The CD6 multiple sclerosis susceptibility allele is associated with alterations in CD4+ T cell proliferation

DM Kofler, CA Severson, N Mousissian… - The Journal of …, 2011 - journals.aai.org
DM Kofler, CA Severson, N Mousissian, PL De Jager, DA Hafler
The Journal of Immunology, 2011journals.aai.org
Genome-wide association studies have revealed a large number of genetic associations
with autoimmune diseases. Despite this progress, the mechanisms underlying the
contribution of allelic variants to the onset of immune-related diseases remain mostly
unknown. Our recent meta-analysis of genome-wide association studies of multiple sclerosis
(MS) identified a new susceptibility locus tagged by a single nucleotide polymorphism,
rs17824933 (p= 3.8× 10− 9), that is found in a block of linkage disequilibrium containing the …
Abstract
Genome-wide association studies have revealed a large number of genetic associations with autoimmune diseases. Despite this progress, the mechanisms underlying the contribution of allelic variants to the onset of immune-related diseases remain mostly unknown. Our recent meta-analysis of genome-wide association studies of multiple sclerosis (MS) identified a new susceptibility locus tagged by a single nucleotide polymorphism, rs17824933 (p= 3.8× 10− 9), that is found in a block of linkage disequilibrium containing the CD6 gene. Because CD6 plays an important role in maintenance of T cell activation and proliferation, we examined the biologic phenotypes of the risk-associated allele. In this article, we report that the MS susceptibility allele in CD6 is associated with decreased expression of full-length CD6 in CD4+ and CD8+ T cells. As a consequence, proliferation is diminished during long-term activation of CD4+ T cells from subjects with the risk allele. Selective knockdown of full-length CD6 using exon 5-specific small interfering RNA induces a similar proliferation defect of CD4+ T cells from subjects homozygous for the protective allele. Exon 5 encodes for the extracellular binding site of the CD6 ligand ALCAM, which is required for CD6 stimulation. In CD4+ T cells from subjects with the risk allele, exon 5 is consistently underexpressed, thereby providing a mechanism by which the allele affects proliferation of CD4+ T cells. These findings indicate that the MS risk allele in the CD6 locus is associated with altered proliferation of CD4+ T cells and demonstrate the influence of a disease-related allelic variant on important immunological characteristics.
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