RT Journal Article T1 Genome-Wide Pathway Analysis Identifies Genetic Pathways Associated with Psoriasis. A1 Aterido, Adrià A1 Julià, Antonio A1 Ferrándiz, Carlos A1 Puig, Lluís A1 Fonseca, Eduardo A1 Fernández-López, Emilia A1 Dauden, Esteban A1 Sánchez-Carazo, José Luís A1 López-Estebaranz, José Luís A1 Moreno-Ramírez, David A1 Vanaclocha, Francisco A1 Herrera, Enrique A1 de la Cueva, Pablo A1 Dand, Nick A1 Palau, Núria A1 Alonso, Arnald A1 López-Lasanta, María A1 Tortosa, Raül A1 García-Montero, Andrés A1 Codó, Laia A1 Gelpí, Josep Lluís A1 Bertranpetit, Jaume A1 Absher, Devin A1 Capon, Francesca A1 Myers, Richard M A1 Barker, Jonathan N A1 Marsal, Sara AB Psoriasis is a chronic inflammatory disease with a complex genetic architecture. To date, the psoriasis heritability is only partially explained. However, there is increasing evidence that the missing heritability in psoriasis could be explained by multiple genetic variants of low effect size from common genetic pathways. The objective of this study was to identify new genetic variation associated with psoriasis risk at the pathway level. We genotyped 598,258 single nucleotide polymorphisms in a discovery cohort of 2,281 case-control individuals from Spain. We performed a genome-wide pathway analysis using 1,053 reference biological pathways. A total of 14 genetic pathways (PFDR ≤ 2.55 × 10(-2)) were found to be significantly associated with psoriasis risk. Using an independent validation cohort of 7,353 individuals from the UK, a total of 6 genetic pathways were significantly replicated (PFDR ≤ 3.46 × 10(-2)). We found genetic pathways that had not been previously associated with psoriasis risk such as retinol metabolism (Pcombined = 1.84 × 10(-4)), the transport of inorganic ions and amino acids (Pcombined = 1.57 × 10(-7)), and post-translational protein modification (Pcombined = 1.57 × 10(-7)). In the latter pathway, MGAT5 showed a strong network centrality, and its association with psoriasis risk was further validated in an additional case-control cohort of 3,429 individuals (P YR 2015 FD 2015-12-29 LK http://hdl.handle.net/10668/9712 UL http://hdl.handle.net/10668/9712 LA en DS RISalud RD Apr 8, 2025