RT Journal Article T1 Regulation of Fn14 Receptor and NF-κB Underlies Inflammation in Meniere's Disease. A1 Frejo, Lidia A1 Requena, Teresa A1 Okawa, Satoshi A1 Gallego-Martinez, Alvaro A1 Martinez-Bueno, Manuel A1 Aran, Ismael A1 Batuecas-Caletrio, Angel A1 Benitez-Rosario, Jesus A1 Espinosa-Sanchez, Juan M A1 Fraile-Rodrigo, Jesus José A1 García-Arumi, Ana María A1 González-Aguado, Rocío A1 Marques, Pedro A1 Martin-Sanz, Eduardo A1 Perez-Fernandez, Nicolas A1 Pérez-Vázquez, Paz A1 Perez-Garrigues, Herminio A1 Santos-Perez, Sofía A1 Soto-Varela, Andres A1 Tapia, Maria C A1 Trinidad-Ruiz, Gabriel A1 Del Sol, Antonio A1 Alarcon Riquelme, Marta E A1 Lopez-Escamez, Jose A K1 Meniere’s disease K1 NF-κB signaling K1 NFKB1 K1 TNFRSF12A K1 TWEAK/Fn14 pathway K1 sensorineural hearing loss K1 vertigo AB Meniere's disease (MD) is a rare disorder characterized by episodic vertigo, sensorineural hearing loss, tinnitus, and aural fullness. It is associated with a fluid imbalance between the secretion of endolymph in the cochlear duct and its reabsorption into the subarachnoid space, leading to an accumulation of endolymph in the inner ear. Epidemiological evidence, including familial aggregation, indicates a genetic contribution and a consistent association with autoimmune diseases (AD). We conducted a case-control study in two phases using an immune genotyping array in a total of 420 patients with bilateral MD and 1,630 controls. We have identified the first locus, at 6p21.33, suggesting an association with bilateral MD [meta-analysis leading signal rs4947296, OR = 2.089 (1.661-2.627); p = 1.39 × 10-09]. Gene expression profiles of homozygous genotype-selected peripheral blood mononuclear cells (PBMCs) demonstrated that this region is a trans-expression quantitative trait locus (eQTL) in PBMCs. Signaling analysis predicted several tumor necrosis factor-related pathways, the TWEAK/Fn14 pathway being the top candidate (p = 2.42 × 10-11). This pathway is involved in the modulation of inflammation in several human AD, including multiple sclerosis, systemic lupus erythematosus, or rheumatoid arthritis. In vitro studies with genotype-selected lymphoblastoid cells from patients with MD suggest that this trans-eQTL may regulate cellular proliferation in lymphoid cells through the TWEAK/Fn14 pathway by increasing the translation of NF-κB. Taken together; these findings suggest that the carriers of the risk genotype may develop an NF-κB-mediated inflammatory response in MD. SN 1664-3224 YR 2017 FD 2017-12-13 LK http://hdl.handle.net/10668/11996 UL http://hdl.handle.net/10668/11996 LA en DS RISalud RD Apr 7, 2025