Abstract

Objective: Idiopathic inflammatory myopathies (myositis, IIMs) are rare, systemic autoimmune diseases leading to muscle inflammation, muscle weakness, and extra-muscular manifestations. IIMs have a strong genetic component in disease development and progression. Previous genome-wide association studies (GWAS) have identified several loci associated with IIMs. In this study, we imputed the two prior genome-wide studies of IIMs against the largest genotype reference panel and performed meta-analyses on the largest myositis dataset to date, to identify novel risk loci and susceptibility genes associated with myositis and its clinical subtypes.

Methods: We performed association analyses on 14,903 individuals (3,206 cases and 11,697 controls) with genotypes and imputed data from the Trans-Omics for Precision Medicine reference panel (TOPMed). Fine-mapping and expression quantitative trait locus co-localization analyses were conducted in myositis-relevant tissues, and associated variants were functionally annotated. The random walk with restart algorithm (RWR) was used to explore associated genetic networks.

Results: We identified novel risk loci and susceptibility genes, such as FCRLA, NFKB1, IRF4, DCAKD, and ATXN2 associated with total IIMs, NEMP2 in polymyositis, ACBC11 in dermatomyositis, and PSD3 in myositis with anti-histidyl-tRNA synthetase autoantibodies (anti-Jo1). We also characterized effects of HLA region variants and the role of C4A. Fine-mapping and co-localization analyses revealed tissue-specific potential causal variants in DCAKD from total IIMs and IRF4 in dermatomyositis and juvenile dermatomyositis. Additional top-ranked candidate genes were identified from RWR, including APP, CD74, CIITA, NR1H4, and TXNIP.

Conclusion: Our study uncovers novel genetic regions related to IIMs, enhancing our understanding of myositis and directing future research.
Original languageEnglish
JournalArthritis and Rheumatology
Early online date16 Dec 2024
DOIs
Publication statusPublished - 16 Dec 2024

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