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Published on: August 15, 2019
Common and Low Frequency Variants in MERTK Are Independently Associated with Multiple Sclerosis Susceptibility with
Michele D Binder1,2, Andrew D Fox1,3, Daniel Merlo2
1Multiple Sclerosis Division, The Florey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia.
Abstract:
Multiple Sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system. The risk of developing MS is strongly influenced by genetic predisposition, and over 100 loci have been established as associated with susceptibility. However, the biologically relevant variants underlying disease risk have not been defined for the vast majority of these loci, limiting the power of these genetic studies to define new avenues of research for the development of MS therapeutics. It is therefore crucial that candidate MS susceptibility loci are carefully investigated to identify the biological mechanism linking genetic polymorphism at a given gene to the increased chance of developing MS. MERTK has been established as an MS susceptibility gene and is part of a family of receptor tyrosine kinases known to be involved in the pathogenesis of demyelinating disease. In this study we have refined the association of MERTK with MS risk to independent signals from both common and low frequency variants. One of the associated variants was also found to be linked with increased expression of MERTK in monocytes and higher expression of MERTK was associated with either increased or decreased risk of developing MS, dependent upon HLA-DRB1*15:01 status. This discordant association potentially extended beyond MS susceptibility to alterations in disease course in established MS. This study provides clear evidence that distinct polymorphisms within MERTK are associated with MS susceptibility, one of which has the potential to alter MERTK transcription, which in turn can alter both susceptibility and disease course in MS patients.
Insights
Genetic variants in the MERTK gene influence Multiple Sclerosis (MS) risk and disease course. Specific MERTK polymorphisms affect gene expression, impacting MS susceptibility and progression, particularly in relation to HLA-DRB1*15:01 status.
Area of Science:
- Neuroimmunology
- Genetics of Central Nervous System Disorders
- Molecular Biology of Receptor Tyrosine Kinases
Background:
- Multiple Sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system with strong genetic components.
- Over 100 genetic loci are associated with MS susceptibility, but the specific causal variants and mechanisms remain largely undefined.
- Identifying these variants is critical for understanding MS pathogenesis and developing targeted therapeutics.
Purpose of the Study:
- To investigate the role of the MERTK gene, a known MS susceptibility factor, in the genetic risk and disease course of Multiple Sclerosis.
- To identify specific MERTK genetic variants associated with MS susceptibility and their functional consequences.
- To explore the relationship between MERTK variants, MERTK expression, and MS disease progression, considering interactions with other genetic factors like HLA-DRB1*15:01.
Main Methods:
- Refined genetic association analysis of MERTK with MS risk, identifying independent common and low-frequency variants.
- Investigated the association of identified variants with MERTK gene expression in monocytes.
- Examined the impact of MERTK variants and expression levels on MS susceptibility and disease course, including interactions with HLA-DRB1*15:01.
Main Results:
- Distinct common and low-frequency MERTK variants are independently associated with Multiple Sclerosis susceptibility.
- One associated MERTK variant correlates with increased MERTK expression in monocytes.
- Higher MERTK expression shows a complex association with MS risk and disease course, modulated by HLA-DRB1*15:01 status.
Conclusions:
- Specific MERTK polymorphisms contribute to MS susceptibility through distinct genetic signals.
- MERTK transcription levels, influenced by genetic variants, play a role in both MS susceptibility and disease course.
- The interplay between MERTK variants, MERTK expression, and HLA-DRB1*15:01 status highlights a nuanced genetic architecture influencing MS.
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