Lupus & antiphospholipid syndrome

Interplay between polygenic risk score and solar insolation: Implication for systemic lupus erythematosus diagnosis and pathogenesis

Semin Arthritis RheumPublished Case-control study

Main finding · SLE risk, highest vs lowest SLE-PRS decileResult — go to the resultFold increase in SLE risk 10.98 95 % CI 3.773–31.952

Authors' conclusion

Our study unveils the intertwined nature of UV insolation and polygenic risks in SLE.

Study context

Population
Participants from the Taiwan Precision Medicine Initiative, genotyped via the Affymetrix Genome-Wide TWB 2.0 SNP Array; SLE-PRS of 27 single nucleotide polymorphisms (SNPs) tailored for Taiwanese ancestry; solar insolation computed from residences
Participants
1,800 vs 1,800
Comparison
Systemic lupus erythematosus (SLE) vs controls; highest vs lowest SLE-PRS decile; high vs low solar insolation
  • SLEn = 1,800
  • Controlsn = 1,800reference
Outcome
Associations between SLE-PRS, solar insolation and SLE (risk of SLE)
Methodological detailsgenetic association study, logistic regression, additive and multiplicative interaction analysis
  • Genetic association study
  • Logistic regression
  • Additive and multiplicative interaction analysis

Main finding

SLE risk, highest vs lowest SLE-PRS decile

Fold increase in SLE risk

10.98

95 % CI 3.773–31.952

P < 0.001

Highest SLE-PRS decilevs Lowest SLE-PRS decile
fold increase in SLE risk 10.98 (95 % CI 3.773–31.952); P < 0.001

As reported in the abstract

SLE patients showed decreased solar insolation
P < 0.001

Observational data: associations, not effects.

Further findings

Solar insolation before diagnosis, highest vs lowest SLE-PRS decile · 1, 3, 6 and 12 months prior to diagnosis

Significantly lower solar insolation in highest decile at 1 month
P = 0.025
Significantly lower solar insolation in highest decile at 12 months
P = 0.004

Original publication

Interplay between polygenic risk score and solar insolation: Implication for systemic lupus erythematosus diagnosis and pathogenesis. Semin Arthritis Rheum. Published 10 August 2024. doi:10.1016/j.semarthrit.2024.152531

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