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The interaction between HLA-DRB1 and smoking in Parkinson's disease revisited

  • Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (Courage-PD) Consortium

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Abstract

Background
Two studies that examined the interaction between HLA-DRB1 and smoking in Parkinson's disease (PD) yielded findings in opposite directions.

Objective
To perform a large-scale independent replication of the HLA-DRB1 × smoking interaction.

Methods
We genotyped 182 single nucleotide polymorphism (SNPs) associated with smoking initiation in 12 424 cases and 9480 controls to perform a Mendelian randomization (MR) analysis in strata defined by HLA-DRB1.

Results
At the amino acid level, a valine at position 11 (V11) in HLA-DRB1 displayed the strongest association with PD. MR showed an inverse association between genetically predicted smoking initiation and PD only in absence of V11 (odds ratio, 0.74, 95% confidence interval, 0.59–0.93, PInteraction = 0.028). In silico predictions of the influence of V11 and smoking-induced modifications of α-synuclein on binding affinity showed findings consistent with this interaction pattern.

Conclusions
Despite being one of the most robust findings in PD research, the mechanisms underlying the inverse association between smoking and PD remain unknown. Our findings may help better understand this association. © 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society
Original languageEnglish
Pages (from-to) 1929-1937
Number of pages9
JournalMovement Disorders
Volume37
Issue number9
Early online date10 Jul 2022
DOIs
Publication statusPublished - Sept 2022

Keywords

  • Parkinson's disease
  • HLA
  • gene-environment interaction
  • smoking

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