Characterization of primary Sjögren's syndrome in the Taiwan Han population through a genome-wide association study and polygenic risk score analysis.

Clin Immunol

Department of Medical Research, China Medical University Hospital, Taichung 40402, Taiwan; School of Chinese Medicine, China Medical University, Taichung 40402, Taiwan; Division of Pediatric Medical Genetics, Children's Hospital of China Medical University, Taichung 40447, Taiwan; Department of Biotechnology and Bioinformatics, Asia University, Taichung 41354, Taiwan. Electronic address:

Published: December 2024

AI Article Synopsis

  • Sjögren's syndrome (SS) is an autoimmune disease that causes dryness and affects exocrine glands, prompting this study to explore genetic links in the Taiwan Han population through a genome-wide association study (GWAS) and polygenic risk score (PRS) analysis.
  • The research included over 11,000 pSS patients and identified one known genetic location along with eight new ones, confirming the involvement of certain HLA alleles, which are crucial in autoimmune responses.
  • This study is the largest of its kind in this population and sheds light on the genetic predisposition to pSS, while also linking it to other autoimmune diseases like rheumatoid arthritis and systemic lupus erythematosus.

Article Abstract

Background: Sjögren's syndrome (SS) is an autoimmune disorder that primarily affects the exocrine glands, leading to dryness of mucous membranes and systemic manifestations. This study aimed to identify genetic markers associated with primary SS (pSS) in the Taiwan Han population through a hospital-based genome-wide association study (GWAS) and polygenic risk score (PRS) analysis, addressing the lack of genetic research.

Results: This study included 11,390 patients diagnosed with pSS and 113,900 controls. GWAS identified one known locus and eight novel loci. Known HLA alleles, including HLA-DRB1*15:01 and HLA-DQA1*03:01, were successfully replicated in a consistent effect direction. PRS analysis revealed that several autoimmune diseases share similar genetic backgrounds with pSS, including rheumatoid arthritis and systemic lupus erythematosus.

Conclusion: This study represents the largest cohort to date on the genetics of pSS in the Taiwan Han population. Our findings provide valuable insights into the pathogenesis of pSS and emphasize the comorbidities associated with it as an autoimmune disease.

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http://dx.doi.org/10.1016/j.clim.2024.110381DOI Listing

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