Abstract
Behçet's disease is a chronic systemic inflammatory disorder characterized by four major manifestations: recurrent ocular symptoms, oral and genital ulcers and skin lesions1. We conducted a genome-wide association study in a Japanese cohort including 612 individuals with Behçet's disease and 740 unaffected individuals (controls). We identified two suggestive associations on chromosomes 1p31.3 (IL23R-IL12RB2, rs12119179, P = 2.7 × 10−8) and 1q32.1 (IL10, rs1554286, P = 8.0 × 10−8). A meta-analysis of these two loci with results from additional Turkish and Korean cohorts showed genome-wide significant associations (rs1495965 in IL23R-IL12RB2, P = 1.9 × 10−11, odds ratio = 1.35; rs1800871 in IL10, P = 1.0 × 10−14, odds ratio = 1.45).
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References
- 1.
Kaklamani, V.G., Vaiopoulos, G. & Kaklamanis, P.G. Behcet's disease. Semin. Arthritis Rheum. 27, 197–217 (1998).
- 2.
Ohno, S. et al. Close association of HLA-Bw51 with Behcet's disease. Arch. Ophthalmol. 100, 1455–1458 (1982).
- 3.
Meguro, A. et al. Genetics of Behcet's disease inside and outside the MHC. Ann. Rheum. Dis. 69, 747–754 (2010).
- 4.
Fei, Y. et al. Identification of novel genetic susceptibility loci for Behcet's disease using a genome-wide association study. Arthritis Res. Ther. 11, R66 (2009).
- 5.
Remmers, E.F. et al. Genome-wide association study identifies variants in the MHC class I, IL10, and IL23R-IL12RB2 regions associated with Behçet's disease. Nat. Genet. advance online publication, doi:10.1038/ng.625 (11 July 2010).
- 6.
Duerr, R.H. et al. A genome-wide association study identifies IL23R as an inflammatory bowel disease gene. Science 314, 1461–1463 (2006).
- 7.
Cargill, M. et al. A large-scale genetic association study confirms IL12B and leads to the identification of IL23R as psoriasis-risk genes. Am. J. Hum. Genet. 80, 273–290 (2007).
- 8.
Liu, Y. et al. A genome-wide association study of psoriasis and psoriatic arthritis identifies new disease loci. PLoS Genet. 4, e1000041 (2008).
- 9.
Hirschfield, G.M. et al. Primary biliary cirrhosis associated with HLA, IL12A, and IL12RB2 variants. N. Engl. J. Med. 360, 2544–2555 (2009).
- 10.
Rueda, B. et al. The IL23R Arg381Gln non-synonymous polymorphism confers susceptibility to ankylosing spondylitis. Ann. Rheum. Dis. 67, 1451–1454 (2008).
- 11.
Isomura, M. et al. IL12RB2 and ABCA1 genes are associated with susceptibility to radiation dermatitis. Clin. Cancer Res. 14, 6683–6689 (2008).
- 12.
Iwakura, Y. & Ishigame, H. The IL-23/IL-17 axis in inflammation. J. Clin. Invest. 116, 1218–1222 (2006).
- 13.
Chang, J.T., Shevach, E.M. & Segal, B.M. Regulation of interleukin (IL)-12 receptor beta2 subunit expression by endogenous IL-12: a critical step in the differentiation of pathogenic autoreactive T cells. J. Exp. Med. 189, 969–978 (1999).
- 14.
Turner, D.M. et al. An investigation of polymorphism in the interleukin-10 gene promoter. Eur. J. Immunogenet. 24, 1–8 (1997).
- 15.
Wallace, G.R. et al. IL-10 genotype analysis in patients with Behçet's disease. Hum. Immunol. 68, 122–127 (2007).
- 16.
Mizushima, Y. Recent research into Behçet's disease in Japan. Int. J. Tissue React. 10, 59–65 (1998).
- 17.
Criteria for diagnosis of Behçet's disease. International Study Group for Behçet's Disease. Lancet 335, 1078–1080 (1990).
- 18.
Purcell, S. et al. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am. J. Hum. Genet. 81, 559–575 (2007).
- 19.
Price, A.L. et al. Principal components analysis corrects for stratification in genome-wide association studies. Nat. Genet. 38, 904–909 (2006).
- 20.
Barrett, J.C., Fry, B., Maller, J. & Daly, M.J. Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 21, 263–265 (2005).
Acknowledgements
We sincerely thank the individuals with Behçet's disease who participated in this study. This work was supported by grants-in-aid from the Ministry of Education, Culture, Sports, Science and Technology of Japan; a grant from the Ministry of Health, Labour and Welfare, Japan; a grant from Menicon Co., Ltd.; and a grant from the Johnson & Johnson KK Vision Care Company. The laboratory of S.B. was supported by the Agence Nationale pour la Recherche (ANR), the Fédération des Maladies Orphelines and the Association française de la maladie de Behçet.
Author information
Author notes
- Nobuhisa Mizuki
- & Akira Meguro
These authors contributed equally to this work.
Affiliations
Department of Ophthalmology and Visual Science, Yokohama City University Graduate School of Medicine, Kanazawa-ku, Yokohama, Kanagawa, Japan.
- Nobuhisa Mizuki
- , Akira Meguro
- , Tomoko Shiota
- , Tatsukata Kawagoe
- , Norihiko Ito
- & Jiro Kera
Department of Legal Medicine, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
- Masao Ota
Department of Ocular Inflammation and Immunology, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.
- Shigeaki Ohno
Okada Eye Clinic, Konan-ku, Yokohama, Kanagawa, Japan.
- Eiichi Okada
Department of Molecular Life Science, Division of Molecular Medical Science and Molecular Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
- Keisuke Yatsu
- & Hidetoshi Inoko
Department of Internal Medicine, Seoul National University College of Medicine, Jongno-gu, Seoul, Korea.
- Yeong-Wook Song
- & Eun-Bong Lee
Department of Ophthalmology, Health Sciences University of Hokkaido, Kita-ku, Sapporo, Hokkaido, Japan.
- Nobuyoshi Kitaichi
Department of Ophthalmology, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Hokkaido, Japan.
- Kenichi Namba
- & Yukihiro Horie
Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine, Kanazawa-ku, Yokohama, Kanagawa, Japan.
- Mitsuhiro Takeno
- & Yoshiaki Ishigatsubo
Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences, Bunkyo-ku, Tokyo, Japan.
- Sunao Sugita
- & Manabu Mochizuki
Laboratoire d'Immunogénétique Moléculaire Humaine, Centre de Recherche d'Immunologie et d'Hématologie, Faculté de Médecine, Université de Strasbourg, Strasbourg Cedex, France.
- Seiamak Bahram
Laboratoire Central d'Immunologie, Plateau Technique de Biologie, Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg, Strasbourg Cedex, France.
- Seiamak Bahram
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Contributions
N.M. designed and supervised the experiment, provided study samples, performed data analysis and wrote the manuscript. A.M. designed the experiment, performed the SNP selection, supervised genotyping, performed data analysis, wrote the manuscript and prepared the tables and figures. M.O. participated in the experimental design, helped with data analysis and edited the manuscript. S.O. participated in the experimental design, provided study samples and edited the manuscript. T.S., T.K., N.I. and K.Y. performed genotyping. J.K. helped with data analysis. E.O., Y.W.S., E.B.L., N.K., K.N., Y.H., M.T., S.S., M.M. and Y.I. provided study samples. S.B. participated in the experimental design, helped with data analysis and participated in critical revisions of the manuscript. H.I. participated in the experimental design, provided study samples, helped with data analysis and edited the manuscript.
Competing interests
The authors declare no competing financial interests.
Corresponding authors
Correspondence to Nobuhisa Mizuki or Hidetoshi Inoko.
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