A regulatory SNP at position -899 in CDKN1A is associated with systemic lupus erythematosus and lupus nephritis

Department of Biological Sciences, Korea Advanced Institute of Science and Technology, Daejeon 305-701, Korea.
Genes and immunity (Impact Factor: 2.91). 03/2009; 10(5):482-6. DOI: 10.1038/gene.2009.5
Source: PubMed


The CDKN1A gene encoding a cell cycle inhibitor, p21(WAF1/CIP1), is located in the systemic lupus erythematosus (SLE) susceptibility locus on chromosome 6p21.2. Decreased cellular levels of p21 are associated with SLE. Here, we examine four single-nucleotide polymorphisms (SNPs) within the promoter and two in the first intron of CDKN1A for association with SLE susceptibility. A comparison of 742 Korean SLE patients with 1017 controls disclosed that one SNP (rs762624 C>A at position -899), located at a putative Myb-binding site in the promoter, was associated with SLE susceptibility (P=0.00047). This association was independent of the SLE-association signal of HLA-DRB1 on 6p21.3, as it was significant after adjustment for SLE-risk DRB1 alleles (P=0.0012). The same SNP was associated with lupus nephritis (P=0.000014). The risk allele-carrying promoter sequence displayed approximately 15% lower activity than the non-risk sequence upon fusion to the luciferase gene (P=0.025). Endogenous CDKN1A mRNA levels measured in Epstein-Barr virus-transformed B cells established from 16 control subjects were linearly correlated with a decreasing copy number of the risk allele (P=0.024). Accordingly, we conclude that the minor allele A at -899 of CDKN1A is associated with increased susceptibility to SLE and lupus nephritis, and decreased cellular levels of p21.

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    • "p21(WAF1/CIP1) prevents DNA replication and has been associated with regulation of inflammatory cytokines [69]. Moreover, an SLE-associated SNP at position −899 in the promoter of the minor allele A of CDKN1A irrespective of HLA-DRB1 alleles has been reported [70]. ETV6 (ETS translocation-variant gene 6) and ETV7, both up-regulated in SLE myeloid cells, function as transcriptional repressors and their expression was consistent with cell activation [71], [72]. "
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