rs10488631

badMag 6.5

This is a downstream gene variant variant in the IRF5 gene.

Key Literature Trait Associations

Systemic Lupus Erythematosus

rs10488631 lies ~5 kb downstream of IRF5 (interferon regulatory factor 5). IRF5 is a master transcription factor driving type I interferon (IFN-α) production — central to lupus pathology. The C allele is associated with elevated IRF5 expression and the 'interferon signature' seen in lupus patients, approximately doubling lupus risk. IRF5 is one of the most consistently replicated non-HLA lupus risk factors across multiple populations. The finding has therapeutic implications — drugs targeting the type I interferon pathway (like anifrolumab) are now approved for lupus.

Allele C
OR 2.12
p 2.6e-29
N 3,710
Large GWAS
Amerindian admixed
Allele C
OR
p 1.0e-17
N 2,997
Large GWAS
European (14 collections)
Allele C
OR
p 2.5e-2
N 199
Candidate gene study
European and Hispanic

Systemic sclerosis

The C allele of rs10488631 is significantly associated with systemic sclerosis (scleroderma) at genome-wide significance. A large European multi-country study (3,361 SSc cases, 4,012 controls) demonstrated OR=1.63 (95% CI 1.47–1.81, p=7.53×10⁻²⁰), confirming that the SLE IRF5 risk haplotype also confers susceptibility to SSc. The association holds across diffuse and limited cutaneous SSc subtypes and has been replicated in Turkish (OR=1.76, p=1.32×10⁻⁵) and other European populations. The IRF5-TNPO3 locus contributes to SSc via both haplotype components identified in SLE, though rs10488631 is not specifically associated with SSc-related pulmonary fibrosis.

Allele C
OR 1.63
p 7.5e-20
N 7,373
Large GWAS
European (Spain, Germany, Netherlands, Italy, UK)
Allele C
OR 1.76
p 1.3e-5
N 1,072
Preliminary work
Turkish

Primary biliary cholangitis

The IRF5-TNPO3 locus tagged by rs10488631 was identified as a susceptibility locus for primary biliary cholangitis (formerly called primary biliary cirrhosis) in a GWAS published in Nature Genetics (combined p=8.66×10⁻¹³). A subsequent mechanistic study confirmed that only the gene-spanning IRF5-TNPO3 haplotype (rather than the IRF5 promoter component) drives PBC risk, with OR approximately 1.7–1.81. The variant appears to be monomorphic in East Asian populations, so the association is restricted to European-ancestry cohorts. PBC is a chronic autoimmune liver disease in which aberrant type I interferon signaling — amplified by this IRF5 risk haplotype — likely contributes to bile duct destruction.

Primary Sjögren's syndrome

The C allele of rs10488631 is associated with increased risk for primary Sjögren's syndrome through additive interaction with STAT4 risk alleles. In a Swedish-Norwegian cohort, individuals carrying five combined IRF5 and STAT4 risk alleles had OR=6.78 for primary SS (overall additive p=2.5×10⁻⁹), with IRF5 variants (including rs10488631) contributing an average OR increase of 1.78 per allele. The Kottyan et al. (2015) fine-mapping study confirmed that both the IRF5 promoter and the extended IRF5-TNPO3 haplotype components contribute to Sjögren's risk, similar to the SLE pattern. The type I interferon pathway mediated by IRF5 is a key mechanistic driver in this glandular autoimmune disease.

Allele C
OR
p 2.5e-9
Large GWAS
Swedish and Norwegian

Serum interferon-alpha activity

The C allele of rs10488631 is functionally associated with elevated IRF5 gene expression and higher circulating interferon-alpha levels, independent of disease status. In SLE patients, risk/risk genotype carriers have significantly elevated serum IFN-alpha activity (p=0.025), most pronounced in those with anti-RBP or anti-dsDNA antibodies. Functional studies in lymphoblastoid cell lines showed that the minor allele increases IRF5, IFN-alpha, and IFN-inducible chemokine expression in Europeans (p=0.0005). A Greek SLE cohort confirmed carriage of the TACA risk haplotype (containing rs10488631) correlates with higher circulating type I IFN levels (p=0.037). This mechanistic effect — increased IRF5 expression driving interferon overproduction — likely underlies the shared autoimmune risk ac...

Allele C
OR
p 2.5e-2
N 199
Candidate gene study
European and Hispanic
Allele C
OR
p 5.0e-4
Candidate gene study
European (CEU)

GWAS Catalog Trait Associations (5)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

Research that mentions this SNP (13)

Genetic association and interaction between the IRF5 and TYK2 genes and systemic lupus erythematosus in the Han Chinese population
AssociationN=1,284Liang Tang et al.(2015)· Inflammation Research

Case-control study in 642 Han Chinese SLE patients and 642 healthy controls examining polymorphisms in IRF5 and TYK2 genes. IRF5 rs2004640 (T allele, OR=1.41, p=0.0003) and protective haplotype DAG (OR=0.71, p=6.2×10⁻⁵) and risk haplotype IAT (OR=1.53, p=0.0005) showed significant association with SLE. TYK2 rs280500 (A allele, OR=1.47, p=8.83×10⁻⁶), rs2304256 (G allele, OR=1.59, p=3.71×10⁻⁶), and rs8108236 (A allele, OR=1.39, p=0.0004) were significantly associated with SLE. A three-way gene-gene interaction between TYK2 rs280500, rs2304256 and IRF5 rs10954213 was found (p<0.0001).

Traits studied:Systemic Lupus Erythematosus
Novel Rheumatoid Arthritis Susceptibility Locus at 22q12 Identified in an Extended UK Genome‐Wide Association Study
AssociationN=8,305Gisela Orozco et al.(2014)· Arthritis &amp; Rheumatology

This extended UK genome-wide association study identified a novel rheumatoid arthritis susceptibility locus at 22q12 (rs1043099, P = 6.9 × 10⁻⁹, OR = 0.84) in 3,034 cases and 5,271 controls, and confirmed 16 previously known RA loci, strengthening evidence for genetic contributors to RA in the UK population.

Traits studied:Rheumatoid arthritis
Replication of association of the PTPRC gene with response to anti–tumor necrosis factor therapy in a large UK cohort
AssociationN=1,115Darren Plant et al.(2012)· Arthritis &amp; Rheumatism

A study of 1,115 UK rheumatoid arthritis patients receiving anti-TNF biologic therapy found that rs10919563 in the PTPRC gene was associated with improved treatment response (regression coefficient 0.19, 95% CI 0.09-0.37, P=0.04 for continuous DAS28 outcome; OR 0.62, 95% CI 0.40-0.95, P=0.03 for good EULAR response). Meta-analysis with a previous study strengthened evidence (P=5.13×10⁻⁵). Secondary analysis identified rs11594656 in IL2RA associated with good EULAR response (OR 1.47, P=0.02).

Traits studied:Anti-TNF treatment responseRheumatoid arthritis
Brief Report: Candidate gene study in systemic sclerosis identifies a rare and functional variant of the TNFAIP3 locus as a risk factor for polyautoimmunity
ReviewEugénie Koumakis et al.(2012)· Arthritis &amp; Rheumatism

This review article by Ota and Kuwana synthesizes genetic studies on systemic sclerosis (SSc), a complex autoimmune disease. Multiple genetic association studies, including GWAS and candidate gene approaches, have identified SSc susceptibility genes primarily involved in innate immunity (IRF4, IRF5, IRF7, IRF8, TNFAIP3), adaptive immune response (TNFSF4, CD247, PTPN22, CSK, STAT4, BLK), IL-12 signaling (IL-12A, IL-12RB1, IL-12RB2, TYK2), apoptosis/autophagy (ATG5, GSDMA, GSDMB, NOTCH4), and vascular homeostasis/fibrosis (PPARG). The review emphasizes that identified risk variants are predominantly located in non-coding regulatory regions and influence gene expression rather than protein structure.

Traits studied:Anti-PM-SclAnti-RNA polymerase IIIAnti-U1RNPAnti-topoisomerase I (anti-topo I)Anticentromere antibody (ACA)Diffuse cutaneous SSc (dcSSc)Interstitial lung disease (ILD)Limited cutaneous SSc (lcSSc)Raynaud's phenomenonSSc-related autoantibodiesSystemic sclerosis (SSc)
Genetic analyses of interferon pathway-related genes reveal multiple new loci associated with systemic lupus erythematosus
AssociationN=10,543Paula S. Ramos et al.(2011)· Arthritis &amp; Rheumatism

A three-stage genetic association study of interferon pathway-related genes identifies multiple novel loci associated with systemic lupus erythematosus (SLE). The study evaluated 1,754 genes in two discovery/replication cohorts (939 SLE cases, 3,398 controls) with confirmation in an independent cohort. Novel confirmed associations include CD44 (rs507230, P = 3.98×10⁻¹², OR = 0.71), pleiotrophin/PTN (rs919581, P = 5.38×10⁻⁴), DNAJA1 (rs10971259, P = 6.31×10⁻³), and KPNA1 (rs6810306, P = 4.91×10⁻²).

Traits studied:SLESystemic Lupus Erythematosus
Most common single‐nucleotide polymorphisms associated with rheumatoid arthritis in persons of European ancestry confer risk of rheumatoid arthritis in African Americans
AssociationN=1,347Hughes LB et al.(2010)· Arthritis &amp; Rheumatism

This study examined 27 previously identified rheumatoid arthritis (RA) risk alleles in 556 autoantibody-positive African-American RA cases and 791 controls. Twenty-four of 27 SNPs showed consistent odds ratios between African-Americans and Europeans; three SNPs (CCR6 rs3093023, TAGAP rs394581, TNFAIP3 rs6920220) showed opposite directions of effect. A genetic risk score analysis indicated that African-American cases were significantly enriched for European RA risk alleles (p=0.00005), suggesting that RA genetic risk factors are largely shared across ancestry groups.

Traits studied:Rheumatoid arthritis
A functionally relevant IRF5 haplotype is associated with reduced risk to Wegener’s granulomatosis
AssociationN=1,616Stefan Wieczorek et al.(2010)· Journal of Molecular Medicine

This association study of 664 German Wegener's granulomatosis (WG) patients and 952 controls evaluated 22 SNPs across 13 candidate genes identified from RA and SLE studies. The strongest finding was a protective four-SNP IRF5 haplotype (rs2004640_G/rs60344245_del/rs2070197_T/rs10954213_G) with reduced WG risk (p=0.0000897, OR 0.73, 95% CI 0.62-0.85). SNPs in TNFAIP3 and CDK6 also showed nominally significant associations, suggesting WG shares some genetic risk factors with other autoimmune diseases.

Traits studied:Granulomatous inflammationRheumatoid arthritisSjögren's syndromeSystemic lupus erythematosusSystemic sclerosisSystemic vasculitisType 1 diabetesWegener's granulomatosis
Genetic variation at the IRF7/PHRF1 locus is associated with autoantibody profile and serum interferon‐α activity in lupus patients
AssociationN=492Rafah Salloum et al.(2010)· Arthritis &amp; Rheumatism

This study of 492 SLE patients across three ancestry groups identified genetic variation at the IRF7/PHRF1 locus associated with autoantibody profiles and serum interferonα activity. The rs702966 C allele was associated with anti-dsDNA antibodies (OR=1.83, P=0.0069) in European and Hispanic Americans and with higher IFNα levels in anti-dsDNA-positive patients (P=4.1×10⁻⁵). The rs4963128 T allele was associated with anti-Sm antibodies (OR=1.95, P=0.0017) in African Americans and with increased IFNα levels in anti-Sm-positive African American patients (P=0.0012). These findings demonstrate autoantibody-dependent genetic effects on IFNα production through the endosomal TLR/IRF7 pathway in SLE pathogenesis.

Traits studied:Anti-Sm antibodiesAnti-dsDNA antibodiesSerum interferonα activitySystemic lupus erythematosus
Genetic variants and disease‐associated factors contribute to enhanced interferon regulatory factor 5 expression in blood cells of patients with systemic lupus erythematosus
FunctionalN=60Di Feng et al.(2010)· Arthritis &amp; Rheumatism

This functional study examined four genetic variants in the IRF5 gene (rs2004640, rs10488631, rs10954213, and a CGGGG indel) in 44 Swedish SLE patients and 16 healthy controls. The risk haplotype (H2) was associated with significantly elevated IRF-5 transcript and protein expression in patient blood cells (p=0.0084 for total IRF-5). rs10488631 showed the only significant independent association with increased transcription from exon 1C (p=0.0155). Minigene assays demonstrated that rs2004640, the CGGGG indel, and type I interferons regulate IRF-5 expression.

Traits studied:Systemic lupus erythematosus (SLE)
Association of the FAM167A–BLK region with systemic sclerosis
ReviewIkue Ito et al.(2010)· Arthritis &amp; Rheumatism

This is a comprehensive review of genetic factors in systemic sclerosis (SSc), a complex autoimmune disease. The review synthesizes findings from candidate gene analysis and genome-wide association studies identifying numerous SNPs and genetic variants associated with SSc susceptibility, primarily in genes involved in innate immunity (IRF4, IRF5, IRF7, IRF8, TNFAIP3), adaptive immunity (TNFSF4, PTPN22, STAT4, BLK, PRDM1), and cell death pathways (ATG5, DNASE1L3, GSDMA/B, NOTCH4). HLA class II genes are associated with SSc-related autoantibodies rather than SSc itself, with DRB1 alleles carrying the FLEDR amino acid sequence critical for anti-topo I antibody responses.

Traits studied:Anti-PM-Scl antibodyAnti-RNA polymerase III antibodyAnti-U1RNP antibodyAnti-centromere antibodyAnti-topoisomerase I antibodyDiffuse cutaneous systemic sclerosisLimited cutaneous systemic sclerosisSSc-related interstitial lung diseaseSystemic sclerosis
Association of a KCNA5 gene polymorphism with systemic sclerosis–associated pulmonary arterial hypertension in the European Caucasian population
ReviewWipff J. et al.(2010)· Arthritis &amp; Rheumatism

This review updates knowledge on genetic factors in systemic sclerosis (SSc) susceptibility and disease expression. GWAS and candidate gene studies have identified multiple SSc-associated genetic variants primarily located in non-coding regions that influence gene expression through eQTL effects. Major risk genes include those involved in innate immunity (IRF4, IRF5, IRF7, IRF8, TNFAIP3), adaptive immune response (PTPN22, STAT4, TNFSF4, CD247), and cell death pathways (ATG5), while few genes directly involve fibrosis or vascular homeostasis. HLA class II genes associate with SSc-related autoantibodies rather than SSc itself. Multi-omics approaches are needed to characterize the complex molecular architecture and identify biomarkers.

Traits studied:Anti-topoisomerase I antibodiesAnticentromere antibodiesDiffuse cutaneous systemic sclerosisInterstitial lung diseaseLimited cutaneous systemic sclerosisPulmonary fibrosisSSc-related autoantibodiesSystemic sclerosis
Replication of the association between the C8orf13–BLK region and systemic lupus erythematosus in a Japanese population
ReviewIkue Ito et al.(2009)· Arthritis &amp; Rheumatism

This comprehensive review examines genetic associations in type I interferon-related signaling pathways across multiple autoimmune diseases. The authors review evidence linking dysregulated interferon alpha (IFNα) signaling to systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), and other autoimmune conditions, identifying multiple susceptibility genes including IFIH1, IRF5, STAT4, TYK2, BLK, BANK1, FCGR2A, and TREX1 with well-replicated associations and functional relevance to IFN pathway dysfunction.

Traits studied:Autoimmune Thyroid DiseaseCrohn's DiseaseDermatomyositisGiant Cell ArteritisGraves' DiseaseInflammatory Bowel DiseaseJuvenile Idiopathic ArthritisLupus NephritisMicroscopic PolyangiitisMultiple SclerosisPrimary Anti-Phospholipid SyndromePrimary Sjögren's SyndromePsoriasisRheumatoid ArthritisSclerodermaSystemic Lupus ErythematosusType 1 DiabetesUlcerative ColitisWegener's Granulomatosis
Association of the IRF5 risk haplotype with high serum interferon‐α activity in systemic lupus erythematosus patients
AssociationN=199Timothy B. Niewold et al.(2008)· Arthritis &amp; Rheumatism

This study examined IRF5 genetic variants in 199 systemic lupus erythematosus (SLE) patients to determine if the IRF5 SLE risk haplotype associates with elevated serum interferon-α (IFN-α) activity. SLE patients with risk/risk or risk/neutral IRF5 genotypes showed significantly higher serum IFN-α activity compared to protective genotypes (P = 0.025), with the most pronounced effect in patients positive for anti-RBP or anti-dsDNA autoantibodies (P = 0.012). The rs3807306 genotype independently associated with high IFN-α levels in the autoantibody-positive subgroup.

Traits studied:Anti-RBP autoantibodiesAnti-dsDNA autoantibodiesSerum interferon-alpha activitySystemic lupus erythematosus

Gene information from NCBI Gene. Variant classifications from ClinVar.

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rs10488631 (IRF5) — genewizard.net