RT Journal Article T1 The systemic lupus erythematosus IRF5 risk haplotype is associated with systemic sclerosis A1 Carmona, F David A1 Martín, José-Ezequiel A1 Beretta, Lorenzo A1 Simeón, Carmen P A1 Carreira, Patricia E A1 Callejas, José Luis A1 Fernández-Castro, Mónica A1 Sáez-Comet, Luis A1 Beltrán, Emma A1 Camps, María Teresa A1 Egurbide, María Victoria A1 Airó, Paolo A1 Scorza, Raffaella A1 Lunardi, Claudio A1 Hunzelmann, Nicolas A1 Riemekasten, Gabriela A1 Witte, Torsten A1 Kreuter, Alexander A1 Distler, Jörg H W A1 Madhok, Rajan A1 Shiels, Paul A1 van Laar, Jacob M A1 Fonseca, Carmen A1 Denton, Christopher A1 Herrick, Ariane A1 Worthington, Jane A1 Schuerwegh, Annemie J A1 Vonk, Madelon C A1 Voskuyl, Alexandre E A1 Radstake, Timothy R D J A1 Martín, Javier K1 Factores reguladores del interferón K1 Predisposición genética a la enfermedad K1 Haplotipos K1 Polimorfismo de nucleótido simple K1 Lupus eritematoso sistémico K1 Desequilibrio de ligamiento K1 Grupo de ascendencia continental europea K1 Factores de riesgo AB Systemic sclerosis (SSc) is a fibrotic autoimmune disease in which the genetic component plays an important role. One of the strongest SSc association signals outside the human leukocyte antigen (HLA) region corresponds to interferon (IFN) regulatory factor 5 (IRF5), a major regulator of the type I IFN pathway. In this study we aimed to evaluate whether three different haplotypic blocks within this locus, which have been shown to alter the protein function influencing systemic lupus erythematosus (SLE) susceptibility, are involved in SSc susceptibility and clinical phenotypes. For that purpose, we genotyped one representative single-nucleotide polymorphism (SNP) of each block (rs10488631, rs2004640, and rs4728142) in a total of 3,361 SSc patients and 4,012 unaffected controls of Caucasian origin from Spain, Germany, The Netherlands, Italy and United Kingdom. A meta-analysis of the allele frequencies was performed to analyse the overall effect of these IRF5 genetic variants on SSc. Allelic combination and dependency tests were also carried out. The three SNPs showed strong associations with the global disease (rs4728142: P  = 1.34×10(-8), OR  = 1.22, CI 95%  = 1.14-1.30; rs2004640: P  = 4.60×10(-7), OR  = 0.84, CI 95%  = 0.78-0.90; rs10488631: P  = 7.53×10(-20), OR  = 1.63, CI 95%  = 1.47-1.81). However, the association of rs2004640 with SSc was not independent of rs4728142 (conditioned P  = 0.598). The haplotype containing the risk alleles (rs4728142*A-rs2004640*T-rs10488631*C: P  = 9.04×10(-22), OR  = 1.75, CI 95%  = 1.56-1.97) better explained the observed association (likelihood P-value  = 1.48×10(-4)), suggesting an additive effect of the three haplotypic blocks. No statistical significance was observed in the comparisons amongst SSc patients with and without the main clinical characteristics. Our data clearly indicate that the SLE risk haplotype also influences SSc predisposition, and that this association is not sub-phenotype-specific. PB Public Library of Science YR 2013 FD 2013-08 LK http://hdl.handle.net/10668/1942 UL http://hdl.handle.net/10668/1942 LA en NO Carmona FD, Martín JE, Beretta L, Simeón CP, Carreira PE, Callejas JL, et al. The systemic lupus erythematosus IRF5 risk haplotype is associated with systemic sclerosis. PLoS ONE. 2013; 8(1):e54419 NO Journal Article; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 10, 2025