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June 19, 2015Immunologic Research58 citationsOpen Access

Are human endogenous retroviruses triggers of autoimmune diseases? Unveiling associations of three diseases and viral loci

BNBjørn A. NexøPVPalle VillesenKNKari Konstantin Nissen

Key Result

Single nucleotide polymorphisms in or near human endogenous retroviral loci were significantly associated with autoimmune diseases, including a strong association between rs5993426 near HERV-K and rheumatoid arthritis (OR 2.87).

Study Design

Type

Case-Control

Multicenter

Yes

Structured PICO

Are single nucleotide polymorphisms in human endogenous retroviral loci associated with multiple sclerosis, type 1 diabetes mellitus, and rheumatoid arthritis?

P
Population
Patients with multiple sclerosis (n=350), type 1 diabetes mellitus (n=1183), or rheumatoid arthritis (n=710) and healthy controls from Denmark were evaluated for genetic associations with human endogenous retroviral loci.
E
Exposure
Single nucleotide polymorphisms (SNPs) in or near 51 human endogenous retroviral (HERV) loci
C
Comparator
Healthy controls
O
Outcome
Genetic association of HERV loci with MS, T1DM, and RA

Specific human endogenous retroviral loci and their genetic interactions are associated with susceptibility to multiple sclerosis, type 1 diabetes mellitus, and rheumatoid arthritis, suggesting a potential role in autoimmune disease pathogenesis.

Main Result

Odds Ratio: 2.87 (95% CI 2.07–3.99)

p-value: p=7x10^-13

Limitations

  • Used SNPs as proxies for the viral loci, meaning observed effects could be due to other nearby genes.
  • None of the viral loci were recognized as disease relevant in high-density genome-wide association studies.
  • Genetic data are exclusively based on genetic association and cannot predict functional relationships beyond the presence or absence of SNPs.
  • Genetic data are exclusively based on genetic association and cannot predict functional relationship beyond the presence or absence of SNPs

Abstract

Autoimmune diseases encompass a plethora of conditions in which the immune system attacks its own tissue, identifying them as foreign. Multiple factors are thought to contribute to the development of immune response to self, including differences in genotypes, hormonal milieu, and environmental factors. Viruses including human endogenous retroviruses have long been linked to the occurrence of autoimmunity, but never proven to be causative factors. Endogenous viruses are retroviral sequences embedded in the host germline DNA and transmitted vertically through successive generations in a Mendelian manner. In this study by means of genetic epidemiology, we have searched for the involvement of endogenous retroviruses in three selected autoimmune diseases: multiple sclerosis, type 1 diabetes mellitus, and rheumatoid arthritis. We found that at least one human endogenous retroviral locus was associated with each of the three diseases. Although there was a significant overlap, most loci only occurred in one of the studied disease. Remarkably, within each disease, there was a statistical interaction (synergy) between two loci. Additional synergy between retroviral loci and human lymphocyte antigens is reported for multiple sclerosis. We speculate the possibility that recombinants or mixed viral particles are formed and that the resulting viruses stimulate the innate immune system, thereby initiating the autoimmune response.

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Cite This Study

Nexø et al. (2015) conducted a case-control in Autoimmune diseases (Multiple sclerosis, Type 1 diabetes mellitus, Rheumatoid arthritis). Single nucleotide polymorphisms in or near human endogenous retroviral loci vs. Alternative alleles / healthy controls was evaluated on Association of rs5993426 (G-allele) near HERV-K with rheumatoid arthritis (OR 2.87, 95% CI 2.07-3.99, p=7x10^-13). Single nucleotide polymorphisms in or near human endogenous retroviral loci were significantly associated with autoimmune diseases, including a strong association between rs5993426 near HERV-K and rheumatoid arthritis (OR 2.87).

synapsesocial.com/papers/6a7b9b25c2a640f0bcdf781bhttps://doi.org/10.1007/s12026-015-8671-z
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