AUTHOR=Zhang Xiao-Xue , You Jun-Peng , Liu Xin-Ran , Zhao Ya-Fei , Cui Yan , Zhao Zhan-Zheng , Qi Yuan-Yuan TITLE=PRDX6AS1 gene polymorphisms and SLE susceptibility in Chinese populations JOURNAL=Frontiers in Immunology VOLUME=Volume 13 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2022.987385 DOI=10.3389/fimmu.2022.987385 ISSN=1664-3224 ABSTRACT=Background Systemic lupus erythematosus (SLE) is a complex, multisystem autoimmune disease that is characterized by the production of autoantibodies. Although accumulated evidences have been suggested that the dysregulation of lncRNAs is involved in the pathogenesis of SLE, the genetic contributions of lncRNA coding genes to SLE susceptibility remain largely unknown. Here, we aimed to provide more evidence for the role of lncRNA coding genes in SLE susceptibility. Methods The genetic association analysis was first adopted from the previous GWAS and was then validated in an independent cohort. PRDX6-AS1 is located at chr1:173204199-173446294. It spans a region of approximately 240 kb, and 297 SNPs were covered by the previous GWAS. Differential expression at the mRNA level was analyzed based on the ArrayExpress Archive database. Results A total of 33 SNPs were associated with SLE susceptibility, with a p < 1.68×10-4. The strongest association signal was detected at rs844649 (p = 2.12×10-6), according to the previous GWAS. Combining the results from the GWAS Chinese cohort and our replication cohort, we pursued a meta-analysis approach and found a pronounced genetic association between PRDX6-AS1 rs844649 and SLE susceptibility (pmeta = 1.24×10-13, OR 1.50, 95% CI 1.34-1.67). The mRNA expression of PRDX6 was elevated in peripheral blood cells, PBMCs and multiple cell subpopulations, including B cells, CD4+ T cells, CD3+ cells, and monocytes, in SLE patients. The PRDX6 protein expression level was also increased in patients with SLE compared with healthy donors. Conclusion Our study provides new evidence that variants located in lncRNA coding genes are associated with SLE susceptibility.