Systemic sclerosis & Raynaud's

Sex-specific autosomal susceptibility loci in systemic sclerosis: a genome-wide association study

Lancet RheumatolPublished Genome-wide association study

Authors' conclusion

We report the first evidence of sex-specific genetic architecture in systemic sclerosis.

Study context

Population
Adults (≥18 years) with SSc and healthy controls from a previous genome-wide association studies (GWAS) and newly recruited participants from an international multicentre collaboration (data cutoff June 1, 2024)after quality control filtering
Participants
10,653 vs 18,043
Comparison
Patients with SSc vs healthy controls, sex-stratified
  • SScn = 10,653
  • Controlsn = 18,043reference
Outcome
Autosomal sex-specific genetic loci associated with SSc
Methodological detailssex-stratified autosomal meta-analysis, international multicentre collaboration, chromosomal definition of sex, People with lived experience of SSc were not involved in study design or conduct
  • Sex-stratified autosomal meta-analysis
  • International multicentre collaboration
  • Chromosomal definition of sex
  • People with lived experience of SSc were not involved in study design or conduct

Pooled result

As reported in the abstract

Sex-specific loci associated with SSc
SSc vs ControlsOdds ratio (95% CI)P value
Novel male-specific locus BCL11A
1.32(1.20–1.45)
P = 8.39 × 10-9
Novel female-specific locus IRF4
0.78(0.71–0.85)
P = 2.36 × 10-8
Novel female-specific locus RPL3-PDGFB
1.19(1.12–1.26)
P = 3.18 × 10-8
Sex-specific loci identified
8
Previously known loci now characterised as female-specific
5

Further pooled results

Functional analyses: candidate genes

Candidate genes implicated
39
Genes with sex-differential expression in SSc (IL12RB2, ARHGAP31, UBL7, CSK, MPI)
5

Drug repurposing analysis

Approved drugs identified as potential repurposing candidates (fostamatinib, dasatinib)
2

Original publication

Sex-specific autosomal susceptibility loci in systemic sclerosis: a genome-wide association study. Lancet Rheumatol. Published 15 April 2026. doi:10.1016/s2665-9913(25)00376-5

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