GWAS meta-analysis of psoriasis identifies new susceptibility alleles impacting disease mechanisms and therapeutic targets
Abstract
Abstract Psoriasis is a common, debilitating immune-mediated skin disease. Genetic studies have identified biological mechanisms of psoriasis risk, including those targeted by effective therapies. However, the genetic liability to psoriasis is not fully explained by variation at robustly identified risk loci. To refine the genetic map of psoriasis susceptibility we meta-analysed 18 GWAS comprising 36,466 cases and 458,078 controls and identified 109 distinct psoriasis susceptibility loci, including 46 that have not been previously reported. These include susceptibility variants at loci in which the therapeutic targets IL17RA and AHR are encoded, and deleterious coding variants supporting potential new drug targets (including in STAP2 , CPVL and POU2F3 ). We conducted a transcriptome-wide association study to identify regulatory effects of psoriasis susceptibility variants and cross-referenced these against single cell expression profiles in psoriasis-affected skin, highlighting roles for the transcriptional regulation of haematopoietic cell development and epigenetic modulation of interferon signalling in psoriasis pathobiology.
Article Details
Authors (93)
Philip E. Stuart
John Bowes
David Ellinghaus
Joanne Nititham
Jake R. Saklatvala
Maris Teder-Laving
Laurent F. Thomas
Tanel Traks
Steffen Uebe
Gunter Assmann
David Baudry
Frank Behrens
Allison C. Billi
Matthew A. Brown
Harald Burkhardt
Francesca Capon
Raymond Chung
Charles J. Curtis
Michael Duckworth
Eva Ellinghaus
Oliver FitzGerald
Sascha Gerdes
Christopher E. M. Griffiths
Susanne Gulliver
Philip S. Helliwell
Pauline Ho
Per Hoffmann
Oddgeir L. Holmen
Zhi-ming Huang
Kristian Hveem
Deepak Jadon
Michaela Köhm
Cornelia Kraus
Céline Lamacchia
Sang Hyuck Lee
Feiyang Ma
Neil McHugh
Ross McManus
Ellen H. Modalsli
Michael J. Nissen
Markus Nöthen
Vinzenz Oji
Jorge R. Oksenberg
Matthew T. Patrick
Bethany E. Perez White
Andreas Ramming
Jürgen Rech
Friedrich Alexander Universität Erlangen–Nürnberg, Erlangen, Germany
Cheryl Rosen
Mrinal K. Sarkar
Georg Schett
Friedrich-Alexander-Universität Erlangen–Nürnberg, Erlangen, Germany
Börge Schmidt
Trilokraj Tejasvi
Heiko Traupe
John J. Voorhees
Eike Matthias Wacker
Richard B. Warren
Rachael Wasikowski
Stephan Weidinger
Xiaoquan Wen
Zhaolin Zhang
A. David Burden
Sara J. Brown
Nick Dand
Satveer K. Mahil
Helen McAteer
Julia Schofield
Stefan Siebert
Andres Metspalu
Lili Milani
Mari Nelis
Anne Barton
Vinod Chandran
Tõnu Esko
John Foerster
Andre Franke
Dafna D. Gladman
Johann E. Gudjonsson
Wayne Gulliver
Ulrike Hüffmeier
Külli Kingo
Sulev Koks
Wilson Liao
Mari Løset
Reedik Mägi
Rajan P. Nair
Proton Rahman
André Reis
Catherine H. Smith
Paola Di Meglio
Jonathan N. Barker
Lam C. Tsoi
Michael A. Simpson
James T. Elder