ArticleOA
Author: Kim, Tae Won ; Rivas, Manuel ; Van den Eeden, Stephen K ; Ye, Chun Jimmie ; Hong, Seung-Chul ; Fronczek, Rolf ; Einen, Mali ; Nevsimalova, Sona ; Hillary, Ryan P ; Overeem, Sebastiaan ; Shimada, Mihoko ; Benetó, Antonio ; Toyoda, Hiromi ; Knudsen-Heier, Stine ; Moresco, Monica ; Kornum, Birgitte R ; Arnulf, Isabelle ; Winkelmann, Juliane ; Wierzbicka, Aleksandra ; Ollila, Hanna M ; Plazzi, Giuseppe ; Mignot, Emmanuel J ; Mathis, Johannes ; Aran, Adi ; Coelho, Fernando Morgadinho ; Stefani, Ambra ; Kanbayashi, Takashi ; Luo, Guo ; Desautels, Alex ; Perola, Markus ; Wadelius, Mia ; Olsson, Tomas ; Kutalik, Zoltan ; Mantovani, Vilma ; Barateau, Lucie ; Risch, Neil ; Tokunaga, Katsushi ; Högl, Birgit ; Iranzo, Alex ; Dauvilliers, Yves ; Pelin, Zerrin ; Yogeshwar, Selina M ; Thorsby, Per Medbøe ; Peraita-Adrados, Rosa ; Hallmayer, Joachim ; Khor, Seik-Soon ; Han, Fang ; Faraco, Juliette ; Nampoothiri, Sheela ; Kemlink, David ; Bourgin, Patrice ; Rueger, Sina ; Lecendreux, Michel ; Ambati, Aditya ; Geisler, Peter ; Yan, Han ; Miyagawa, Taku ; Bredahl, May Kristin Lyamouri ; Huang, Yu-Shu ; Khatami, Ramin ; Jolanki, Otto ; Bassetti, Claudio L ; Lin, Ling ; Honda, Makoto ; Martínez-Orozco, Francisco J ; O'Hara, Ruth ; Partinen, Markku ; Rye, David ; Zhang, Jun ; Zhang, Jing ; Crowe, Catherine ; Smedje, Hans ; Sinnott-Armstrong, Nasa ; Dong, Xiao Song ; Li, Jing ; Hesla, Per Egil ; Mayer, Geert ; Pizza, Fabio ; Santamaria, Joan ; Kockum, Ingrid ; Jennum, Poul ; Montplaisir, Jacques ; Hallberg, Pär ; Ferini-Strambi, Luigi ; Feketeova, Eva ; Eriksson, Niclas ; Lammers, Gert Jan ; Sharon, Eilon ; Pritchard, Jonathan K ; Sonka, Karel
Narcolepsy type 1 (NT1) is caused by a loss of hypocretin/orexin transmission. Risk factors include pandemic 2009 H1N1 influenza A infection and immunization with Pandemrix®. Here, we dissect disease mechanisms and interactions with environmental triggers in a multi-ethnic sample of 6,073 cases and 84,856 controls. We fine-mapped GWAS signals within HLA (DQ0602, DQB1*03:01 and DPB1*04:02) and discovered seven novel associations (CD207, NAB1, IKZF4-ERBB3, CTSC, DENND1B, SIRPG, PRF1). Significant signals at TRA and DQB1*06:02 loci were found in 245 vaccination-related cases, who also shared polygenic risk. T cell receptor associations in NT1 modulated TRAJ*24, TRAJ*28 and TRBV*4-2 chain-usage. Partitioned heritability and immune cell enrichment analyses found genetic signals to be driven by dendritic and helper T cells. Lastly comorbidity analysis using data from FinnGen, suggests shared effects between NT1 and other autoimmune diseases. NT1 genetic variants shape autoimmunity and response to environmental triggers, including influenza A infection and immunization with Pandemrix®.