21 research outputs found

    Genome-wide association study of eosinophilic granulomatosis with polyangiitis reveals genomic loci stratified by ANCA status

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    Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare inflammatory disease of unknown cause. 30% of patients have anti-neutrophil cytoplasmic antibodies (ANCA) specific for myeloperoxidase (MPO). Here, we describe a genome-wide association study in 676 EGPA cases and 6,809 controls, that identifies 4 EGPA-associated loci through conventional case-control analysis, and 4 additional associations through a conditional false discovery rate approach. Many variants are also associated with asthma and six are associated with eosinophil count in the general population. Through Mendelian randomisation, we show that a primary tendency to eosinophilia contributes to EGPA susceptibility. Stratification by ANCA reveals that EGPA comprises two genetically and clinically distinct syndromes. MPO+ ANCA EGPA is an eosinophilic autoimmune disease sharing certain clinical features and an HLA-DQ association with MPO+ ANCA-associated vasculitis, while ANCA-negative EGPA may instead have a mucosal/barrier dysfunction origin. Four candidate genes are targets of therapies in development, supporting their exploration in EGPA

    Analysis of the common genetic component of large-vessel vasculitides through a meta- Immunochip strategy

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    Giant cell arteritis (GCA) and Takayasu's arteritis (TAK) are major forms of large-vessel vasculitis (LVV) that share clinical features. To evaluate their genetic similarities, we analysed Immunochip genotyping data from 1,434 LVV patients and 3,814 unaffected controls. Genetic pleiotropy was also estimated. The HLA region harboured the main disease-specific associations. GCA was mostly associated with class II genes (HLA-DRB1/HLA-DQA1) whereas TAK was mostly associated with class I genes (HLA-B/MICA). Both the statistical significance and effect size of the HLA signals were considerably reduced in the cross-disease meta-analysis in comparison with the analysis of GCA and TAK separately. Consequently, no significant genetic correlation between these two diseases was observed when HLA variants were tested. Outside the HLA region, only one polymorphism located nearby the IL12B gene surpassed the study-wide significance threshold in the meta-analysis of the discovery datasets (rs755374, P?=?7.54E-07; ORGCA?=?1.19, ORTAK?=?1.50). This marker was confirmed as novel GCA risk factor using four additional cohorts (PGCA?=?5.52E-04, ORGCA?=?1.16). Taken together, our results provide evidence of strong genetic differences between GCA and TAK in the HLA. Outside this region, common susceptibility factors were suggested, especially within the IL12B locus

    A genome-wide association study identifies risk alleles in plasminogen and P4HA2 associated with giant cell arteritis

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    Giant cell arteritis (GCA) is the most common form of vasculitis in individuals older than 50 years in Western countries. To shed light onto the genetic background influencing susceptibility for GCA, we performed a genome-wide association screening in a well-powered study cohort. After imputation, 1,844,133 genetic variants were analysed in 2,134 cases and 9,125 unaffected controls from ten independent populations of European ancestry. Our data confirmed HLA class II as the strongest associated region (independent signals: rs9268905, P = 1.94E-54, per-allele OR = 1.79; and rs9275592, P = 1.14E-40, OR = 2.08). Additionally, PLG and P4HA2 were identified as GCA risk genes at the genome-wide level of significance (rs4252134, P = 1.23E-10, OR = 1.28; and rs128738, P = 4.60E-09, OR = 1.32, respectively). Interestingly, we observed that the association peaks overlapped with different regulatory elements related to cell types and tissues involved in the pathophysiology of GCA. PLG and P4HA2 are involved in vascular remodelling and angiogenesis, suggesting a high relevance of these processes for the pathogenic mechanisms underlying this type of vasculitis

    Weather forecasts and climate prediction at CPTEC

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    Numerical weather forecasts and climate predictions have been performed at CPTEC since 1995 using the spectral numerical global circulation model, CPTEC/COLA AGCM with T62L28 resolution. Due to the chaotic behaviour of the atmosphere, it is desirable that a prediction be a result of several integrations with different initial conditions. The technique of ensemble prediction reduces the impact of the initial condition uncertainty on the final result. In climate prediction the initial sates are given by conditions of consecutive days. However, in weather forecast there are several methods to generate the initial conditions which must represent the initial uncertainty of the analysis field. In this paper the ensemble prediction system used at CPTEC is shown for both weather forecast and climate prediction.Pages: on lin

    An analysis of daily maximum wind speed in Northwestern Europe using generalized models

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    Using monthly mean data, daily data, and theoretical arguments, relationships between surface pressure variations associated with the North Atlantic Oscillation (NAO), tropopause height, and the strength of the stratospheric vortex are established. An increase in the NAO index leads to a stronger stratospheric vortex, about 4 days later, as a result of increased equatorward refraction of upward-propagating Rossby waves. At tropopause level the effects of the enhanced NAO index and stratospheric polar vortex are opposite, resulting in a lower tropopause over Iceland and a higher tropopause over the Arctic. The raising of the Arctic tropopause leads to a stretching and spinup of the tropospheric column and is therefore associated with a lowering of the surface pressure near the North Pole. For monthly mean data it is found that a standard deviation increase in the NAO index is associated with a 10% increase in the strength of the stratospheric vortex, as measured by potential vorticity at 500 K. A simple theoretical model predicts that this is associated with about 300-m elevation of the Arctic tropopause, as is observed, and a 5-hPa lowering of the surface pressure at the North Pole. The effects of the spinup of the tropospheric column may project on the NAO pattern so that the stratosphere acts as an integrator of the NAO index

    AMOC decline and recovery in a warmer climate

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    Abstract This study presents novel insight into the mechanisms of Atlantic Meridional Overturning Circulation (AMOC) reduction and its recovery under a warmer climate scenario. An one-thousand-year-long numerical simulation of a global coupled ocean–ice–atmosphere climate model, subjected to a stationary atmospheric radiative forcing, depict a coherent picture of the Arctic sea ice melting as a trigger for the initial AMOC reduction, along with decreases in the northward fluxes of salt and heat. Further atmospheric-driven ocean processes contribute to an erosion of the stable stratification of the fresher, yet colder waters in the surface layers of the North Atlantic, contributing to the recovery of a permanently altered AMOC
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