Abstract
While the past genome-wide association study (GWAS) for autoimmune thyroid diseases (AITDs) was done in Caucasians, a recent GWAS in Caucasian patients with both AITD and type 1 diabetes [a variant of autoimmune polyglandular syndrome type 3 (APS3v)] identified five non-HLA genes: BCL2L15, MAGI3, PHTF1, PTPN22, and GPR103. The aim of our study was to replicate these associations with AITD in a Japanese population. Since analyzing the rs2476601 single-nucleotide polymorphism (SNP) within the PTPN22 gene revealed no polymorphism in the Japanese, we analyzed four SNPs, rs2358994 (in BCL2L15), rs2153977 (in MAGI3), rs1111695 (in PHTF1), and rs7679475 (in GPR103) genotypes in a case–control study based on 447 Japanese AITD patients [277 Graves’ disease (GD) and 170 Hashimoto’s thyroiditis (HT) patients] and 225 matched Japanese controls using the high-resolution melting and unlabeled probe methods. Case–control association studies were performed using the χ2 and Fisher’s exact tests with Yates correction. The G allele of rs7679475 (A/G) was associated with HT compared with controls [P = 0.022, odds ratio (OR) = 0.69]. GD showed no significant associations with any SNPs. However, when patients with GD were stratified according to Graves’ ophthalmopathy (GO), the G allele of rs2358994 (A/G) was associated with GO vs. controls (P = 0.018, OR = 1.52). These findings suggest that in the Japanese population the GPR103 gene may contribute to the pathogenesis of HT. Moreover, this study demonstrated that the SNP rs2358994 within BCL2L15 gene is associated with GO in the Japanese population.
Highlights
Autoimmune thyroid diseases (AITDs), including Graves’ disease (GD) and Hashimoto’s thyroiditis (HT), are among the most common human autoimmune diseases
Tests in subjects and controls did not show any significant deviation from Hardy–Weinberg equilibrium (HWE) for any of the single-nucleotide polymorphism (SNP)
Analyzing the rs2476601 SNP within the protein tyrosine phosphatase nonreceptor type 22 (PTPN22) gene revealed no polymorphism in the Japanese [15]
Summary
Autoimmune thyroid diseases (AITDs), including Graves’ disease (GD) and Hashimoto’s thyroiditis (HT), are among the most common human autoimmune diseases. The prevalence in Caucasians is 1% [1, 2], and the prevalence in Japanese is not known. GD is characterized clinically by hyperthyroidism, diffuse goiter, and the presence of thyrotropin receptor (TSHR) antibodies. Some patients develop extrathyroidal manifestations, mainly ophthalmopathy and dermopathy [reviewed by Davies [3]]. Stimulatory TSHR autoantibodies are directly responsible for hyperthyroidism in GD. Despite their contrasting clinical presentations, GD and HT share many common features, including the presence of autoantibodies to thyroid peroxidase and/or thyroglobulin, but rarely to the TSHR [3,4,5]
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