Subjects

Abstract

We tested 310,605 SNPs for association in 778 individuals with celiac disease and 1,422 controls. Outside the HLA region, the most significant finding (rs13119723; P = 2.0 × 10−7) was in the KIAA1109-TENR-IL2-IL21 linkage disequilibrium block. We independently confirmed association in two further collections (strongest association at rs6822844, 24 kb 5′ of IL21; meta-analysis P = 1.3 × 10−14, odds ratio = 0.63), suggesting that genetic variation in this region predisposes to celiac disease.

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Acknowledgements

We thank C.A. Mein and the Barts and The London Genome Centre for advice and genotyping support; D. Simpkin, T. Dibling and C. Hand for genotyping (Sanger Institute); M.J. Caulfield for advice on study design; D.P. Kelsell for comments on the manuscript; D. Strachan and W.L. McArdle for 1958 Birth Cohort samples; A. Monsuur for patient recruitment; G. Meijer and J. Meijer for histology review; K. Duran for DNA extraction; H. van Someren for clinical database management (The Netherlands); A. Ryan, G. Turner, M. Abuzakouk, N. Kennedy, F. Stevens and C. O'Morain for patient and control recruitment and sample management (Ireland). We thank J. Loveland for EST annotation and checking. We thank the Wellcome Trust Centre for Human Genetics, University of Oxford, for computing facilities. We thank all affected individuals and controls for participating in this study. We acknowledge funding from Coeliac UK; the Coeliac Disease Consortium (an innovative cluster approved by The Netherlands Genomics Initiative and partly funded by the Dutch government (grant BSIK03009)); The Netherlands Genomics Initiative (grant 050-72-425); The Netherlands Organization for Scientific Research (grant 901-04-219); the Science Foundation Ireland and the Wellcome Trust (GR068094MA Clinician Scientist Fellowship to D.A.v.H.; New Blood Fellowship to R.M. and support for the work of R.McG. and P.D.). The authors acknowledge use of DNA from the British 1958 Birth Cohort collection, funded by the UK Medical Research Council grant G0000934 and the Wellcome Trust grant 068545/Z/02.

Author information

Author notes

    • Lude Franke
    • , Karen A Hunt
    •  & Rhian Gwilliam

    These authors contributed equally to this work.

Affiliations

  1. Centre for Gastroenterology, Institute of Cell and Molecular Science, Queen Mary University of London, London E1 2AT, UK.

    • David A van Heel
    • , Karen A Hunt
    • , Parveen Kumar
    •  & Raymond J Playford
  2. Complex Genetics Section, Department of Biomedical Genetics, University Medical Center Utrecht, 3584 CG Utrecht, The Netherlands.

    • Lude Franke
    • , Alexandra Zhernakova
    •  & Cisca Wijmenga
  3. Wellcome Trust Sanger Institute, Hinxton, Cambridge CB10 1SA, UK.

    • Rhian Gwilliam
    • , Mike Inouye
    • , Graeme Bethel
    • , William M McLaren
    • , Ralph McGinnis
    •  & Panos Deloukas
  4. Genetics Department, University Medical Center Groningen, 9700 RB Groningen, The Netherlands.

    • Martin C Wapenaar
    •  & Cisca Wijmenga
  5. Transplant Immunology, Oxford Transplant Centre, Churchill Hospital, Oxford OX3 7LJ, UK.

    • Martin C N M Barnardo
  6. Department of Gastroenterology, Derbyshire Royal Infirmary, London Road, Derby DE1 2QY, UK.

    • Geoffrey K T Holmes
  7. Departments of Clinical Medicine and Immunology, Institute of Molecular Medicine, Trinity College Dublin, Dublin, Ireland.

    • Con Feighery
    • , Dermot Kelleher
    •  & Ross McManus
  8. Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford OX3 7BN, UK.

    • Derek Jewell
    •  & Lon R Cardon
  9. Gastroenterology Unit, University of Oxford, Oxford OX3 7BN, UK.

    • Simon Travis
  10. Gastroenterology Section, Imperial College London, Hammersmith Hospital, London W12 0HS, UK.

    • Julian RF Walters
  11. Department of Gastroenterology and Liver Unit, Royal Hallamshire Hospital, Sheffield S10 2JF, UK.

    • David S Sanders
  12. Department of Gastroenterology, St. James's University Hospital, Leeds LS9 7TF, UK.

    • Peter Howdle
  13. Department of Gastroenterology, Llandough Hospital, Penarth CF64 2XX, UK.

    • Jill Swift
  14. Department of Paediatric Gastroenterology, Leiden University Medical Center, 2300 RC Leiden, The Netherlands.

    • M Luisa Mearin
  15. Department of Pediatric Gastroenterology, Vrije University Medical Center, 1007 MB Amsterdam, The Netherlands.

    • M Luisa Mearin
  16. Department of Gastroenterology, Vrije University Medical Center, 1007 MB Amsterdam, The Netherlands.

    • Chris J Mulder

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Correspondence to David A van Heel.

Supplementary information

PDF files

  1. 1.

    Supplementary Fig. 1

    Summary of genome-wide association scan results.

  2. 2.

    Supplementary Fig. 2

    Linkage disequilibrium and haplotype analysis of the 4q27 region.

  3. 3.

    Supplementary Fig. 3

    Quantitative RT-PCR analysis of expression of genes in the 4q27 region in duodenal tissue.

  4. 4.

    Supplementary Table 1

    Characteristics of subjects.

  5. 5.

    Supplementary Table 2

    Classical HLA type and rs2187668 genotype.

  6. 6.

    Supplementary Table 3

    Genome-wide association and replication results.

  7. 7.

    Supplementary Table 4

    4q27 SNPs and haplotypes in three collections.

  8. 8.

    Supplementary Methods

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DOI

https://doi.org/10.1038/ng2058

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