Pediatric rheumatology

Genetic association of antinuclear antibodies with HLA in Juvenile Idiopathic Arthritis (JIA) patients: a Swedish cohort study

Pediatr Rheumatol Online JPublished Case-control genetic association study

Authors' conclusion

This study identified distinct genetic associations between HLA alleles and JIA subtypes, particularly in ANA-positive patients.

Study context

Population
Swedish cohort of JIA patients and healthy adult controls
Participants
329 vs 728
Comparison
JIA patients vs healthy adult controls
  • JIAn = 329
  • Healthy controlsn = 728reference
Outcome
Genetic (SNP and HLA allele) association with JIA
Methodological detailsgenome-wide genotyping (Illumina OmniExpress array), HLA imputation (SNP2HLA), logistic regression
  • Genome-wide genotyping (Illumina OmniExpress array)
  • HLA imputation (SNP2HLA)
  • Logistic regression

Main finding

As reported in the abstract

Genome-wide significant association with JIA
SNPs with genome-wide significant association to JIA, all on chromosome 6 within the MHC class II region
12

Observational data: associations, not effects.

Further findings

Association by JIA subtype

HLA-DRB1*08:01, DQA1*04:01, DQB1*04:02 associated with oligoarthritis and RF-negative polyarthritis
HLA-DRB1*11 specifically enriched in oligoarthritis

Antinuclear antibody (ANA) positivity and HLA alleles

Significant correlation between ANA positivity and specific HLA alleles
ANA-positive JIA showed stronger associations with the HLA-DRB1-DQA1-DQB1 haplotype, HLA-DRB1*11 and HLA-DPB1*02
Logistic regression: HLA alleles, female sex and lower age at onset affected ANA positivity

Original publication

Genetic association of antinuclear antibodies with HLA in JIA patients: a Swedish cohort study. Pediatr Rheumatol Online J. Published 26 August 2024. doi:10.1186/s12969-024-01017-8

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