The Interaction between HLA-DRB1 and Smoking in Parkinson's Disease Revisited

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Domenighetti, Cloé
Douillard, Venceslas
Sugier, Pierre-Emmanuel
Sreelatha, Ashwin Ashok Kumar
Schulte, Claudia
Grover, Sandeep
May, Patrick
Bobbili, Dheeraj R
Radivojkov-Blagojevic, Milena
Lichtner, Peter
Singleton, Andrew B
Hernandez, Dena G
Edsall, Connor
Gourraud, Pierre-Antoine
Mellick, George D
et al.
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2022
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Abstract

BACKGROUND: Two studies that examined the interaction between HLA-DRB1 and smoking in Parkinson's disease (PD) yielded findings in opposite directions. OBJECTIVE: To perform a large-scale independent replication of the HLA-DRB1 × smoking interaction. METHODS: We genotyped 182 single nucleotide polymorphism (SNPs) associated with smoking initiation in 12 424 cases and 9480 controls to perform a Mendelian randomization (MR) analysis in strata defined by HLA-DRB1. RESULTS: At the amino acid level, a valine at position 11 (V11) in HLA-DRB1 displayed the strongest association with PD. MR showed an inverse association between genetically predicted smoking initiation and PD only in absence of V11 (odds ratio, 0.74, 95% confidence interval, 0.59-0.93, PInteraction  = 0.028). In silico predictions of the influence of V11 and smoking-induced modifications of α-synuclein on binding affinity showed findings consistent with this interaction pattern. CONCLUSIONS: Despite being one of the most robust findings in PD research, the mechanisms underlying the inverse association between smoking and PD remain unknown. Our findings may help better understand this association.

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Movement Disorders

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© 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Neurology and neuromuscular diseases

HLA

Parkinson's disease

gene-environment interaction

smoking

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Domenighetti, C; Douillard, V; Sugier, P-E; Sreelatha, AAK; Schulte, C; Grover, S; May, P; Bobbili, DR; Radivojkov-Blagojevic, M; Lichtner, P; Singleton, AB; Hernandez, DG; Edsall, C; Gourraud, P-A; Mellick, GD et al., The Interaction between HLA-DRB1 and Smoking in Parkinson's Disease Revisited, Movement Disorders, 2022

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