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Multiple genome-wide association studies have established TNIP1 as a susceptibility locus for systemic lupus erythematosus (SLE). A Chinese Han GWAS in 1,047 cases and 1,205 controls with replication in 3,152 cases and 7,050 controls identified TNIP1 among nine novel loci (P_combined ≤2.77×10⁻⁸) (PMID:19838193). An independent replication in 1,963 cases and 4,329 controls confirmed TNIP1 with an odds ratio of 1.27 (PMID:19838195).
Subsequent multi-ethnic fine-mapping in 8,372 SLE cases and 7,492 controls across European, African American, Hispanic, East Asian and Gullah populations identified two independent TNIP1 risk haplotypes associated with reduced TNIP1 mRNA and ABIN-1 protein levels, supporting a hypomorphic mechanism (PMID:22833143). In Caucasian cohorts, the association of TNIP1 was particularly pronounced in SLE patients with renal and immunological involvement, consistent with earlier Asian findings (PMID:23249952).
Functional characterization of the SLE-associated H1 risk haplotype demonstrated that 11 noncoding variants cumulatively suppress enhancer activity and nuclear protein binding in EBV-transformed B cells, Jurkat and THP-1 cells. Two variants (rs10057690, rs13180950) exhibited allele-specific loss of enhancer function (P3) (PMID:31804013).
In keratinocyte models, siRNA-mediated TNIP1 knockdown combined with TLR3 stimulation (poly(I:C)) led to hyperinduction of inflammasome components (ASC, procaspase-1) and wound-healing markers (S100A8, TGFβ, CCN2), yet paradoxically impaired reepithelialization and viability due to reduced phospho-A20—highlighting a regulatory role of TNIP1 in NF-κB and inflammasome pathways (PMID:32377162).
No monogenic segregation data are available for TNIP1 in SLE, reflecting a complex multifactorial inheritance. Nonetheless, the consistent replication in >12,000 cases and functional concordance of regulatory risk variants support a Moderate gene–disease validity under ClinGen criteria.
Key Take-Home: TNIP1 risk haplotypes confer moderate susceptibility to SLE via hypomorphic ABIN-1 expression driven by enhancer variants, providing potential targets for personalized risk stratification and therapeutic modulation.
Gene–Disease AssociationModerateMultiple GWAS in >12,000 SLE cases and controls across diverse populations with replicated TNIP1 associations (OR 1.17–1.27) and concordant fine-mapping results Genetic EvidenceModerateTNIP1 risk variants replicated in 8,372 cases and 7,492 controls with genome-wide significance and population-specific effects (PMID:19838193; PMID:19838195; PMID:23249952; PMID:22833143) Functional EvidenceModerateRegulatory haplotype experiments (luciferase, EMSA, HiChIP, qRT-PCR) show enhancer disruption and hypomorphic ABIN-1 expression in immune cells (PMID:31804013); keratinocyte knockdown confirms NF-κB/inflammasome impact (PMID:32377162) |