tirsdag den 16. september 2025

DecodeME studiet afslører variationer i DNAet fra ME patienter

Et preprint af artiklen (1):

viser, at mennesker med Myalgisk encephalomyelitis (ME) har variationer i deres DNA 8 forskellige steder.

Ved at sammenligne DNA fra 15.579 ME patienter med DNA fra kontrolpersoner blev de 8 områder i DNAet afsløret som signifikant for ME patienterne. 

I disse områder findes følgende gener, som kan være relateret til ME sygdomsmekanismen:

ARFGEF2/CSE1L - ARF guanine nucleotide exchange factor 2/chromosome segregation 1 like

BTN2A2 - butyrophilin subfamily 2 member A2

CA10 - carbonic anhydrase 10

CCPG1 - cell cycle progression 1

FBXL4 - F-box and leucine rich repeat protein 4

OLFM4 - olfactomedin 4

RABGAP1L - RAB GTPase activating protein 1 like

SUDS3 - SIN3A corepressor complex component SDS3


Betydning af ændringer i DNAet

En variation i et gen kan medføre, at der er en øget eller nedsat ekspression af genet. I figur 4 i artiklen er det angivet, hvad man kan formode gen-variationerne betyder for ekspression af ovennævnte gener. De grønne cirkler angiver øget ekspression og de blå cirkler viser nedsat ekspression. 


Fig. 4 fra reference 1: Approximate Bayes factor posterior probability (PPH4) that mRNA expression and ME/CFS traits are associated and share a single causal variant. Thirty-four protein coding genes (y-axis) with at least one expression QTL (eQTL; GTEx-v10) within a FUMA-defined ME/CFS interval that show colocalisation with the eQTLs for at least one of 49 GTEx-v10 tissues (x-axis). Green circles indicate that increased ME/CFS risk allele is associated with increased gene expression for eQTLs in the FUMA-defined interval. Blue circles indicate that increased ME/CFS risk allele is associated with decreased gene expression for eQTLs in the FUMA-defined interval, and vice-versa. The area of each circle indicates the test’s value of PPH4 (posterior probability for single shared causal variant): smaller circles indicate 0 < PPH4 < 0.75, and larger ones indicate PPH4 ≥ 0.75.


Vigtige oplysninger fra artiklen

Nedenstående findes i citatform nogle vigtige oplysninger fra artiklen:

"CSE1L helps to re-export importin-alpha from the nucleus to the cytoplasm after it releases its import cargos into the nucleoplasm (55). A small molecule inhibitor of CSE1L reduces the nuclear translocation of transcriptional factor SP1 in macrophages, leading to decreased TNF-α release, a marker of suppressed inflammation (56). ARFGEF2 is involved in releasing the TNF-α receptor in exosome-like vesicles (57)."

"Complexes involving butyrophilin-3 and -2 homologues (BTN3A1, BTN3A2, BTN3A3, BTN2A1 and BTN2A2) allow innate-like Vγ9Vδ2 T cells to distinguish self-derived from non-self-derived pyrophosphate antigens (pAgs) (47). Mouse Btn2a2 knockout model phenotypes (48,49) – together with the discordance of BTN2A2 expression and ME/CFS risk effects (Fig. 4) – imply that the ME/CFS risk-increasing allele could impair T-cell responses and worsen autoimmune disease."

"The CA10 protein inhibits the addition of heparan sulfate glycosaminoglycan to presynaptic neurexins. This post-translation modification enables their binding to postsynaptic neuroligins (52,53). This trans-synaptic interaction is critical for synaptic transmission and, when disrupted in a rodent model, prevents pain (54)."

"CCPG1 mediates the selective degradation of the endoplasmic reticulum by autophagy (62). This is a host defense mechanism when pathogens infect cells, and its deficiency facilitates viral infection (63)."

"Mutations in FBXL4 cause increased mitophagy, and mitochondrial DNA depletion (60)."

"Olfactomedin-4 (OLFM4) suppresses antibacterial and  inflammatory responses by binding to neutrophil cationic proteins and neutralises their ability to kill bacteria and form immunogenic complexes with DNA (61)."

"RABGAP1L promotes expulsion of the bacterium Streptococcus pyogenes from cells via endocytosis (45) and also limits replication of multiple viruses (46). The ME/CFS risk increasing allele is associated with decreasing RABGAP1L gene expression for GTEx-v10 eQTLs in the FUMA-defined interval, and vice-versa (Fig. 4). This suggests that ME/CFSassociated RABGAP1L variants could enhance susceptibility to bacterial and viral infection."

"SUDS3 encodes a protein that is a negative regulator of microglial inflammation (51). ME/CFS genetic risk at this locus, therefore, could act to suppress the microglial inflammatory response."

"Three of the most likely genes produce proteins that respond to an infection. Another likely gene is related to chronic pain. None are related to depression or anxiety."

"Our findings suggest that both immunological and neurological processes are involved in the genetic risk of ME/CFS."


Reference:

Initial findings from the DecodeME genome-wide association study of myalgic encephalomyelitis/chronic fatigue syndrome
Genetics Delivery TeamThibaud BoutinAndrew D. BretherickJoshua J. DibbleEsther EwaoluwagbemigaEmma NorthwoodGemma L. SammsVeronique VitartProject and Cohort Delivery TeamØyvind AlmelidTom BakerMalgorzata ClydeAnne ConnollyDiana GarciaShona M. KerrClaire TrippJareth C. WolfePatient and Public InvolvementJackie GooldGemma HoyesSian LearySimon J. McGrathJulie MiltonAnna RedshawJim M. WilsonMarketing and Communications TeamHelen BaxterDanielle BoobyerClaire DransfieldDaphne LamirelIsabel LewisNina MuirheadElla PontingCharles ShepherdAlice TurnerUniversity of Edinburgh TeamSumy V. BabySjoerd BeentjesJohn IrelandAva KhamsehEwan McDowallDavid PerryJoshua SlaughterGenetic Epidemiology of ME/CFS ConsortiumErik AbnerCindy G. BoerEstonian Biobank Research TeamSarah FinerGenes & Health Research TeamHele HaapaniemiHanna M. OllilaBeth PollackJudith RosmalenErika RomppanenSirine SaafiRicha SaxenaNasa Sinnott-ArmstrongAnniina TerviLea UrpaJesse ValliereDavid A. van HeelManagement TeamSonya ChowdhuryAndy Devereux-CookeChris P. Ponting