Research

Psoriasis & Spondyloarthropathy

How your genes influence psoriasis, psoriatic arthritis, ankylosing spondylitis, and IL-23/Th17-driven skin and joint inflammation

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Genetic Variants (35)

rs10045431

(IL12B)

Upstream tagging SNP at the IL12B locus that marks the Th1/Th17 risk haplotype; the C allele is associated with elevated IL-12p40 expression and increased susceptibility to psoriasis, Crohn's disease, and other IL-12/IL-23-mediated autoimmune conditions

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rs10050860

(ERAP1 D575N)

Missense variant (Asp575Asn) in the ERAP1 catalytic domain that modestly reduces peptide trimming efficiency; the protective T allele (Asn575) is co-protective with rs30187 Arg528, with combined homozygous protective state conferring 3-4x lower ankylosing spondylitis risk in HLA-B27-positive individuals

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rs11652075

(CARD14 CARD14 Arg820Trp (R820W))

Missense variant in the keratinocyte NF-κB scaffold protein CARD14 that modestly elevates psoriasis susceptibility and strongly predicts favorable response to anti-TNF biologic therapy (adalimumab, etanercept, infliximab)

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rs12188300

(IL12B)

Near-gene variant at the IL12B locus associated with psoriasis risk through altered expression of the p40 subunit shared by IL-12 and IL-23 cytokines

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rs12191877

(HLA-C Tag for *06:02)

Tag SNP for HLA-C*06:02, the strongest genetic risk factor for psoriasis, determining disease phenotype and predicting differential response to biologic therapy

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rs12883343

(NFKBIA NFKBIA/IkB-alpha variant)

Regulatory variant near NFKBIA that specifically elevates risk for psoriatic arthritis over skin-only psoriasis, enabling early PsA risk stratification in people with psoriasis before irreversible joint damage occurs

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rs13190932

(TRAF3IP2 R74W)

Missense variant in the IL-17 adaptor Act1 (Arg74Trp) that is the primary GWAS hit for psoriatic arthritis at the TRAF3IP2 locus (OR=1.83, P=8.56×10⁻¹⁷); in strong LD with the functional D10N variant but appears to tag a partially overlapping, PsA-enriched haplotype

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rs13193677

(TRAF3IP2)

Intronic variant near the TRAF3IP2 locus (annotated in IPCEF1 at chr6q25.2 by dbSNP, 43 Mb distal) that was genotyped alongside TRAF3IP2 coding variants in SLE studies; the A allele is independently associated with SLE susceptibility (OR=1.73, P=0.046) and SLE pericarditis in the Ciccacci 2013 Italian cohort — completing the three-SNP TRAF3IP2/locus panel

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rs13196377

(TRAF3IP2 Intronic haplotype member)

Intronic tagging variant in the TRAF3IP2/TRAF3IP2-AS1 locus that distinguishes two independent psoriasis risk haplotypes; the minor A allele marks a secondary haplotype (OR=1.8 for psoriasis) while the common G allele co-segregates with the primary D10N risk haplotype (OR=2.7); together the four-SNP set provides full haplotype coverage at this IL-17 adaptor locus

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rs13210247

(TRAF3IP2)

Intronic variant in the TRAF3IP2 locus that lies within the antisense lncRNA TRAF3IP2-AS1 and amplifies IL-17 pathway dysregulation; the G allele is a gain-of-function mutation enhancing SRSF10 recruitment that suppresses IRF1-driven Act1 transcription; the G allele independently associates with psoriasis (OR=1.69) and co-occurs on a secondary risk haplotype (OR=1.8) alongside the primary risk haplotype carrying rs13210247_A (OR=2.7)

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rs1539243

(IKBKE IKBKE Ile67 synonymous variant)

Synonymous coding variant in exon 4 of IKBKE (IKK-epsilon); the C allele tags an IKBKE haplotype associated with increased SLE susceptibility through dysregulated type I interferon signaling, and has been implicated in antiviral innate immunity

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rs17482078

(ERAP1 R725Q)

Missense variant (Arg725Gln) in the ERAP1 peptide-binding domain that reduces aminopeptidase activity; the T allele tags the low-activity Hap10 haplotype, which is protective against ankylosing spondylitis and psoriasis but recessively increases Behçet's disease risk — especially in HLA-B*51 carriers

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rs17728338

(TNIP1 TNIP1/ABIN1 variant)

Intergenic regulatory variant near TNIP1 whose A allele reduces ABIN1-mediated NF-kB braking, conferring OR=1.69 for psoriasis per allele and substantially elevated generalized pustular psoriasis risk in homozygous carriers

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rs2066808

(IL23A)

Intronic variant near IL23A encoding the IL-23 p19 subunit; G allele increases psoriasis and psoriatic arthritis risk through elevated IL-23 signalling and Th17 activation

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rs2201841

(IL23R)

Intronic variant in the IL-23 receptor gene associated with increased risk of psoriasis, psoriatic arthritis, Crohn's disease, and ankylosing spondylitis through altered IL-23 signaling and Th17 cell activation

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rs2364480

(LTBR)

Synonymous coding variant in the lymphotoxin-beta receptor gene associated with altered LTBR signaling capacity and susceptibility to IgA nephropathy; the LTBR locus on chromosome 12p13 is independently implicated in ankylosing spondylitis at genome-wide significance

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rs2546890

(LOC285626 LOC285626 rs2546890)

Regulatory variant upstream of IL12B associated with increased risk of multiple sclerosis, psoriasis, and primary biliary cholangitis through altered IL-12/IL-23 cytokine expression

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rs26653

(ERAP1)

Missense variant (Arg127Pro) in ERAP1 that subtly alters ER peptide trimming kinetics, increasing autoimmune risk for psoriasis and ankylosing spondylitis particularly in individuals carrying HLA-C*06:02 or HLA-B27; association is strongest for disease onset in adolescence

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rs27044

(ERAP1 Gln730Glu)

Missense variant in the ERAP1 C-terminal regulatory domain modulating peptide trimming length-selectivity; Gln730 (G allele, risk) is part of hyperactive ERAP1 haplotypes that over-trim peptides for HLA class I presentation, increasing ankylosing spondylitis susceptibility in HLA-B27 carriers

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rs27524

(ERAP1)

Intronic ERAP1 variant that increases expression, raising psoriasis risk specifically in HLA-C*06:02 carriers through enhanced autoantigen trimming

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rs30187

(ERAP1 K528R)

Missense variant reducing ERAP1 aminopeptidase activity, increasing ankylosing spondylitis and psoriasis risk through altered MHC class I peptide trimming — effect contingent on HLA-B27 and HLA-C*06:02 carrier status

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rs3212227

(IL12B 3'UTR)

IL12B 3'-UTR variant forming the canonical two-SNP psoriasis risk haplotype with rs6887695; T allele (coding-strand A, risk) drives 12.5-fold higher IL12B expression and substantially elevated psoriasis susceptibility; G allele is protective and predicts better ustekinumab response

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rs3213094

(IL12B Promoter-region)

Intronic IL12B variant in linkage with the promoter-regulatory haplotype; T allele is protective against psoriasis and associated with better ustekinumab (anti-p40) response

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rs33980500

(TRAF3IP2 D10N)

Missense variant in Act1 that abolishes IL-17 signaling by disrupting TRAF6 binding, driving paradoxical hyperactivation of Th17 responses and psoriasis susceptibility

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rs3805435

(TNIP1)

Intronic variant in the GPX3/TNIP1 regulatory locus on chromosome 5; the C allele is protective against generalized pustular psoriasis (OR≈0.61 per C allele) by tagging a haplotype associated with maintained ABIN-1/NF-κB regulatory capacity

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rs41298997

(IKBKE)

Intronic variant in IKBKE (IKK-epsilon) associated with psoriasis susceptibility; the T allele modestly increases risk by influencing the dual NF-kB/type I interferon signaling node encoded by this kinase

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rs4349859

(HLA-B HLA-B27 proxy)

Intronic tag SNP located 41 kb centromeric of HLA-B and 5.4 kb telomeric of MICA; the A allele tags HLA-B*27:05 and related European HLA-B27 subtypes with 98% sensitivity and 99% specificity, serving as a genetic proxy for HLA-B27 status and enabling contextualization of ERAP1 × HLA-B27 epistasis in ankylosing spondylitis risk

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rs4406273

(HLA-C)

Near-HLA-C intergenic variant that tags HLA-C*06:02 haplotype, conferring risk for early-onset psoriasis vulgaris through MHC class I antigen presentation

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rs582757

(TNFAIP3 TNFAIP3 A20 regulatory variant)

Intronic regulatory variant in TNFAIP3 — the primary NF-kB brake gene — with the C allele independently increasing psoriasis susceptibility (OR 1.23) and showing pleiotropic associations across multiple autoimmune conditions

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rs610604

(TNFAIP3)

Intronic variant in TNFAIP3 whose G allele is the primary psoriasis susceptibility signal at 6q23.3, tagging a regulatory haplotype distinct from the rheumatoid arthritis and lupus signals at the same locus, and predicting better response to TNF inhibitor therapy

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rs61751629

(CARD14 Glu422Lys)

Rare missense variant in the keratinocyte NF-κB scaffold protein CARD14 that may predict favorable response to anti-TNF biologic therapy in psoriasis patients

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rs6887695

(IL12B Upstream regulatory)

Upstream regulatory variant ~60 kb 5' of IL12B, forming the canonical two-SNP psoriasis risk haplotype with rs3212227 (3'-UTR); C allele elevates IL-12/IL-23 p40 expression, increasing psoriasis, psoriatic arthritis, and IBD susceptibility

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rs7152376

(NFKBIA)

Regulatory variant upstream of NFKBIA that specifically elevates risk of psoriatic arthritis over skin-only psoriasis, with a 3.2-fold odds ratio distinguishing arthritic from cutaneous-only disease in psoriasis patients

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rs7540214

(IFNLR1 IFNLR1 variant)

Intronic variant in the interferon lambda receptor 1 gene that elevates PsA risk by amplifying IL-29/IFN-lambda signaling in synovial tissue, marking those with skin psoriasis who are at elevated risk for progressing to joint disease

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rs7746808

(IL23A)

Intergenic variant near the IL23A locus associated with psoriasis and psoriatic arthritis susceptibility through the IL-23/Th17 inflammatory axis

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