Genome-wide association study identifies five risk loci for pernicious anemia

Nat Commun. 2021 Jun 18;12(1):3761. doi: 10.1038/s41467-021-24051-6.

Abstract

Pernicious anemia is a rare condition characterized by vitamin B12 deficiency anemia due to lack of intrinsic factor, often caused by autoimmune gastritis. Patients with pernicious anemia have a higher incidence of other autoimmune disorders, such as type 1 diabetes, vitiligo, and autoimmune thyroid issues. Therefore, the disease has a clear autoimmune basis, although the genetic susceptibility factors have thus far remained poorly studied. We conduct a genome-wide association study meta-analysis in 2166 cases and 659,516 European controls from population-based biobanks and identify genome-wide significant signals in or near the PTPN22 (rs6679677, p = 1.91 × 10-24, OR = 1.63), PNPT1 (rs12616502, p = 3.14 × 10-8, OR = 1.70), HLA-DQB1 (rs28414666, p = 1.40 × 10-16, OR = 1.38), IL2RA (rs2476491, p = 1.90 × 10-8, OR = 1.22) and AIRE (rs74203920, p = 2.33 × 10-9, OR = 1.83) genes, thus providing robust associations between pernicious anemia and genetic risk factors.

Publication types

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

MeSH terms

  • AIRE Protein
  • Adult
  • Aged
  • Anemia, Pernicious / genetics*
  • Autoimmune Diseases / genetics*
  • Exoribonucleases / genetics
  • Female
  • Gastritis / pathology
  • Genetic Predisposition to Disease / genetics*
  • Genetic Variation / genetics
  • Genome-Wide Association Study
  • HLA-DQ beta-Chains / genetics
  • Humans
  • Interleukin-2 Receptor alpha Subunit / genetics
  • Male
  • Middle Aged
  • Protein Tyrosine Phosphatase, Non-Receptor Type 22 / genetics
  • Risk Factors
  • Transcription Factors / genetics

Substances

  • HLA-DQ beta-Chains
  • HLA-DQB1 antigen
  • IL2RA protein, human
  • Interleukin-2 Receptor alpha Subunit
  • Transcription Factors
  • Exoribonucleases
  • PNPT1 protein, human
  • PTPN22 protein, human
  • Protein Tyrosine Phosphatase, Non-Receptor Type 22