • Multipopulation meta-analysis
  • Imputation
  • ≈6 million SNPs

Pooled result

As reported in the abstract

Asymptomatic ANA positivity, multipopulation GWAS meta-analysis (≈6 million SNPs)

Most significant association: variant upstream of HLA-DQB1 (rs17211748), P = 1.4 × 10-6, OR

0.82

95% CI 0.76–0.89

Heritability of asymptomatic ANA positivity

24.9%

Further pooled results

SNP-based heritability of asymptomatic ANA positivity

Heritability estimate
24.9%

Cumulative genetic risk score for lupus

No increased cumulative genetic risk for lupus in ANA positive vs ANA negative

Original publication

Genetic Analysis of Asymptomatic Antinuclear Antibody Production. Arthritis Rheumatol. Published 14 November 2024. doi:10.1002/art.43032

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