A common haplotype of interferon regulatory factor 5 (IRF5) regulates splicing and expression and is associated with increased risk of systemic lupus erythematosus

Robert R. Graham, Sergey V. Kozyrev, Emily C. Baechler, M. V.Prasad Linga Reddy, Robert M. Plenge, Jason W. Bauer, Ward A. Ortmann, Thearith Koeuth, Ma Francisca González Escribano, Bernardo Pons-Estel, Michelle Petri, Mark Daly, Peter K. Gregersen, Javier Martín, David Altshuler, Timothy W. Behrens, Marta E. Alarcón-Riquelme

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Abstract

Systemic lupus erythematosus (SLE) is a complex autoimmune disease1 characterized by activation of the type I interferon (IFN) pathway2-4. Here we convincingly replicate association of the IFN regulatory factor 5 (IRF5) rs2004640 T allele with SLE5 in four independent case-control cohorts (P = 4.4 × 10-16) and by family-based transmission disequilibrium test analysis (P = 0.0006). The rs2004640 T allele creates a 5′ donor splice site in an alternate exon 1 of IRF5, allowing expression of several unique IRF5 isoforms. We also identify an independent cis-acting variant associated with elevated expression of IRF5 and linked to the exon 1B splice site. Haplotypes carrying the variant associated with elevated expression and lacking the exon 1B donor site do not confer risk of SLE. Thus, a common IRF5 haplotype driving elevated expression of multiple unique isoforms of IRF5 is an important genetic risk factor for SLE, establishing a causal role for type I IFN pathway genes in human autoimmunity.

Original languageEnglish (US)
Pages (from-to)550-555
Number of pages6
JournalNature genetics
Volume38
Issue number5
DOIs
StatePublished - May 1 2006

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ASJC Scopus subject areas

  • Genetics

Cite this

Graham, R. R., Kozyrev, S. V., Baechler, E. C., Reddy, M. V. P. L., Plenge, R. M., Bauer, J. W., Ortmann, W. A., Koeuth, T., Escribano, M. F. G., Pons-Estel, B., Petri, M., Daly, M., Gregersen, P. K., Martín, J., Altshuler, D., Behrens, T. W., & Alarcón-Riquelme, M. E. (2006). A common haplotype of interferon regulatory factor 5 (IRF5) regulates splicing and expression and is associated with increased risk of systemic lupus erythematosus. Nature genetics, 38(5), 550-555. https://doi.org/10.1038/ng1782