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Statistical inference of immunogenetic parameters reveals HLA-DRB1*11:01 allele associated with pediatric FSGS

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HAL Id: inserm-02161731

https://www.hal.inserm.fr/inserm-02161731

Submitted on 21 Jun 2019

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Statistical inference of immunogenetic parameters reveals HLA-DRB1*11:01 allele associated with

pediatric FSGS

Axelle Durand, Cheryl Winkler, Nicolas Vince, Venceslas Douillard, Estelle Geffard, Derek Ng, Pierre-Antoine Gourraud, Bradley Warady, Susan Furth,

Jeffrey Kopp, et al.

To cite this version:

Axelle Durand, Cheryl Winkler, Nicolas Vince, Venceslas Douillard, Estelle Geffard, et al.. Statisti-cal inference of immunogenetic parameters reveals HLA-DRB1*11:01 allele associated with pediatric FSGS. JOBIM, Jul 2019, Nantes, France. �inserm-02161731�

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FOCAL SEGMENTAL GLOMERULOSCLEROSIS

METHODS

Pediatric Nephrotic syndrome Edema Massive proteinuria Dialysis Transplantation

4-5x risk in African Americans (AA)

Genetic factors

First genomic study of renal failure in 140 AA

children with Chronic Kidney Disease (CKD)

Identify underlying genetic determinants in FSGS (29 cases)

 Genotyping arrays: 254,000 SNPs on Exome Chips

 Association analysis with FSGS phenotype using regression model

 Quality Control and HRC imputation: 934,000 common SNPs with Minor Allele Frequency > 0.3% for statistical analysis

 Gene-set enrichment analysis (GSEA) using GSA-SNP2

 Investigation of HLA:

• Imputation of 108 HLA alleles using HIBAG1

• Inference of immunogenetic parameters (e.g. HLA

5-gene haplotypes, amino-acids) using Easy-HLA2

FSGS

-log10 (FSGS associated p-value)

Chr omoso mes 8 6 4 2 0 22 19 17 15 13 11 9 7 5 3 1 FDR 5%

P = 10

-7

OR = 25.4

P = 10

-8

OR = 17.4

58 FSGS AA adults N=217 Non FSGS AA adults N=383 54% 22%

Kopp2011

3 FSGS AA kids N=29 41% 15% Non FSGS AA kids N=105

APOL1 - G1

PTPRJ

rs73885319

Confirmation of previously major described signal in adult FSGS and CKD

Validation of our analysis and cohort

Importance of antigen processing and presentation pathways in pediatric FSGS

Statistical inference of immunogenetic parameters reveals

HLA-DRB1*11:01 allele associated with pediatric FSGS

P-value OR

HLA-DRB1*11:01

N = 13/29 FSGS kids

5.6x10-3 10.5

67F & 58E HLA-DRB1

N= 9/29 FSGS kids

5.0x10-3 4.5

• 108 HLA alleles (=80 Class I alleles + 28 Class II alleles) • 714 HLA amino acids and 17 HLA 5-gene haplotypes

HLA ASSOCIATION WITH FSGS

1. SHLARC , JOBIM 2019, Poster session Wednesday July 3rd, Poster n°41, Douillard et al. 2. EasyMatch-R, JOBIM 2019, Demo session Wednesday July 3rd, Demo n°1, Geffard et al.

3. Kopp. JB et al, APOL1 genetics variant in FSGS and HIV-associated Nephropathy. JASN (2011) 22, 2129-37.

 Identification of 5 statistically significant and biologically-relevant loci with pediatric FSGS

 First demonstration of a role for class II HLA in FSGS

 Further genetic and functional analyses focusing on these loci will

enhance our understanding of molecular pathogenicity

mechanisms underlying pediatric FSGS.

CONCLUSION

Further investigation

of HLA

CD4 HLA-DPB1 PTPRJ • 5 significant SNPs • PTPRJ interacts with

class II HLA Molecules

6

1 CRTI UMR 1064, INSERM, Université de Nantes, Nantes, France.2 Institut de Transplantation Urologie Néphrologie (ITUN), CHU Nantes, Nantes, France. 3 Frederick National Laboratory,

Leidos Biomedical Research, NIH/NCI, Frederick MD, USA. 4 Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA. 5 Children's Mercy, Kansas City MO,USA. 6 Children's

Hospital of Pennsylvania, Philadelphia PA, USA. 7 NIDDK, NIH, Bethesda MD, USA. 8 Einstein/Montefiore, Bronx NY, USA. 9 Ecole Centrale de Nantes, Nantes, France

Axelle Durand1,2, Cheryl A. Winkler3, Nicolas Vince1,2, Venceslas Douillard1,2, Estelle Geffard1,2, Derek K Ng4, Pierre-Antoine

Gourraud1,2, Bradley Warady5, Susan Furth6, Jeffrey B. Kopp7, Frederick J. Kaskel8, and Sophie Limou1,2,9

HLA-DQA2 -log 10 (P -v alue) 0 1 2 3 4 5 6 7 Antigen processing and presentation Lymphocyte mediated immunity Membrane repolarization Innate immune response Cell recognition Cytokine production STRING

GSEA with Gene Ontology

Immunity regulation Cellular adhesion

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