Journal
JOURNAL OF INVESTIGATIVE DERMATOLOGY
Volume 130, Issue 5, Pages 1213-1226Publisher
ELSEVIER SCIENCE INC
DOI: 10.1038/jid.2009.319
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Funding
- National Institute of Arthritis, Musculoskeletal, and Skin Diseases
- National Institutes of Health
- Ann Arbor VA Hospital
- Dudley and Dawn Holmes Fund
- Babcock Memorial Trust
- National Psoriasis Foundation
- Dermatology Foundation
- American Skin Association
- National Center for Research Resources, National Institutes of Health [M01 RR00042]
- University of Michigan General Clinical Research Center
- NATIONAL CENTER FOR RESEARCH RESOURCES [M01RR000042] Funding Source: NIH RePORTER
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Psoriasis is a common and debilitating disease of the skin, nails, and joints, with an acknowledged but complex genetic basis. Early genome-wide linkage studies of psoriasis focused on segregation of microsatellite markers in families; however, the only locus consistently identified resided in the major histocompatibility complex. Subsequently, several groups mapped this locus to the vicinity of HLA-C, and two groups have reported HLA-Cw6 itself to be the major susceptibility allele. More recently, the development of millions of single-nucleotide polymorphisms, coupled with the development of high-throughput genotyping platforms and a comprehensive map of human haplotypes, has made possible a genome-wide association approach using cases and controls rather than families. Taking advantage of these developments, we participated in a collaborative genome-wide association study of psoriasis involving thousands of cases and controls. Initial analysis of these data revealed and/or confirmed association between psoriasis and seven genetic loci-HLA-C, IL12B, IL23R, IL23A, IL4/IL13, TNFAIP3, and TNIP1-and ongoing studies are revealing additional loci. Here, we review the epidemiology, immunopathology, and genetics of psoriasis, and present a disease model integrating its genetics and immunology.
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