Abstract
Sarcoidosis, a systemic granulomatous disease, likely results from both environmental agents and genetic susceptibility. Sarcoidosis is more prevalent in women and, in the United States, African Americans are both more commonly and more severely affected than Caucasians. We report a follow up of the first genome scan for sarcoidosis susceptibility genes in African Americans. Both the genome scan and the present study comprise 229 African American nuclear families ascertained through two or more sibs with sarcoidosis. Regions studied included those which reached a significance in the genome scan of 0.01 (2p25, 5q11, 5q35, 9q34, 11p15 and 20q13), 0.05 (3p25 and 5p15–13) or which replicated previous findings (3p14–11). We performed genotyping with additional markers in the same families used in the genome scan. We examined multi-locus models for epistasis and performed model-based linkage analysis on subsets of the most linked families to characterize the underlying genetic model. The strongest signal was at marker D5S407 (P=0.005) on 5q11.2, using both full and half sibling pairs. Our results support, in an African American population, a sarcoidosis susceptibility gene on chromosome 5q11.2, and a gene protective for sarcoidosis on 5p15.2. These fine mapping results further prioritize the importance of candidate regions on chromosomes 2p25, 3p25, 5q35, 9q34, 11p15 and 20q13 for African Americans. Additionally, our results suggest joint action of the effects of putative genes on chromosome 3p14–11 and 5p15.2. We conclude that multiple susceptibility loci for sarcoidosis exist in African Americans and that some may have interdependent effects on disease pathogenesis.
Similar content being viewed by others
References
Bade B, Lohrmann J, Ten Brinke A et al (2005) Detection of soluable human granzyme K in vitro and in vivo. Eur J Immunol 35:2940–2948
Dillon SR, Sprecher C, Hammond A et al (2004) Interleukin 31, a cytokine produced by activated T cells, induces dermatitis in mice. Nat Immunol 5:752–760
Dourado M, Bento J, Mesquita L et al (2005) [Granzymes A and B in pulmonary sarcoidosis (experimental study)]. Rev Port Pneumol 11:111–133
Dunner E, Williams JH Jr (1961) Epidemiology of sarcoidosis in the United States. Am Rev Respir Dis 84(5)2:163–168
Elston RC, Stewart J (1971) A general model for the genetic analysis of pedigree data. Hum Hered 21:523–542
Elston RC, Song D, Iyengar S (2005) Mathematical assumptions versus biological reality: Myths in affected sib pair linkage analysis. Am J Hum Genet 76:152–156
Grutters JC (2003) Analysis of IL6 and IL1A gene polymorphisms in UK and Dutch patients with sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis 20:20–27
Haseman JK, Elston RC (1972) The investigation of linkage between a quantitative trait and a marker locus. Behav Genet 2:24–31
Iannuzzi MC, Iyengar SK, Gray-McGuire C et al (2005) Genome-wide search for sarcoidosis susceptibility genes in African Americans. Genes Immun 6:509–518
Ito H, Takazoe M, Fukuda Y, et al (2004) A pilot randomized trial of a human anti-interleukin-6 receptor nmonoclonal antibody in active Crochn’s disease. Gastroenterology 126:989–996 discussion 947
Jones SA, Richards PJ, Scheller J, Rose-John S (2005) IL-6 transsignaling: the in vivo consequences. J Interferon Cytokine Res 25:241–253
Liou ML, Liou HC (1999) The ubiquitin-homology protein, DAP-1, associates with tumor necrosis factor receptor (p60) death domain and induces apoptosis. J Biol Chem 274:10145–10153
Mermigkis C, Polychronopoulos V, Mermigkis D et al (2005) Overexpression of Bcl-2 protein in bronchoalveolar lavage lymphocytes and macrophages in sarcoidosis. Respiration
Mihara M, Takagi N, Takeda Y, Ohsugi Y (1998) IL-6 receptor blockage inhibits the onset of autoimmunune kidney disease in NZB/W F1 mice. Clin Exp Immunol 112:397–402
Mihara M, Kotoh M, Nishimoto N et al (2001) Humanized antibody to human interleukin-6 receptor inhibits the development of collagen arthritis in cynomolgus monkeys. Clin Immunol 98:319–326
Moller DR, Forman JD, Liu MC et al (1996) Enhanced expression of IL-12 associated with Th1 cytokine profiles in active pulmonary sarcoidosis. J Immunol 156:4952–4960
Newman LS, Rose CS, Bresnitz EA et al (2004) A case control etiologic study of sarcoidosis: environmental and occupational risk factors. Am J Respir Crit Care Med 170:1268–1269
Raveh T, Berissi, H Eisenstein M, Spivak T, Kimchi A (2000) A functional genetic screen identifies regions at the C-terminal tail and death domain of death-associated protein kinase that are critical for its proapoptotic activity. Proc Natl Acad Sci USA 97:1572–1577
Rybicki BA, Major M, Popovich J Jr, Maliarik MJ, Ianuzzi MC (1997) Racial differences in sarcoidosis incidence: a 5-year study in a health maintenance organization. Am J Eidemiol 145:234–241
Rybicki BA, Iannuzzi MC, Frederick MM et al (2001a) Familial aggregation of sarcoidosis. A case-control etiologic study of sarcoidosis (ACCESS). Am J Respir Crit Care Med 164:2085–2091
Rybicki BA, Kirkey KL, Major M et al (2001b) Familial risk ratio of sarcoidosis in African–American sibs and parents. Am J Epidemiol 153:188–193
Rybicki BA, Hirst K, Iyengar SK, Barnard JG, Judson MA, Rose CS, Donohue JF, Kavuru MS, Rabin DL, Rossman MD, Baughman RP, Elston RC, Maliarik MJ, Moller DR, Newman LS, Teirstein AS, Iannuzzi MC (2005) A sarcoidosis genetic linkage consortium: the sarcoidosis genetic analysis (SAGA) study. Sarcoidosis Vasc Diffuse Lung Dis 22:115–122
Schaid DJ, Elston RC, Tran L, Wilson AF (2000) Model-free sib-pair linkage analysis: combining full-sib and half-sib pairs. Genet Epi 19:30–51
Schurmann M, Reichel P, Muller-Myhsok B, Schlaak M, Muller-Quernheim J, Schwinger E (2001) Results from a genome-wide search for predisposing genes in sarcoidosis. Am J Respir Crit Care Med 164:840–846
Shete S, Jacobs KB, Elston RC (2003) Adding further power to the Haseman and Elston method for detecting linkage in larger sibships: weighting sums and differences. Hum Hered 55:79–85
S A G E (2004) Statistical Analysis for Genetic Epidemiology, Release 5.0
Stridh H, Plank A, Gigliotti D, Eklund A, Grunewald J (2002) Apoptosis resistance bronchoalveolar lavage (BAL) fluid lymphocytes in sarcoidosis. Thorax 57:897–901
Taga T, Kishimoto T (1997) Gp130 and the interleukin-6 family of cytokines. Annu Rev Immunol 15:797–819
Takagi N, Mihara M, Moriya Y et al (1998) Blockage of interleukin-6 receptor ameliorates joint disease in murine collagen-induced arthritis. Arthritis Rheum 41:2117–2121
Terris M, Chaves AD (1966) An epidemiologic study of sarcoidosis. Am Rev Respir Dis 94:50–55
Wang T, Elston RC (2004) A modified revisted Haseman–Elston method to further improve power. Hum Hered 57:109–116
Wendling D, Racadot E, Wijdenes J (1993) Treatment of severe rheumatoid arthritis by anti-interleukin 6 monoclonal antibody. J Rheumatol 20:259–262
Wiltshire S, Morris AP, McCarthy MI, Cardon LR (2005) How useful is the fine-scale mapping of complex trait linkage peaks? Evaluating the impact of additional microsatellite genotyping on the posterior probability of linkage. Genet Epidemiol 28:1–10
Xaus J, Besalduch N, Comalada M et al (2003) High expression of p21 Waf1 in sarcoid granulomas: a putative role for long-lasting inflammation. J Leukoc Biol 74:295–301
Xing C, Elston RC (2006) Distribution and magnitude of type I error of model-based multipoint lod scores: implications for multipoint mod scores. Genet Epidemiol (in press)
Acknowledgments
We thank all of the family members who participated in our study. This work was supported by the National Institutes of Health Grants UO1 HL060263, RO1 GM28356 and P41 RR003655.
Author information
Authors and Affiliations
Consortia
Corresponding author
Appendix: The Sarcoidosis Genetic Analysis (SAGA) Study Consortium
Appendix: The Sarcoidosis Genetic Analysis (SAGA) Study Consortium
Clinical Centers Core
Cleveland Clinic: Mani S. Kavuru, M.D.; Chenett Johnson.; Nancy Ivansek
Emory University: Samuel M. Aguayo, M.D.; Gloria Westney, M.D.; Kathleen A.S. Cannella, R.N., Ph.D.; Francesca Cordi.
Georgetown University Medical Center: David L. Rabin, M.D.; Henry Yeager, Jr., M.D.; Lisa Stewart; Kemi Odegbile; Tameka Weerasingna.
Henry Ford Health System: Michael C. Iannuzzi, M.D.; Benjamin A. Rybicki, Ph.D.; Wanda Bibbs, R.N.; Marcie Major, R.N.
Johns Hopkins University School of Medicine: David R. Moller, M.D.; Rebecca Robinson
Medical University of South Carolina: Marc A. Judson, M.D.; Angela Anderson, R.N.
Mount Sinai Medical Center: Alvin S. Teirstein, M.D.; Louis DePalo, M.D.; Romena Rouf.
National Jewish Medical and Research Center: Lee S. Newman, M.D., M.A.; Cecile Rose, M.D., M.P.H.; Juliana Barnard, M.A.; Lori Silveira, M.S.; Rosalind Dudden, MLS, DM/AHIP; Ben Lee, Lynn Morehead.
University of Cincinnati Medical Center: Robert P. Baughman, M.D.; Donna B. Winget.
University of North Carolina: James F. Donohue, M.D.; Julie Montenegro, R.N.; Jeanie Mascarella, RN, MSN.
University of Pennsylvania and Medical College of Pennsylvania - Hahnemann University Medical Centers: Milton D. Rossman, M.D.; Jackie Regovich, M.P.H.
Data Coordinating Center
George Washington University: Kathryn Hirst, Ph.D., Sarah Fowler, Ph.D., Robin Laney, Laure Blghormli, M.S.
Genetics Core
Henry Ford Health System (DNA Core Laboratory): Mary Maliarik, Ph.D.
Case Western Reserve University (Genotyping Laboratory and Genetic Analysis): Robert C. Elston, Ph.D.; Sudha Iyengar, Ph.D.; Courtney Gray-McGuire, Ph.D., Trent Harris.
National Heart, Lung, And Blood Institute
National Heart, Lung, and Blood Institute: Sandra Hatch, Ph.D.
Data Safety and Monitoring Board
David Center, M.D. (Chair)
Rodney Go, Ph.D.
Christine Grady, R.N., Ph.D.
Talmadge King, Jr., M.D.
William Nichols, Ph.D.
Study Chairman
Michael C. Iannuzzi, M.D.
Rights and permissions
About this article
Cite this article
Gray-McGuire, C., Sinha, R., Iyengar, S. et al. Genetic characterization and fine mapping of susceptibility loci for sarcoidosis in African Americans on chromosome 5. Hum Genet 120, 420–430 (2006). https://doi.org/10.1007/s00439-006-0201-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00439-006-0201-6