Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
15 05 2023
Historique:
received: 06 07 2021
accepted: 17 01 2023
medline: 17 5 2023
pubmed: 16 5 2023
entrez: 15 5 2023
Statut: epublish

Résumé

Narcolepsy type 1 (NT1) is caused by a loss of hypocretin/orexin transmission. Risk factors include pandemic 2009 H1N1 influenza A infection and immunization with Pandemrix®. Here, we dissect disease mechanisms and interactions with environmental triggers in a multi-ethnic sample of 6,073 cases and 84,856 controls. We fine-mapped GWAS signals within HLA (DQ0602, DQB1*03:01 and DPB1*04:02) and discovered seven novel associations (CD207, NAB1, IKZF4-ERBB3, CTSC, DENND1B, SIRPG, PRF1). Significant signals at TRA and DQB1*06:02 loci were found in 245 vaccination-related cases, who also shared polygenic risk. T cell receptor associations in NT1 modulated TRAJ*24, TRAJ*28 and TRBV*4-2 chain-usage. Partitioned heritability and immune cell enrichment analyses found genetic signals to be driven by dendritic and helper T cells. Lastly comorbidity analysis using data from FinnGen, suggests shared effects between NT1 and other autoimmune diseases. NT1 genetic variants shape autoimmunity and response to environmental triggers, including influenza A infection and immunization with Pandemrix®.

Identifiants

pubmed: 37188663
doi: 10.1038/s41467-023-36120-z
pii: 10.1038/s41467-023-36120-z
pmc: PMC10185546
doi:

Substances chimiques

Influenza Vaccines 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2709

Investigateurs

Thomas Damm Als (TD)
Adam Ziemann (A)
Ali Abbasi (A)
Anne Lehtonen (A)
Apinya Lertratanakul (A)
Bridget Riley-Gillis (B)
Fedik Rahimov (F)
Howard Jacob (H)
Jeffrey Waring (J)
Mengzhen Liu (M)
Nizar Smaoui (N)
Relja Popovic (R)
Adam Platt (A)
Athena Matakidou (A)
Benjamin Challis (B)
Dirk Paul (D)
Glenda Lassi (G)
Ioanna Tachmazidou (I)
Antti Hakanen (A)
Johanna Schleutker (J)
Nina Pitkänen (N)
Perttu Terho (P)
Petri Virolainen (P)
Arto Mannermaa (A)
Veli-Matti Kosma (VM)
Chia-Yen Chen (CY)
Heiko Runz (H)
Sally John (S)
Sanni Lahdenperä (S)
Stephanie Loomis (S)
Susan Eaton (S)
George Okafo (G)
Heli Salminen-Mankonen (H)
Marc Jung (M)
Nathan Lawless (N)
Zhihao Ding (Z)
Joseph Maranville (J)
Marla Hochfeld (M)
Robert Plenge (R)
Shameek Biswas (S)
Masahiro Kanai (M)
Mutaamba Maasha (M)
Wei Zhou (W)
Outi Tuovila (O)
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Informations de copyright

© 2023. The Author(s).

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Auteurs

Hanna M Ollila (HM)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.
Institute for Molecular Medicine Finland, HiLIFE, University of Helsinki, Helsinki, Finland.
Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.

Eilon Sharon (E)

Department of Genetics, Stanford University, Stanford, CA, 94305, USA.
Department of Biology, Stanford University, Stanford, CA, 94305, USA.

Ling Lin (L)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.

Nasa Sinnott-Armstrong (N)

Department of Genetics, Stanford University, Stanford, CA, 94305, USA.
Department of Biology, Stanford University, Stanford, CA, 94305, USA.

Aditya Ambati (A)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.

Selina M Yogeshwar (SM)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.
Department of Neurology, Charité-Universitätsmedizin, 10117, Berlin, Germany.
Charité-Universitätsmedizin Berlin, Einstein Center for Neurosciences Berlin, 10117, Berlin, Germany.

Ryan P Hillary (RP)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.

Otto Jolanki (O)

Department of Genetics, Stanford University, Stanford, CA, 94305, USA.

Juliette Faraco (J)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.

Mali Einen (M)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.

Guo Luo (G)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.

Jing Zhang (J)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA.

Fang Han (F)

Division of Sleep Medicine, The Peking University People's Hospital, Beijing, China.

Han Yan (H)

Division of Sleep Medicine, The Peking University People's Hospital, Beijing, China.

Xiao Song Dong (XS)

Division of Sleep Medicine, The Peking University People's Hospital, Beijing, China.

Jing Li (J)

Division of Sleep Medicine, The Peking University People's Hospital, Beijing, China.

Jun Zhang (J)

Department of Neurology, The Peking University People's Hospital, Beijing, China.

Seung-Chul Hong (SC)

Department of Psychiatry, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.

Tae Won Kim (TW)

Department of Psychiatry, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.

Yves Dauvilliers (Y)

Sleep-Wake Disorders Center, National Reference Network for Narcolepsy, Department of Neurology, Gui-de-Chauliac Hospital, CHU Montpellier; Institute for Neurosciences of Montpellier (INM), INSERM, Université Montpellier 1, Montpellier, France.

Lucie Barateau (L)

Sleep-Wake Disorders Center, National Reference Network for Narcolepsy, Department of Neurology, Gui-de-Chauliac Hospital, CHU Montpellier; Institute for Neurosciences of Montpellier (INM), INSERM, Université Montpellier 1, Montpellier, France.

Gert Jan Lammers (GJ)

Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Stichting Epilepsie Instellingen Nederland (SEIN), Sleep-Wake Centre, Heemstede, The Netherlands.

Rolf Fronczek (R)

Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
Stichting Epilepsie Instellingen Nederland (SEIN), Sleep-Wake Centre, Heemstede, The Netherlands.

Geert Mayer (G)

Hephata Klinik, Schimmelpfengstr. 6, 34613, Schwalmstadt, Germany.
Philipps Universität Marburg, Baldinger Str., 35043, Marburg, Germany.

Joan Santamaria (J)

Neurology Service, Institut de Neurociències Hospital Clínic, University of Barcelona, Barcelona, Spain.

Isabelle Arnulf (I)

Sleep Disorder Unit, Pitié-Salpêtrière Hospital, Assistance Publique-Hopitaux de Paris, 75013, Paris, France.

Stine Knudsen-Heier (S)

Norwegian Centre of Expertise for Neurodevelopment Disorders and Hypersomnias (NevSom), Department of Rare Disorders, Oslo University Hospital and University of Oslo, Oslo, Norway.

May Kristin Lyamouri Bredahl (MKL)

Norwegian Centre of Expertise for Neurodevelopment Disorders and Hypersomnias (NevSom), Department of Rare Disorders, Oslo University Hospital and University of Oslo, Oslo, Norway.
Hormone Laboratory, Department of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.

Per Medbøe Thorsby (PM)

Hormone Laboratory, Department of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.

Giuseppe Plazzi (G)

Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Via Ugo Foscolo 7, 40123, Bologna, Italy.
IRCCS Institute of Neurological Sciences, Bologna, Italy.

Fabio Pizza (F)

Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Via Ugo Foscolo 7, 40123, Bologna, Italy.
IRCCS Institute of Neurological Sciences, Bologna, Italy.

Monica Moresco (M)

Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Via Ugo Foscolo 7, 40123, Bologna, Italy.
IRCCS Institute of Neurological Sciences, Bologna, Italy.

Catherine Crowe (C)

Mater Private Hospital, Dublin 7, Ireland.

Stephen K Van den Eeden (SK)

Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.

Michel Lecendreux (M)

Pediatric Sleep Center and National Reference Center for Narcolepsy and Idiopathic Hypersomnia Hospital Robert Debre, Paris, France.

Patrice Bourgin (P)

Department of Sleep Medicine, Strasbourg University Hospital, Strasbourg University, Strasbourg, France.

Takashi Kanbayashi (T)

Department of Neuropsychiatry, Akita University Graduate School of Medicine, Akita, Japan.
International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Tsukuba, Japan.

Francisco J Martínez-Orozco (FJ)

Sleep Unit. Clinical Neurophysiology Service. San Carlos University Hospital. University Complutense of Madrid, Madrid, Spain.

Rosa Peraita-Adrados (R)

Sleep and Epilepsy Unit, Clinical Neurophysiology Service, Gregorio Marañón University General Hospital and Research Institute, University Complutense of Madrid (UCM), Madrid, Spain.

Antonio Benetó (A)

Sleep Unit. Medical Center Valencia, Valencia, Spain.

Jacques Montplaisir (J)

Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Coeur and Department of Neurosciences, University of Montréal, Montréal, QC, Canada.

Alex Desautels (A)

Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Coeur and Department of Neurosciences, University of Montréal, Montréal, QC, Canada.

Yu-Shu Huang (YS)

Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital and University, Taoyuan, Taiwan.

Poul Jennum (P)

Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, University of Copenhagen, Glostrup Hospital, Glostrup, Denmark.

Sona Nevsimalova (S)

Department of Neurology and Centre of Clinical Neurosciences, First Faculty of Medicine, Charles University and General University Hosptal, Prague, Czech Republic.

David Kemlink (D)

Department of Neurology and Centre of Clinical Neurosciences, First Faculty of Medicine, Charles University and General University Hosptal, Prague, Czech Republic.

Alex Iranzo (A)

Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Department of Neurology, Barcelona, Spain.
Multidisciplinary Sleep Disorders Unit, Barcelona, Spain.

Sebastiaan Overeem (S)

Sleep Medicine Center Kempenhaeghe, P.O. Box 61, 5590 AB, Heeze, The Netherlands.
Eindhoven University of Technology, Eindhoven, The Netherlands.

Aleksandra Wierzbicka (A)

Department of Clinical Neurophysiology, Institute of Psychiatry and Neurology, Warsaw, Poland.

Peter Geisler (P)

Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany.

Karel Sonka (K)

Department of Neurology and Centre of Clinical Neurosciences, First Faculty of Medicine, Charles University and General University Hosptal, Prague, Czech Republic.

Makoto Honda (M)

Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Seiwa Hospital, Neuropsychiatric Research Institute, Tokyo, Japan.

Birgit Högl (B)

Department of Neurology, Medical University Innsbruck (MUI), Innsbruck, Austria.

Ambra Stefani (A)

Department of Neurology, Medical University Innsbruck (MUI), Innsbruck, Austria.

Fernando Morgadinho Coelho (FM)

Universidade Federal de São Paulo, Departamento de Psicobiologia, São Paulo, Brazil.

Vilma Mantovani (V)

Center for Applied Biomedical Research (CRBA), St. Orsola-Malpighi University Hospital, Bologna, Italy.

Eva Feketeova (E)

Neurology Department, Medical Faculty of P. J. Safarik University, University Hospital of L. Pasteur Kosice, Kosice, Slovak Republic.

Mia Wadelius (M)

Department of Medical Sciences and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.

Niclas Eriksson (N)

Department of Medical Sciences and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Uppsala Clinical Research Center, Uppsala, Sweden.

Hans Smedje (H)

Division of Child and Adolescent Psychiatry, Karolinska Institutet, Stockholm, Sweden.

Pär Hallberg (P)

Department of Medical Sciences and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.

Per Egil Hesla (PE)

Coliseum on Majorstua Clinic, Oslo, Norway.

David Rye (D)

Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.

Zerrin Pelin (Z)

Faculty of Health Sciences, Hasan Kalyoncu University, Gaziantep, Turkey.

Luigi Ferini-Strambi (L)

Sleep Disorders Center, Division of Neuroscience, Ospedale San Raffaele, Università Vita-Salute, Milan, Italy.

Claudio L Bassetti (CL)

Neurology Department, EOC, Ospedale Regionale di Lugano, Lugano, Ticino, Switzerland.
Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.

Johannes Mathis (J)

Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.

Ramin Khatami (R)

Department of Neurology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.
Center for Sleep Medicine and Sleep Research, Clinic Barmelweid AG, Barmelweid, Switzerland.

Adi Aran (A)

Shaare Zedek Medical Center, Jerusalem, Israel.

Sheela Nampoothiri (S)

Department of Pediatric Genetics, Amrita Institute of Medical Sciences & Research Centre, Kerala, India.

Tomas Olsson (T)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Ingrid Kockum (I)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Markku Partinen (M)

Helsinki Sleep Clinic, Vitalmed Research Centre, Helsinki, Finland.
Department of Clinical Neurosciences, University of Helsinki, Helsinki, Finland.

Markus Perola (M)

University of Helsinki, Institute for Molecular Medicine, Finland (FIMM) and Diabetes and Obesity Research Program. University of Tartu, Estonian Genome Center, Tartu, Estonia.

Birgitte R Kornum (BR)

Department of Neuroscience, University of Copenhagen, Copenhagen, Denmark.

Sina Rueger (S)

Swiss Institute of Bioinformatics, Lausanne, Switzerland.

Juliane Winkelmann (J)

Institute of Neurogenomics, Helmholtz Zentrum München, German Research Centre for Environmental Health, Neuherberg, Germany.
Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.
Neurologische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.

Taku Miyagawa (T)

Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Hiromi Toyoda (H)

Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.

Seik-Soon Khor (SS)

Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Mihoko Shimada (M)

Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Katsushi Tokunaga (K)

Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Manuel Rivas (M)

Department of Biomedical Data Science-Administration, Stanford University, Palo Alto, CA, USA.

Jonathan K Pritchard (JK)

Department of Genetics, Stanford University, Stanford, CA, 94305, USA.

Neil Risch (N)

Dept. Epidemiology and Biostatistics, UCSF, 513 Parnassus Avenue, San Francisco, CA, 94117, USA.

Zoltan Kutalik (Z)

Swiss Institute of Bioinformatics, Lausanne, Switzerland.
University Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland, Lausanne, 1010, Switzerland.

Ruth O'Hara (R)

Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, USA.
Mental Illness Research Education Clinical Centers (MIRECC), VA Palo Alto, Palo Alto, CA, USA.

Joachim Hallmayer (J)

Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, USA.
Mental Illness Research Education Clinical Centers (MIRECC), VA Palo Alto, Palo Alto, CA, USA.

Chun Jimmie Ye (CJ)

Department of Epidemiology & Biostatistics, Institute for Human Genetics, University of California San Francisco, San Francisco, CA, USA.

Emmanuel J Mignot (EJ)

Stanford University, Center for Sleep Sciences and Medicine, Department of Psychiatry and Behavioral Sciences, Palo Alto, CA, 94304, USA. mignot@stanford.edu.

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