Genetic variants in the immunoglobulin heavy chain locus are associated with the IgG index in multiple sclerosis
Article first published online: 7 DEC 2012
Copyright © 2012 American Neurological Association
Annals of Neurology
Volume 73, Issue 1, pages 86–94, January 2013
How to Cite
Buck, D., Albrecht, E., Aslam, M., Goris, A., Hauenstein, N., Jochim, A., International Multiple Sclerosis Genetics Consortium, Wellcome Trust Case Control Consortium, Cepok, S., Grummel, V., Dubois, B., Berthele, A., Lichtner, P., Gieger, C., Winkelmann, J. and Hemmer, B. (2013), Genetic variants in the immunoglobulin heavy chain locus are associated with the IgG index in multiple sclerosis. Ann Neurol., 73: 86–94. doi: 10.1002/ana.23749
- Issue published online: 1 FEB 2013
- Article first published online: 7 DEC 2012
- Accepted manuscript online: 8 SEP 2012 08:59AM EST
- Manuscript Accepted: 31 AUG 2012
- Manuscript Revised: 22 JUL 2012
- Manuscript Received: 3 APR 2012
Intrathecal synthesis of immunoglobulin gamma (IgG) synthesis is frequently observed in patients with multiple sclerosis (MS). Whereas the extent of intrathecal IgG synthesis varies largely between patients, it remains rather constant in the individual patient over time. The aim of this study was to identify common genetic variants associated with the IgG index as a marker of intrathecal IgG synthesis in MS.
We performed a genome-wide association study of the IgG index in a discovery series of 229 patients. For confirmation we performed a replication in 2 independent series comprising 256 and 153 patients, respectively. The impact of associated single nucleotide polymorphisms (SNPs) on MS susceptibility was analyzed in an additional 1,854 cases and 5,175 controls.
Significant association between the IgG index and 5 SNPs was detected in the discovery and confirmed in both replication series reaching combined p values of p = 6.5 × 10−11 to p = 7.5 × 10−16. All identified SNPs are clustered around the immunoglobulin heavy chain (IGHC) locus on chromosome 14q32.33 and are in linkage disequilibrium (r2 range, 0.71–0.95). The best associated SNP is located in an intronic region of the immunoglobulin gamma3 heavy chain gene. Additional sequencing identified the GM21* haplotype to be associated with a high IgG index. Further evaluation of the IGHC SNPs revealed no association with susceptibility to MS in our data set.
The extent of intrathecal IgG in MS is influenced by the IGHC locus. No association with susceptibility to MS was found. Therefore GM haplotypes might affect intrathecal IgG synthesis independently of the underlying disease. ANN NEUROL 2013