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Native American ancestry significantly contributes to neuromyelitis optica susceptibility in the admixed Mexican population

  • Sandra Romero-Hidalgo
  • , José Flores-Rivera
  • , Verónica Rivas-Alonso
  • , Rodrigo Barquera
  • , María Teresa Villarreal-Molina
  • , Bárbara Antuna-Puente
  • , Luis Rodrigo Macias-Kauffer
  • , Marisela Villalobos-Comparán
  • , Jair Ortiz-Maldonado
  • , Neng Yu
  • , Tatiana V. Lebedeva
  • , Sharon M. Alosco
  • , Juan Daniel García-Rodríguez
  • , Carolina González-Torres
  • , Sandra Rosas-Madrigal
  • , Graciela Ordoñez
  • , Jorge Luis Guerrero-Camacho
  • , Irene Treviño-Frenk
  • , Monica Escamilla-Tilch
  • , Maricela García-Lechuga
  • Víctor Hugo Tovar-Méndez, Hanna Pacheco-Ubaldo, Victor Acuña-Alonzo, Maria Cátira Bortolini, Carla Gallo, Gabriel Bedoya, Francisco Rothhammer, Rolando González-Jose, Andrés Ruiz-Linares, Samuel Canizales-Quinteros, Edmond Yunis, Julio Granados, Teresa Corona
  • Instituto Nacional de Medicina Genomica
  • Instituto Nacional de Neurologia y Neurocirugia
  • National School of Anthropology and History
  • Max Planck Institute of Geoanthropology
  • INMEGEN
  • Universidad Nacional Autónoma de México
  • Holland Laboratory for Biomedical Sciences
  • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
  • American British Cowdray Medical Center
  • Universidade Federal do Rio Grande do Sul
  • Universidad Peruana Cayetano Heredia
  • Universidad de Antioquia
  • Consejo Nacional de Investigaciones Científicas y Técnicas
  • University College London
  • Dana-Farber Cancer Institute

Research output: Contribution to journalArticlepeer-review

27 Scopus citations

Abstract

Neuromyelitis Optica (NMO) is an autoimmune disease with a higher prevalence in non-European populations. Because the Mexican population resulted from the admixture between mainly Native American and European populations, we used genome-wide microarray, HLA high-resolution typing and AQP4 gene sequencing data to analyze genetic ancestry and to seek genetic variants conferring NMO susceptibility in admixed Mexican patients. A total of 164 Mexican NMO patients and 1,208 controls were included. On average, NMO patients had a higher proportion of Native American ancestry than controls (68.1% vs 58.6%; p = 5 × 10–6). GWAS identified a HLA region associated with NMO, led by rs9272219 (OR = 2.48, P = 8 × 10–10). Class II HLA alleles HLA-DQB1*03:01, -DRB1*08:02, -DRB1*16:02, -DRB1*14:06 and -DQB1*04:02 showed the most significant associations with NMO risk. Local ancestry estimates suggest that all the NMO-associated alleles within the HLA region are of Native American origin. No novel or missense variants in the AQP4 gene were found in Mexican patients with NMO or multiple sclerosis. To our knowledge, this is the first study supporting the notion that Native American ancestry significantly contributes to NMO susceptibility in an admixed population, and is consistent with differences in NMO epidemiology in Mexico and Latin America.

Original languageEnglish
Article number13706
JournalScientific Reports
Volume10
Issue number1
DOIs
StatePublished - 1 Dec 2020

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