Title |
Specific interaction between genotype, smoking and autoimmunity to citrullinated α-enolase in the etiology of rheumatoid arthritis
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Published in |
Nature Genetics, November 2009
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DOI | 10.1038/ng.480 |
Pubmed ID | |
Authors |
Hiba Mahdi, Benjamin A Fisher, Henrik Källberg, Darren Plant, Vivianne Malmström, Johan Rönnelid, Peter Charles, Bo Ding, Lars Alfredsson, Leonid Padyukov, Deborah P M Symmons, Patrick J Venables, Lars Klareskog, Karin Lundberg |
Abstract |
Gene-environment associations are important in rheumatoid arthritis (RA) susceptibility, with an association existing between smoking, HLA- DRB1 'shared epitope' alleles, PTPN22 and antibodies to cyclic citrullinated peptides (CCP). Here, we test the hypothesis that a subset of the anti-CCP response, with specific autoimmunity to citrullinated alpha-enolase, accounts for an important portion of these associations. In 1,497 individuals from three RA cohorts, antibodies to the immunodominant citrullinated alpha-enolase CEP-1 epitope were detected in 43-63% of the anti-CCP-positive individuals, and this subset was preferentially linked to HLA-DRB1*04. In a case-control analysis of 1,000 affected individuals and 872 controls, the combined effect of shared epitope, PTPN22 and smoking showed the strongest association with the anti-CEP-1-positive subset (odds ratio (OR) of 37, compared to an OR of 2 for the corresponding anti-CEP-1-negative, anti-CCP-positive subset). We conclude that citrullinated alpha-enolase is a specific citrullinated autoantigen that links smoking to genetic risk factors in the development of RA. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Germany | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Colombia | 3 | 2% |
Germany | 1 | <1% |
Italy | 1 | <1% |
Egypt | 1 | <1% |
United States | 1 | <1% |
Unknown | 138 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 35 | 24% |
Researcher | 22 | 15% |
Student > Bachelor | 15 | 10% |
Student > Master | 12 | 8% |
Professor > Associate Professor | 10 | 7% |
Other | 29 | 20% |
Unknown | 22 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Agricultural and Biological Sciences | 39 | 27% |
Medicine and Dentistry | 35 | 24% |
Immunology and Microbiology | 17 | 12% |
Biochemistry, Genetics and Molecular Biology | 15 | 10% |
Nursing and Health Professions | 3 | 2% |
Other | 11 | 8% |
Unknown | 25 | 17% |