Review Article

Genetic Risk Factors of Systemic Lupus Erythematosus in the Malaysian Population: A Minireview

Table 1

Summary of associations between candidate genes and SLE susceptibility in the Malaysian population.

GeneEthnicityCasesControlsAllotype/minor allele frequencyP valueRR/ORReference
CasesControls

HLA
 DR2Malays565948 (85.7%)36 (61%)0.03#3.83[16]
 DQB1*0501Malays565927 (48.2%)10 (16.9%)0.0036#4.56[16]
Chinese706619 (27.1%)5 (7.6%)0.003#4.55[17]
 DQB1*0601Malays565920 (35.7%)5 (8.5%)0.0048#6.00[16]
Chinese706628 (40%)9 (13.6%)0.006#4.22[17]
 DQA1*0102Chinese706661 (43.6%)44 (33.3%)0.032#3.39[17]
 DPB1*0901Chinese706622 (31.4%)6 (9.1%)0.02#4.58[17]
 DRw15Chinese876637.9%10.6%<0.006#5.2[18]
 DQw1Chinese886375.0%57.1%<0.006#5.2[18]
 A*1101, 1102Malaysian16010733.05%18.69%0.0002#2.147[19]
 DRB5*0101, 0102, 0201, 0202, 0203Malaysian16010756.52%41.90%0.0014#1.802[19]
 DRB3*0101, 0201, 0202, 0203, 0301Malaysian16010742.03%71.43%0.000#0.290[19]
 DQB1*05Malaysian16010737.80%20.61%0.0000#2.341[19]
 DQB1*0301, 0304Malaysian16010712.80%32.89%0.0000#0.300[19]
 DRB1*0701Malays614914.13%4.76%0.0356#3.291[19]
 DRB4*0101101, 0102, 0103 (not DR53N)Malays614947.83%19.05%0.0001#3.896[19]
 DRB1*1601-1606Chinese995814.46%3.79%0.0030#4.090[19]
 DRB5*0101, 0102, 0201, 0202, 0203Chinese995851.81%34.92%0.0040#2.003[19]

C4
 2bp insertions (+TC) at codon 1213 in exon 29Malaysian13013000[20]
 1bp deletions (−C) at codon 811 in exon 20Malaysian13013000[20]
 1bp deletion (−C) at codon 522 in exon 13Malaysian13013000[20]
 2bp deletions (−GT) at codon 497 in exon 13Malaysian13013000[20]
 Null allelesMalaysian130130[20]
  C4A*Q002
  C4B*Q020
 C4A gene with long C4B geneChinese856357.6%68.3%[18]
 C4A gene with short C4B geneChinese856367.1%76.2%[18]
 C4A or C4B gene deletionChinese856334.1%27.0%[18]
 C4XChinese856341.2%28.6%[18]

C1q
 C1qA-Gln186 Malaysian13013000[21]
 C1qB-Gly15 Malaysian13013000[21]
 C1qB-Arg150 Malaysian13013000[21]
 C1qC-Gly6 Malaysian13013000[21]
 C1qC-Arg41 Malaysian13013000[21]
 C1qA-Gly70 Malaysian13013047450.6601.081[21]
 C1qC-Pro14 Malaysian13013075790.2540.789[21]

TNF
 TNF-α −308 G/AChinese705937200.003#1.42[22]
Malaysian10010042220.0064#2.1507[23]
 TNF-β +252 A/GMalaysian1001001171110.54461.1303[23]

FcγR
 FcγRIIA (H131R)Chinese1751080.400.450.32000.83[24]
Malays50500.340.370.76760.88[24]
 FcγRIIIB (NA1 or NA2)Chinese1831000.3470.32[7]
Malays55500.380.38[7]

CD28
 IVS3 +17 T/CMalaysian10010046 (23)41(20.5)0.54461.1584[25]

CTLA-4
 Exon 1 (+49 A/G)Malaysian130130155 (0.60)151 (0.58)0.7220.94[26]
 Promoter site (−1722 T/C)Malaysian13013090 (0.35)103 (0.40)0.2380.81[26]
 Promoter site (−1661 A/G)Malaysian13013027 (0.10)37 (0.14)0.1821.43[26]
 Promoter site (−318 C/T)Malaysian13013019 (0.07)18 (0.07)0.8651.06[26]
 3′-UTR (+6230 A/G)Malaysian13013034 (0.13)22 (0.09)0.1171.63[26]

IL
 IL-1β −511 C/TMalaysian10010096139<0.05#0.4051[27]
 IL-1β +3954 E1/E2Malaysian1001004977<0.05#0.5184[27]
 IL-1RNMalaysian100100[28]
  IL-1RN*1196 (96%)180 (90%)0.019#2.667
  IL-1RN*26(3%)18 (9%)0.012#0.313
 IL-4 third intron RPI/RPIIMalaysian10010054 (27%)55 (27%)0.91060.9751[8]
 IL-6 −174 G/CMalaysian10010053 (26.5%)95 (47.5%)0.0000136#0.3985[29]
 IL-10 −1082 G/AMalaysian44448 (9%)12 (13%)0.342[30]
 IL-10 −824 C/TMalaysian444455 (62.5%)53 (60%)0.757[30]
 IL-10 −597C/AMalaysian444455 (62.5%)53 (60%)0.757[30]

 ACE I/D dimorphismMalaysian170190117 (34.4%)138 (36.8%)0.59380.9201[31]
 RANTES-28 C/GMalaysian13013014190.36840.7219[32]
 SDF-1 3′ UTR G801AMalaysian1301301161320.16010.7811[32]

#-significant association, RR: relative risk, OR: odds ratio, not studied.