A defunctioning polymorphism in FCGR2B is associated with protection against malaria but susceptibility to systemic lupus erythematosus

LC Willcocks, EJ Carr, HA Niederer… - Proceedings of the …, 2010 - National Acad Sciences
LC Willcocks, EJ Carr, HA Niederer, TF Rayner, TN Williams, W Yang, JAG Scott, BC Urban
Proceedings of the National Academy of Sciences, 2010National Acad Sciences
Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease more prevalent
in people of African and Asian origin than Caucasian origin. FcγRIIb is an inhibitory Fc
receptor with a critical role in immune regulation. Mouse data suggest that FcγRIIb
deficiency increases susceptibility to autoimmune disease but protects against infection. We
show that a SNP in human FCGR2B that abrogates receptor function is strongly associated
with susceptibility to SLE in both Caucasians and Southeast Asians. The minor allele of this …
Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease more prevalent in people of African and Asian origin than Caucasian origin. FcγRIIb is an inhibitory Fc receptor with a critical role in immune regulation. Mouse data suggest that FcγRIIb deficiency increases susceptibility to autoimmune disease but protects against infection. We show that a SNP in human FCGR2B that abrogates receptor function is strongly associated with susceptibility to SLE in both Caucasians and Southeast Asians. The minor allele of this SNP is more common in Southeast Asians and Africans, populations from areas where malaria is endemic, than in Caucasians. We show that homozygosity for the minor allele is associated with substantial protection against severe malaria in an East African population (odds ratio = 0.56; P = 7.1 × 10−5). This protective effect against malaria may contribute to the higher frequency of this SNP and hence, SLE in Africans and Southeast Asians.
National Acad Sciences