KLF2 enhancer variant rs4808485 increases lupus risk by modulating inflammasome machinery and cellular homoeostasis

• Published in: Annals of the rheumatic diseases Vol. 83; no. 7; p. 879
• Main Authors: Singh, Manish Kumar, Rallabandi, Harikrishna Reddy, Zhou, Xu-Jie, Qi, Yuan-Yuan, Zhao, Zhan-Zheng, Gan, Ting, Zhang, Hong, Looger, Loren L, Nath, Swapan K
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 01.07.2024
• Subjects: Bioinformatics; Case-Control Studies; Cell cycle; Cell growth; Cell proliferation; Chromatin; Chromosomes; Conformation; CRISPR; Enhancer Elements, Genetic; Epigenetics; Ethnicity; Gene expression; Genetic Predisposition to Disease; Genome editing; Genome-wide association studies; Genome-Wide Association Study; Genomes; Histones; Homeostasis - genetics; Humans; Immunoprecipitation; Inflammasomes; Inflammasomes - genetics; Inflammation; Krueppel-like factor; Kruppel-Like Transcription Factors - genetics; Lupus; Lupus Erythematosus, Systemic - genetics; Lupus nephritis; Lupus Nephritis - genetics; NLR Family, Pyrin Domain-Containing 3 Protein - genetics; NLR Family, Pyrin Domain-Containing 3 Protein - metabolism; Patients; Plasmids; Poly(ADP-ribose) polymerase; Polymorphism, Single Nucleotide; Promoter Regions, Genetic - genetics; Proteins; Quantitative Trait Loci; RNA polymerase; Statistical significance; Systemic lupus erythematosus; United States > US; Oklahoma; Immune System Diseases; Lupus Erythematosus, Systemic; Risk Factors; Polymorphism, Genetic
• ISSN: 0003-4967; 1468-2060
• DOI: 10.1136/ard-2023-224953

A recent genome-wide association study linked KLF2 as a novel Asian-specific locus for systemic lupus erythematosus (SLE) susceptibility. However, the underlying causal functional variant(s), cognate target gene(s) and genetic mechanisms associated with SLE risk are unknown. We used bioinformatics to prioritise likely functional variants and validated the best candidate with diverse experimental techniques, including genome editing. Gene expression was compared between healthy controls (HCs) and patients with SLE with or without lupus nephritis (LN+, LN-). Through bioinformatics and expression quantitative trait locus analyses, we prioritised rs4808485 in active chromatin, predicted to modulate KLF2 expression. Luciferase reporter assays and chromatin immunoprecipitation-qPCR demonstrated differential allele-specific enhancer activity and binding of active histone marks (H3K27ac, H3K4me3 and H3K4me1), Pol II, CTCF, P300 and the transcription factor PARP1. Chromosome conformation capture-qPCR revealed long-range chromatin interactions between rs4808485 and the These were directly validated by CRISPR-based genetic and epigenetic editing in Jurkat and lymphoblastoid cells. Deleting the rs4808485 enhancer in Jurkat (KO) cells disrupted NLRP3 inflammasome machinery by reducing and increasing and levels. Knockout cells also exhibited higher proliferation and cell-cycle progression than wild type. RNA-seq validated interplay between and inflammasome machinery in HC, LN+ and LN-. We demonstrate how rs4808485 modulates the inflammasome and cellular homoeostasis through regulating expression. This establishes mechanistic connections between rs4808485 and SLE susceptibility.