RT Journal Article T1 Integrative epigenomics in Sjögren´s syndrome reveals novel pathways and a strong interaction between the HLA, autoantibodies and the interferon signature A1 Teruel, María A1 Barturen, Guillermo A1 Martínez-Bueno, Manuel A1 Castellini-Pérez, Olivia A1 Barroso-Gil, Miguel A1 Povedano, Elena A1 Kerick, Martin A1 Català-Moll, Francesc A1 Makowska, Zuzanna A1 Buttgereit, Anne A1 Pers, Jacques-Olivier A1 Marañón, Concepción A1 Ballestar, Esteban A1 Martin, Javier A1 Carnero-Montoro, Elena A1 Alarcón-Riquelme, Marta E. K1 Autoantibodies K1 Epigenetic K1 Autoimmune diseases K1 Gene expression K1 Sjogren's syndrome K1 Genetic variation K1 Autoanticuerpos K1 Epigenómica K1 Enfermedades autoinmunes K1 Expresión génica K1 Síndrome de Sjögren K1 Variación genética AB Primary Sjögren’s syndrome (SS) is a systemic autoimmune disease characterized by lymphocytic infiltration and damage of exocrine salivary and lacrimal glands. The etiology of SS is complex with environmental triggers and genetic factors involved. By conducting an integrated multi-omics study, we confirmed a vast coordinated hypomethylation and overexpression effects in IFN-related genes, what is known as the IFN signature. Stratified and conditional analyses suggest a strong interaction between SS-associated HLA genetic variation and the presence of Anti-Ro/SSA autoantibodies in driving the IFN epigenetic signature and determining SS. We report a novel epigenetic signature characterized by increased DNA methylation levels in a large number of genes enriched in pathways such as collagen metabolism and extracellular matrix organization. We identified potential new genetic variants associated with SS that might mediate their risk by altering DNA methylation or gene expression patterns, as well as disease-interacting genetic variants that exhibit regulatory function only in the SS population. Our study sheds new light on the interaction between genetics, autoantibody profiles, DNA methylation and gene expression in SS, and contributes to elucidate the genetic architecture of gene regulation in an autoimmune population. PB Springer Nature YR 2021 FD 2021-12-02 LK http://hdl.handle.net/10668/4558 UL http://hdl.handle.net/10668/4558 LA en NO Teruel M, Barturen G, Martínez-Bueno M, Castellini-Pérez O, Barroso-Gil M, Povedano E, Kerick M, et al. Integrative epigenomics in Sjögren´s syndrome reveals novel pathways and a strong interaction between the HLA, autoantibodies and the interferon signature. Sci Rep. 2021 Dec 2;11(1):23292 DS RISalud RD Apr 11, 2025