RT Journal Article T1 Overexpression of the Cytokine BAFF and Autoimmunity Risk. A1 Steri, Maristella A1 Orrù, Valeria A1 Idda, M Laura A1 Pitzalis, Maristella A1 Pala, Mauro A1 Zara, Ilenia A1 Sidore, Carlo A1 Faà, Valeria A1 Floris, Matteo A1 Deiana, Manila A1 Asunis, Isadora A1 Porcu, Eleonora A1 Mulas, Antonella A1 Piras, Maria G A1 Lobina, Monia A1 Lai, Sandra A1 Marongiu, Mara A1 Serra, Valentina A1 Marongiu, Michele A1 Sole, Gabriella A1 Busonero, Fabio A1 Maschio, Andrea A1 Cusano, Roberto A1 Cuccuru, Gianmauro A1 Deidda, Francesca A1 Poddie, Fausto A1 Farina, Gabriele A1 Dei, Mariano A1 Virdis, Francesca A1 Olla, Stefania A1 Satta, Maria A A1 Pani, Mario A1 Delitala, Alessandro A1 Cocco, Eleonora A1 Frau, Jessica A1 Coghe, Giancarlo A1 Lorefice, Lorena A1 Fenu, Giuseppe A1 Ferrigno, Paola A1 Ban, Maria A1 Barizzone, Nadia A1 Leone, Maurizio A1 Guerini, Franca R A1 Piga, Matteo A1 Firinu, Davide A1 Kockum, Ingrid A1 Lima Bomfim, Izaura A1 Olsson, Tomas A1 Alfredsson, Lars A1 Suarez, Ana A1 Carreira, Patricia E A1 Castillo-Palma, Maria J A1 Marcus, Joseph H A1 Congia, Mauro A1 Angius, Andrea A1 Melis, Maurizio A1 Gonzalez, Antonio A1 Alarcón Riquelme, Marta E A1 da Silva, Berta M A1 Marchini, Maurizio A1 Danieli, Maria G A1 Del Giacco, Stefano A1 Mathieu, Alessandro A1 Pani, Antonello A1 Montgomery, Stephen B A1 Rosati, Giulio A1 Hillert, Jan A1 Sawcer, Stephen A1 D'Alfonso, Sandra A1 Todd, John A A1 Novembre, John A1 Abecasis, Gonçalo R A1 Whalen, Michael B A1 Marrosu, Maria G A1 Meloni, Alessandra A1 Sanna, Serena A1 Gorospe, Myriam A1 Schlessinger, David A1 Fiorillo, Edoardo A1 Zoledziewska, Magdalena A1 Cucca, Francesco AB Genomewide association studies of autoimmune diseases have mapped hundreds of susceptibility regions in the genome. However, only for a few association signals has the causal gene been identified, and for even fewer have the causal variant and underlying mechanism been defined. Coincident associations of DNA variants affecting both the risk of autoimmune disease and quantitative immune variables provide an informative route to explore disease mechanisms and drug-targetable pathways. Using case-control samples from Sardinia, Italy, we performed a genomewide association study in multiple sclerosis followed by TNFSF13B locus-specific association testing in systemic lupus erythematosus (SLE). Extensive phenotyping of quantitative immune variables, sequence-based fine mapping, cross-population and cross-phenotype analyses, and gene-expression studies were used to identify the causal variant and elucidate its mechanism of action. Signatures of positive selection were also investigated. A variant in TNFSF13B, encoding the cytokine and drug target B-cell activating factor (BAFF), was associated with multiple sclerosis as well as SLE. The disease-risk allele was also associated with up-regulated humoral immunity through increased levels of soluble BAFF, B lymphocytes, and immunoglobulins. The causal variant was identified: an insertion-deletion variant, GCTGT→A (in which A is the risk allele), yielded a shorter transcript that escaped microRNA inhibition and increased production of soluble BAFF, which in turn up-regulated humoral immunity. Population genetic signatures indicated that this autoimmunity variant has been evolutionarily advantageous, most likely by augmenting resistance to malaria. A TNFSF13B variant was associated with multiple sclerosis and SLE, and its effects were clarified at the population, cellular, and molecular levels. (Funded by the Italian Foundation for Multiple Sclerosis and others.). YR 2017 FD 2017 LK http://hdl.handle.net/10668/11134 UL http://hdl.handle.net/10668/11134 LA en DS RISalud RD Apr 12, 2025