Ancestry-dependent genetic structure of the Xq28 risk haplotype in the Mexican population and its association with childhood-onset systemic lupus erythematosus

Humberto García-Ortiz; Francisco Barajas-Olmos; Marlen Flores-Huacuja; Monserrat I Morales-Rivera; Angélica Martínez-Hernández; Vicente Baca; Cecilia Contreras-Cubas; Lorena Orozco

doi:10.3389/fmed.2022.1044856

Ancestry-dependent genetic structure of the Xq28 risk haplotype in the Mexican population and its association with childhood-onset systemic lupus erythematosus

Front Med (Lausanne). 2023 Jan 12:9:1044856. doi: 10.3389/fmed.2022.1044856. eCollection 2022.

Authors

Humberto García-Ortiz¹, Francisco Barajas-Olmos¹, Marlen Flores-Huacuja¹, Monserrat I Morales-Rivera¹, Angélica Martínez-Hernández¹, Vicente Baca², Cecilia Contreras-Cubas¹, Lorena Orozco¹

Affiliations

¹ Immunogenomics and Metabolic Diseases Laboratory, National Institute of Genomic Medicine, SS, Mexico City, Mexico.
² Department of Rheumatology, Hospital de Pediatría, CMN Siglo XXI IMSS, Mexico City, Mexico.

Abstract

Objective: Here we aimed to investigate the association of the Xq28 risk haplotype (H1) with susceptibility to childhood-onset systemic lupus erythematosus (SLE), and to compare its frequency and genetic structure in the Mexican population with those in other continental populations.

Methods: We genotyped 15 single-nucleotide variants (SNVs) that form the H1 haplotype, using TaqMan real-time PCR. The association analysis [case-control and transmission disequilibrium test (TDT)] included 376 cases and 400 adult controls, all of whom were mestizos (MEZ). To identify risk alleles in Mexican Indigenous individuals, SNVs were imputed from whole-exome sequencing data of 1,074 individuals. The allelic frequencies determined in MEZ and Indigenous individuals were compared with those of the continental populations from the 1,000 Genomes database phase 3. Linkage disequilibrium (LD) analysis of risk alleles was performed on all populations. Interleukin-1 receptor associated kinase 1 (IRAK1) and methyl CpG binding protein 2 (MECP2) mRNA levels were determined using real-time PCR.

Results: Case-control analysis revealed genetic association with childhood-onset SLE for all 15 SNVs (OR = 1.49-1.75; p = 0.0095 to 1.81 × 10^-4) and for the Xq28 risk haplotype (OR = 1.97, p = 4 × 10^-6). Comparing with individuals of European ancestry (0.14-0.16), the frequencies of the risk alleles were significantly higher in the MEZ individuals (0.55-0.68) and even higher in Indigenous individuals (0.57-0.83). LD analysis indicated a differential haplotype structure within the Indigenous groups, which was inherited to the MEZ population as a result of genetic admixture. Individuals homozygous for the Xq28 risk haplotype exhibited decreased levels of both MECP2A and B transcripts.

Conclusion: We found that the H1 risk haplotype differs in its conformation in the Mexican population. This difference could be attributed to positive selection within the Indigenous population, with its inheritance now having an autoimmune health impact in both the Mexican Indigenous and MEZ populations.

Keywords: IRAK1; MECP2; Xq28 risk haplotype; ancestry-dependent; childhood-onset systemic lupus erythematosus.

Grants and funding

This research was supported by grants from the Consejo Nacional de Ciencia y Tecnológia (CONACYT) from Mexico (CB 2010-135155 to LO, CB 2014-243394 to CC-C, and Salud 2014-202307 to HG-O).