Publications by authors named "John Harley"

An in-depth literature review of up to 2023 reveals 330 risk loci found by genetic association at ≤ 5 × 10, with systemic lupus erythematosus (SLE) in at least one study of 160 pertinent publications. There are 225 loci found in East Asian (EAS), 106 in European (EU), 11 in African-American (AA), 18 Mixed American (MA), and 1 in Egyptian ancestries. Unexpectedly, most of these associations are found to date at ≤ 5 × 10 in a single ancestry.

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  • - Harmful algal blooms (HABs) threaten shellfish harvesting in Southeast Alaska, with new Tribally-led studies revealing complex patterns in shellfish toxins that can't be solely traced to seasonal blooms.
  • - Observations show that larger butter clams tend to have higher levels of paralytic shellfish toxins (PSTs), even when overall toxin levels appear stable.
  • - The findings suggest that larger clams have a heightened risk of contributing to toxic levels in harvested samples, which is important for monitoring programs and local harvesters’ safety.
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Human cytomegalovirus (HCMV) infects up to 80% of the world's population. Here, we show that HCMV infection leads to widespread changes in human chromatin accessibility and chromatin looping, with hundreds of thousands of genomic regions affected 48 hours after infection. Integrative analyses reveal HCMV-induced perturbation of Hippo signaling through drastic reduction of TEAD1 transcription factor activity.

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Shellfish harvesting is central to coastal Alaska Native ways of life, and tribes in Southeast Alaska are committed to preserving sustainable and safe access to subsistence foods. However, consumption of non-commercially harvested shellfish puts Alaska Native communities at elevated risk of exposure to shellfish toxins. To address a lack of state or federal toxin testing for subsistence and recreational harvesting, tribes across Southeast Alaska have formed their own toxin testing and ocean monitoring program.

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  • Systemic lupus erythematosus (SLE) and myasthenia gravis (MG) are autoimmune diseases with suggested associations, potentially increasing SLE risk following thymectomy for MG.
  • A study analyzed large databases, including IBM Watson Health Explorys and the Million Veteran Program, revealing that individuals with MG were over 10 times more likely to develop SLE compared to those without MG.
  • The research confirmed a strong association between SLE and MG, particularly among younger, African American women, and highlighted that MG patients who underwent thymectomy were at an even higher risk for SLE.
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Background: Systemic lupus erythematosus (SLE) is a chronic autoimmune condition with complex causes involving genetic and environmental factors. While genome-wide association studies (GWASs) have identified genetic loci associated with SLE, the functional genomic elements responsible for disease development remain largely unknown. Mendelian Randomization (MR) is an instrumental variable approach to causal inference based on data from observational studies, where genetic variants are employed as instrumental variables (IVs).

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  • IgA nephropathy (IgAN) is a serious kidney disease linked to IgA buildup, and a large study identified 30 genetic risk factors associated with it.
  • Fourteen new loci were discovered that suggest a connection between genetic influences and abnormal IgA levels.
  • The research highlights inflammation-related pathways and potential drug targets, revealing that higher genetic risk scores are tied to earlier kidney failure.
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Background: The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has demonstrated the need to share data and biospecimens broadly to optimize clinical outcomes for US military Veterans.

Methods: In response, the Veterans Health Administration established VA SHIELD (Science and Health Initiative to Combat Infectious and Emerging Life-threatening Diseases), a comprehensive biorepository of specimens and clinical data from affected Veterans to advance research and public health surveillance and to improve diagnostic and therapeutic capabilities.

Results: VA SHIELD now comprises 12 sites collecting de-identified biospecimens from US Veterans affected by SARS-CoV-2.

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Purpose: The electronic Medical Records and Genomics (eMERGE) Phase III study was undertaken to assess clinical utility of returning medically actionable genomic screening results. We assessed pediatric clinical outcomes following return of pathogenic/likely pathogenic (P/LP) variants in autosomal dominant conditions with available effective interventions.

Methods: The two eMERGE III pediatric sites collected outcome data and assessed changes in medical management at 6 and 12 months.

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  • Immunoglobulin A (IgA) plays a crucial role in immune response to food and pathogens and is linked to various conditions like celiac disease and inflammatory bowel disease.
  • A genome-wide association study examined blood IgA levels in over 41,000 people, identifying 20 key genetic loci that affect IgA levels, including novel genes.
  • Findings suggest genetic factors influencing IgA can impact diseases such as IgA nephropathy and type 2 diabetes, with African ancestry showing higher IgA levels and more IgA-increasing genetic variants.
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A major goal of genetics research is to elucidate mechanisms explaining how genetic variation contributes to phenotypic variation. The genetic variants identified in genome-wide association studies (GWASs) generally explain only a small proportion of heritability of phenotypic traits, the so-called missing heritability problem. Recent evidence suggests that additional common variants beyond lead GWAS variants contribute to phenotypic variation; however, their mechanistic underpinnings generally remain unexplored.

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  • * The study highlights a 2019 mortality event among Arctic Terns in Alaska, showing high concentrations of paralytic shellfish toxins (PSTs) in the birds, their prey, and surrounding mussels, suggesting these toxins contribute to bird fatalities.
  • * The findings indicate that the toxic levels present in fish like the Pacific Sand Lance can exceed the lethal dose for birds, emphasizing the significant risk posed by PSTs to seabird populations due to environmental changes.
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The Regulators of Complement Activation (RCA) gene cluster comprises several tandemly arranged genes with shared functions within the immune system. RCA members, such as complement receptor 2 (), are well-established susceptibility genes in complex autoimmune diseases. Altered expression of RCA genes has been demonstrated at both the functional and genetic level, but the mechanisms underlying their regulation are not fully characterised.

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Systemic lupus erythematosus (SLE) is propelled by pathogenic autoantibody (AutoAb) and immune pathway dysregulation. Identifying populations at risk of reaching classified SLE is essential to curtail inflammatory damage. Lupus blood relatives (Rel) have an increased risk of developing SLE.

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Despite strong evidence that human genetic variants affect the expression of many key transcription factors involved in autoimmune diseases, establishing biological links between non-coding risk variants and the gene targets they regulate remains a considerable challenge. Here, we combine genetic, epigenomic, and CRISPR activation approaches to screen for functional variants that regulate IRF8 expression. We demonstrate that the locus containing rs2280381 is a cell-type-specific enhancer for IRF8 that spatially interacts with the IRF8 promoter.

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Background: That Epstein-Barr virus (EBV) infection is associated with systemic lupus erythematosus (SLE) is established. The challenge is to explain mechanistic roles EBV has in SLE pathogenesis. Previous studies identify four examples of autoantibody cross-reactions between SLE autoantigens and Epstein-Barr nuclear antigen 1 (EBNA1).

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Rough-skinned newts, Taricha granulosa, which contain tetrodotoxin (TTX), a potent neurotoxin, are widely distributed along the west-coast of North America up to British Columbia (BC), Canada, and Southeast Alaska. Their genetic population structure using DNA-microsatellites and the TTX-content of specimens from British Columbia (Prince Rupert area) and Alaska (Revillagigedo Island, Shelter Island, and Juneau) were analysed. TTX-concentrations were low in newts from BC and Revillagigedo Island, but high in specimens from mainland Juneau, which had been deliberately introduced from Shelter Island, where TTX was not detectable in the individuals sampled.

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  • The clinical genomics knowledgebase is constantly evolving, which poses challenges for clinical labs due to limited resources for reassessing genetic variants.
  • In a study, automated notifications were sent to clinical sites when variants were reclassified, leading to a summary of the reclassifications and a framework to identify variants likely to change status.
  • Out of 1855 variants reanalyzed, 2% were reclassified, impacting 0.6% of participants, with significant changes mostly due to new evidence, underscoring the necessity of regular updates and automated systems in clinical genetics.
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The interplay between environmental and genetic factors plays a key role in the development of many autoimmune diseases. In particular, the Epstein-Barr virus (EBV) is an established contributor to multiple sclerosis, lupus, and other disorders. Previously, we showed that the EBV nuclear antigen 2 (EBNA2) transactivating protein occupies up to half of the risk loci for a set of seven autoimmune disorders.

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Objective: Patients with established rheumatoid arthritis (RA) demonstrate altered immune responses to Epstein-Barr virus (EBV), but the presence and roles of EBV have not been fully explored during the pre-clinical disease period. This study was undertaken to determine if EBV infection, as evidenced by an altered anti-EBV antibody response, either plays an important role in driving the development of RA or is a result of expanded RA-related autoimmunity.

Methods: A total of 83 subjects with RA according to the 1987 American College of Rheumatology (ACR) criteria and 83 age-, sex-, and race-matched control subjects without RA were included in our study.

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Preterm birth (PTB), or birth that occurs earlier than 37 weeks of gestational age, is a major contributor to infant mortality and neonatal hospitalization. Mutations in the mitochondrial genome (mtDNA) have been linked to various rare mitochondrial disorders and may be a contributing factor in PTB given that maternal genetic factors have been strongly linked to PTB. However, to date, no study has found a conclusive connection between a particular mtDNA variant and PTB.

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Objectives: Primary nonresponse (PNR) to antitumor necrosis factor-α (TNFα) biologics is a serious concern in patients with inflammatory bowel disease (IBD). We aimed to identify the genetic variants associated with PNR.

Patients And Methods: Patients were recruited from outpatient GI clinics and PNR was determined using both clinical and endoscopic findings.

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  • The genetic encoding of single nucleotide polymorphisms (SNPs) typically relies on traditional models (additive, dominant, recessive), but these may not accurately represent all SNPs, leading to a high multiple testing burden.
  • The novel elastic data-driven genetic encoding (EDGE) assigns heterozygous values to SNPs based on the specific model they demonstrate in a given dataset, showing superior power to detect genetic interactions with lower false-positive rates compared to traditional methods.
  • In analyses of genetic data from various phenotypes, EDGE successfully identified novel SNP-SNP interactions (e.g., for age-related cataract) that were missed by traditional encodings, suggesting its effectiveness in genetic studies.
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