Abstract
Individuals with rheumatoid arthritis frequently have autoantibodies to citrullinated peptides, suggesting the involvement of the peptidylarginine deiminases citrullinating enzymes (encoded by PADI genes) in rheumatoid arthritis. Previous linkage studies have shown that a susceptibility locus for rheumatoid arthritis includes four PADI genes but did not establish which PADI gene confers susceptibility to rheumatoid arthritis. We used a case-control linkage disequilibrium study to show that PADI type 4 is a susceptibility locus for rheumatoid arthritis (P = 0.000008). PADI4 was expressed in hematological and rheumatoid arthritis synovial tissues. We also identified a haplotype of PADI4 associated with susceptibility to rheumatoid arthritis that affected stability of transcripts and was associated with levels of antibody to citrullinated peptide in sera from individuals with rheumatoid arthritis. Our results imply that the PADI4 haplotype associated with susceptibility to rheumatoid arthritis increases production of citrullinated peptides acting as autoantigens, resulting in heightened risk of developing the disease.
Similar content being viewed by others
References
Seldin, M.F., Amos, C.I., Ward, R. & Gregersen, P.K. The genetics revolution and the assault on rheumatoid arthritis. Arthritis Rheum. 42, 1071–1079 (1999).
Gregersen, P.K., Silver, J. & Winchester, R.J. The shared epitope hypothesis. An approach to understanding the molecular genetics of susceptibility to rheumatoid arthritis. Arthritis Rheum. 30, 1205–1213 (1987).
Nepom, G.T. Major histocompatibility complex–directed susceptibility to rheumatoid arthritis. Adv. Immunol. 68, 315–332 (1998).
Weyand, C.M. & Goronzy, J.J. Association of MHC and rheumatoid arthritis. HLA polymorphisms in phenotypic variants of rheumatoid arthritis. Arthritis Res. 2, 212–216 (2000).
Cornelis, F. et al. New susceptibility locus for rheumatoid arthritis suggested by a genome-wide linkage study. Proc. Natl. Acad. Sci. USA 95, 10746–10750 (1998).
Jawaheer, D. et al. A genome-wide screen in multiplex rheumatoid arthritis families suggests genetic overlap with other autoimmune diseases. Am. J. Hum. Genet. 68, 927–936 (2001).
MacKay, K. et al. Whole-genome linkage analysis of rheumatoid arthritis susceptibility loci in 252 affected sibling pairs in the United Kingdom. Arthritis Rheum. 46, 632–639 (2002).
Shiozawa, S. et al. Identification of the gene loci that predispose to rheumatoid arthritis. Int. Immunol. 10, 1891–1895 (1998).
Schellekens, G.A., de Jong, B.A., van den Hoogen, F.H., van de Putte, L.B. & van Venrooij, W.J. Citrulline is an essential constituent of antigenic determinants recognized by rheumatoid arthritis-specific autoantibodies. J. Clin. Invest. 101, 273–281 (1998).
Menard, H.A., Lapointe, E., Rochdi, M.D. & Zhou, Z.J. Insights into rheumatoid arthritis derived from the Sa immune system. Arthritis Res. 2, 429–432 (2000).
Schellekens, G.A. et al. The diagnostic properties of rheumatoid arthritis antibodies recognizing a cyclic citrullinated peptide. Arthritis Rheum. 43, 155–163 (2000).
Nogueira, L. et al. Performance of two ELISAs for antifilaggrin autoantibodies, using either affinity purified or deiminated recombinant human filaggrin, in the diagnosis of rheumatoid arthritis. Ann. Rheum. Dis. 60, 882–887 (2001).
Goldbach-Mansky, R. et al. Rheumatoid arthritis associated autoantibodies in patients with synovitis of recent onset. Arthritis Res. 2, 236–243 (2000).
Masson-Bessiere, C. et al. The major synovial targets of the rheumatoid arthritis-specific antifilaggrin autoantibodies are deiminated forms of the α- and β-chains of fibrin. J. Immunol. 166, 4177–4184 (2001).
Baeten, D. et al. Specific presence of intracellular citrullinated proteins in rheumatoid arthritis synovium: relevance to antifilaggrin autoantibodies. Arthritis Rheum. 44, 2255–2262 (2001).
Zhou, Z. & Menard, H.A. Autoantigenic posttranslational modifications of proteins: does it apply to rheumatoid arthritis? Curr. Opin. Rheumatol. 14, 250–253 (2002).
Ozaki, K. et al. Functional SNPs in the lymphotoxin-α gene that are associated with susceptibility to myocardial infarction. Nat. Genet. 32, 650–654 (2002).
Ohnishi, Y. et al. A high-throughput SNP typing system for genome-wide association studies. J. Hum. Genet. 46, 471–477 (2001).
McIntyre, L.M., Martin, E.R., Simonsen, K.L. & Kaplan, N.L. Circumventing multiple testing: a multilocus Monte Carlo approach to testing for association. Genet. Epidemiol. 19, 18–29 (2000).
Nakashima, K. et al. Molecular characterization of peptidylarginine deiminase in HL-60 cells induced by retinoic acid and 1alpha,25-dihydroxyvitamin D(3). J. Biol. Chem. 274, 27786–27792 (1999).
Cuadrado, A. et al. HuD binds to three AU-rich sequences in the 3′ UTR of neuroserpin mRNA and promotes the accumulation of neuroserpin mRNA and protein. Nucleic Acids Res. 30, 2202–2211 (2002).
Vincent, C. et al. Detection of antibodies to deiminated recombinant rat filaggrin by enzyme-linked immunosorbent assay: a highly effective test for the diagnosis of rheumatoid arthritis. Arthritis Rheum. 46, 2051–2058 (2002).
van Venrooij, W.J. & Pruijn, G.J. Citrullination: a small change for a protein with great consequences for rheumatoid arthritis. Arthritis Res. 2, 249–251 (2000).
Vincent, C. et al. High diagnostic value in rheumatoid arthritis of antibodies to the stratum corneum of rat oesophagus epithelium, so-called 'antikeratin antibodies'. Ann. Rheum. Dis. 48, 712–722 (1989).
Gomes-Daudrix, V. et al. Immunoblotting detection of so-called 'antikeratin antibodies': a new assay for the diagnosis of rheumatoid arthritis. Ann. Rheum. Dis. 53, 735–742 (1994).
Vincent, C. et al. Immunoblotting detection of autoantibodies to human epidermis filaggrin: a new diagnostic test for rheumatoid arthritis. J. Rheumatol. 25, 838–846 (1998).
Shibue, T. et al. Tumor necrosis factor α 5′-flanking region, tumor necrosis factor receptor II, and HLA-DRB1 polymorphisms in Japanese patients with rheumatoid arthritis. Arthritis Rheum. 43, 753–757 (2000).
de Vries, N., Tijssen, H., van Riel, P.L. & van de Putte, L.B. Reshaping the shared epitope hypothesis: HLA-associated risk for rheumatoid arthritis is encoded by amino acid substitutions at positions 67-74 of the HLA-DRB1 molecule. Arthritis Rheum. 46, 921–928 (2002).
Risch, N. & Merikangas, K. The future of genetic studies of complex human diseases. Science 273, 1516–1517 (1996).
Schildkraut, J.M. Examining complex genetic interactions. in Approach to Gene Mapping in Complex Human Diseases (eds. J.L. Haines and M.A. Pericak-Vance) 379–410 (Wiley-Liss, New York, 1998).
Asaga, H., Nakashima, K., Senshu, T., Ishigami, A. & Yamada, M. Immunocytochemical localization of peptidylarginine deiminase in human eosinophils and neutrophils. J. Leukoc. Biol. 70, 46–51 (2001).
Pillinger, M.H. & Abramson, S.B. The neutrophil in rheumatoid arthritis. Rheum. Dis. Clin. North Am. 21, 691–714 (1995).
Hirano, T. Revival of the autoantibody model in rheumatoid arthritis. Nat. Immunol. 3, 342–344 (2002).
Zhou, X. et al. Association of novel polymorphisms with the expression of SPARC in normal fibroblasts and with susceptibility to scleroderma. Arthritis Rheum. 46, 2990–2999 (2002).
Yang, T., McNally, B.A., Ferrone, S., Liu, Y. & Zheng, P. A single nucleotide deletion leads to rapid degradation of TAP-1 mRNA in a melanoma cell line. J. Biol. Chem. 278, 15291–15296 (2003).
Jansen, A.L. et al. Rheumatoid factor and antibodies to cyclic citrullinated Peptide differentiate rheumatoid arthritis from undifferentiated polyarthritis in patients with early arthritis. J. Rheumatol. 29, 2074–2076 (2002).
Arnett, F.C. et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 31, 315–324 (1988).
Hirakawa, M. et al. JSNP: a database of common gene variations in the Japanese population. Nucleic Acids Res. 30, 158–162 (2002).
Ott, J. Counting methods (EM algorithm) in human pedigree analysis: linkage and segregation analysis. Ann. Hum. Genet. 40, 443–454 (1977).
Devlin, B. & Risch, N. A comparison of linkage disequilibrium measures for fine-scale mapping. Genomics 29, 311–322 (1995).
Acknowledgements
We wish to thank E. Tatsu, K. Kobayashi, M. Mito, N. Iwamoto and the other members of the rheumatoid arthritis team for their advice and technical assistance; H. Kawakami for his expertise in computer programming; and many members of the SNP Research Center for helpful discussions and assistance with various aspects of this study. This work was supported by a grant from the Japanese Millennium Project.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Supplementary information
Rights and permissions
About this article
Cite this article
Suzuki, A., Yamada, R., Chang, X. et al. Functional haplotypes of PADI4, encoding citrullinating enzyme peptidylarginine deiminase 4, are associated with rheumatoid arthritis. Nat Genet 34, 395–402 (2003). https://doi.org/10.1038/ng1206
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/ng1206
- Springer Nature America, Inc.
This article is cited by
-
A quantitative and site-specific atlas of the citrullinome reveals widespread existence of citrullination and insights into PADI4 substrates
Nature Structural & Molecular Biology (2024)
-
Implications of Peptidyl Arginine Deiminase 4 gene transcription and polymorphisms in susceptibility to rheumatoid arthritis in an Iranian population
BMC Medical Genomics (2023)
-
Alleviation of arthritis through prevention of neutrophil extracellular traps by an orally available inhibitor of protein arginine deiminase 4
Scientific Reports (2023)
-
Artificial intelligence-based preventive, personalized and precision medicine for cardiovascular disease/stroke risk assessment in rheumatoid arthritis patients: a narrative review
Rheumatology International (2023)
-
Genetics of rheumatoid arthritis
Seminars in Immunopathology (2022)