Preprint Initial findings from the DecodeME genome-wide association study of myalgic encephalomyelitis/chronic fatigue syndrome, 2025, DecodeMe Collaboration

The relevance here is that in the first exposure of the DecodeME data to the advisory board Chris showed a nice peak in MHC. I was puzzled when I saw the published data with a peak for BTN2A2 on chromosome 6 but nothing else. As far as I can see the reason is that BTN2A2 is within MHC.

Would it be an idea to ask Chris if this is the case? It seems like a very important point to get clear on.
 
To put this into a biological systems context, some physiology is required. In the gastrointestinal tract, epithelial cells proliferate and die rapidly. The division of these cells occurs at the base of villi, and cells are pushed upwards by subsequent divisions to the tip where they enter apoptosis and shed off into the lumen. Netrin-1 is produced in the base of the villi, so a gradient of netrin is present that is weakest at the tip. In normal physiology, the presence of netrin-1 inhibits DCC-mediated cell death until the epithelial cell reaches the tip of the villus, where the now unbound DCC causes the cell to enter apoptosis. In a cancer state, the absence of DCC prevents the gradient from having an effect on the cell, making it more likely to continue to survive.
DCC is a netrin-1 receptor, and it seems to be relevant to the functioning of epithelial cells of various sorts.

Predicted to be involved in several processes, including establishment or maintenance of epithelial cell apical/basal polarity
What is Epithelial Cell Polarity?
  • Asymmetrical Structure:
    Epithelial cells are oriented with distinct "poles" – an apical surface that faces a lumen or the outside of the organism, and a basolateral surface that faces other cells or the underlying extracellular matrix (basement membrane).

  • Structural Organization:
    This orientation allows the cells to form organized sheets and maintain their position within tissues.

  • Functional Barrier:
    Polarity is vital for the selective transport of ions, water, and other molecules across the epithelial layer, ensuring a controlled passage between different compartments of the body.
I thought epithelial polarity was an interesting idea linking those two genes, so just throwing it out there. Apparently bacteria can disrupt epithelial cell polarity, although I'm not sure how it would stay disrupted. I think T cells can disrupt epithelial cell polarity too, e.g.

Co-culture with acutely and chronically activated T cells decreased the magnitude of ion flux through the pore pathway, which was maintained in the presence of acutely activated T cells. Chronically activated T cells after 30 hours induced a precipitous increase in the magnitude of both ion and molecular flux, resulting in an increase in the unrestricted pathway, destruction of microvilli, expansion in cell surface area, and cell death. These fluctuations in permeability were the result of changes in the assembly and expression of tight junction proteins, cell morphology, and viability.


If epithelial cell polarity was disrupted, that might make problems related to the absorption of molecules across epithelium. For example, vascular epithelial issues could cause faulty fluid and ion homeostasis, maybe accounting for muscle weakness and pain.

Maybe the flow of water and ions across the faulty vascular epithelium would be okay when the body is at rest. But when more demand is placed on the body, maybe when there are more activated T cells, that would result in a faulty vascular epithelium not delivering what is needed to tissues (or taking waste away).
 
My layman understanding:
  • One allele, HLA-DQA1*05:01, was significantly associated with ME/CFS.
  • Its frequency was lower in cases (21.7%) compared to controls (23.2%) (the finding held even when they restricted analysis to a genetically more uniform group).
  • The association was very statistically strong (p = 1.4 × 10^{-10}).
However:
  • They checked related alleles (HLA-DRB1*03:01 and HLA-DQB1*02:01) but didn’t find strong associations (p-values were not significant: 0.27 and 0.042).
  • This was a bit surprising, since these alleles are often inherited together with HLA-DQA1*05:01.
Next steps:
They caution that the results are based on imputed data. They want to repeat the analysis using directly imputed HLA alleles for both cases and controls together to confirm whether this association is real or not.
 
it may also be worth remembering that 'MHC' originally refers to gene products that determine histocompatibility of allograft cells - which is not to do with their antigen presenting function.
Indeed. And the alleles that matter for compatibility are the ones in the actual HLA protein complexes.
 
A gene that hasn't been disucssed much is TAOK3 on chromosome 12 (it wasn't a Tier 1 gene). It has been previously been associated with Lupus at around the same region as in DecodeME. The vertical dotted line in the graph below shows the location for the Lupus hit (12:118244946) with the SNP summary data from DecodeME.


1758826778973.png

The Lupus GWAS said this about it:
We also identified a missense variant in TAOK3 (the gene for tau kinase 3) as the top association signal in this locus. The risk allele (rs428073-T) substitutes the 47th amino acid of TAOK3 fromserine to asparagine (S47N), whose functional role remains unknown. S47 is located at the loop region between strands β2and β3, and the substitution should not change the overall strucure of the protein, despite being well conserved among orthologous proteins during evolutionary courses (SupplementaryFigure 10, on the Arthritis & Rheumatology website at https://onlinelibrary.wiley.com/doi/10.1002/art.42021). Taok3 plays animportant role in DNA damage–induced activation of the p38/MAPK14 stress-activated MAPK cascade. It enhances T cell receptor signaling by regulating its negative feedback by SH2domain–containing phosphatase 1 (44), and Taok3 deficiency in mice was found to cause defects in the development of marginalzone B cells but not follicular B cells (45).
 
"It enhances T cell receptor signaling by regulating its negative feedback by SH2domain–containing phosphatase 1 (44), and Taok3 deficiency in mice was found to cause defects in the development of marginalzone B cells but not follicular B cells (45)."

Intriguing. An influence on SHIP1 would make some sense. Marginal zone B cell behaviour is odd in lupus too.
 
A gene that hasn't been disucssed much is TAOK3 on chromosome 12 (it wasn't a Tier 1 gene). It has been previously been associated with Lupus at around the same region as in DecodeME. The vertical dotted line in the graph below shows the location for the Lupus hit (12:118244946) with the SNP summary data from DecodeME.


View attachment 28547

The Lupus GWAS said this about it:

Is this for the same hit that was annotated to SUDS3 in DecodeME?
 
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