rs7454108

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This is a intron variant variant in the HLA-DQB1 gene.

Key Literature Trait Associations

Type 1 Diabetes

rs7454108 tags the HLA-DR3/DQ2 and DR4/DQ8 haplotypes, the two strongest genetic risk factors for type 1 diabetes. These HLA class II molecules present beta-cell autoantigens (insulin, GAD65, IA-2) to CD4+ T cells, initiating the autoimmune destruction of pancreatic islets. Compound heterozygotes carrying both DR3/DQ2 and DR4/DQ8 (the DR3/4 genotype) face the highest T1D risk, with an OR of approximately 16 compared to the general population.

Allele C
OR
p
N 5,162
Preliminary work
European
Allele C
OR 4.50
p 1.0e-200
Meta-analysis
Allele C
OR 1.70
p 4.0e-4
N 2,764
Preliminary work
Danish/European

Pemphigus vulgaris

rs7454108, located at the TAP2 gene within the MHC region, was identified as an independent risk variant for pemphigus vulgaris in a Han Chinese GWAS with discovery and replication cohorts totaling 492 cases and 2,883 controls. The C allele confers an odds ratio of 3.25 (p=2.78×10⁻¹²), independent of HLA-DRB1*14:04, the primary MHC risk allele for this disease. This finding suggests that TAP2-mediated antigen processing contributes independently to pemphigus vulgaris susceptibility beyond classical HLA-DRB1 associations.

Allele C
OR 3.25
p 2.8e-12
N 2,375
Large GWAS
Han Chinese

Celiac disease

rs7454108 tags the HLA-DQ8 haplotype (DQB1*03:02), one of the two major genetic prerequisites for celiac disease alongside HLA-DQ2. Virtually all celiac disease patients (>97%) carry HLA-DQ2 or HLA-DQ8, making this tagging SNP a powerful exclusion marker for celiac disease. The C allele at rs7454108 has been validated as a rapid, low-cost method for HLA-DQ8 haplotype detection applicable to saliva-based celiac screening, with the combined DQ2/DQ8 SNP panel achieving pooled sensitivity of 98% in meta-analyses of HLA typing studies.

Allele C
OR
p
Candidate gene study
European
Allele C
OR
p
N 1,303
Meta-analysis
multi-ancestry

ANCA-associated vasculitis

rs7454108, in the HLA-DQ region of chromosome 6p21, is associated with ANCA-associated vasculitis (AAV) with OR=2.73 (p=5×10⁻²⁵) in GWAS data. The Lyons 2012 NEJM landmark GWAS of AAV found that anti-MPO ANCA was associated with HLA-DQ (p=2.1×10⁻⁸), consistent with rs7454108 as a DQ8 tag. HLA-DQ variants have been specifically linked to the myeloperoxidase-ANCA subtype of AAV rather than the proteinase 3-ANCA subtype, suggesting distinct immunological pathways underlie these clinically overlapping vasculitides.

Lyons PA et al. Genetically distinct subsets within ANCA-associated vasculitis. The New England Journal of Medicine (2012)
Allele C
OR
p 2.1e-8
N 4,387
Large GWAS
European

Rheumatoid arthritis

rs7454108 was identified as an interaction locus for ACPA-positive rheumatoid arthritis in the context of smoking in the Swedish EIRA cohort. The OR of 1.72 (p=2×10⁻⁶) was observed after adjustment for HLA shared epitope, suggesting rs7454108 tags an HLA-DQ haplotype that interacts with tobacco exposure to modulate RA susceptibility. This association is conditional and did not reach the stringent genome-wide significance threshold, placing it in the suggestive-evidence tier for ACPA-positive RA specifically.

GWAS Catalog Trait Associations (2)

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

Research that mentions this SNP (2)

Polymorphisms in the CTSH gene may influence the progression of diabetic retinopathy: a candidate-gene study in the Danish Cohort of Pediatric Diabetes 1987 (DCPD1987)
AssociationN=130Steffen U. Thorsen et al.(2015)· Graefe's Archive for Clinical and Experimental Ophthalmology

This candidate gene study of 130 Danish children with type 1 diabetes examined associations between 20 diabetes-related SNPs and diabetic retinopathy progression over 16 years. The CTSH/rs3825932 variant was associated with reduced risk of progression to proliferative diabetic retinopathy (OR=0.20, p=2.4×10⁻³, p_adjust=0.048), while ERBB3/rs2292239 was associated with increased risk of two-step DR progression (OR=2.76, p=7.5×10⁻³, p_adjust=0.15). The CTSH association remained significant after multiple testing correction.

Traits studied:Diabetic retinopathyProliferative diabetic retinopathyType 1 diabetes mellitus
Variability in Ethanol Biodisposition in Whites Is Modulated by Polymorphisms in the Adh1b and Adh1c Genes
ReviewCarmen Martínez et al.(2010)· Hepatology

A comprehensive review of nutrigenetics and nutrigenomics examining how genetic variants influence individual responses to nutrients and dietary interventions. The paper discusses associations between numerous SNPs (rs9939609 in FTO, rs2287019 in GIPR, rs7903146 in TCF7L2, rs5219 in KCNJ11, and many others) and metabolic traits including obesity, type 2 diabetes, and other chronic diseases, along with epigenetic mechanisms by which phytochemicals (curcumin, resveratrol, lycopene) modulate gene expression. The review synthesizes current evidence for precision nutrition approaches tailored to individual genetic profiles.

Traits studied:Bone density/osteoporosisCaffeine sensitivityCardiovascular diseaseCeliac diseaseCerebrovascular diseaseCoronary heart diseaseDetoxification capacityEating behaviorGlucose homeostasisHistamine intoleranceInflammatory diseasesInsulin resistanceLactose intoleranceLeptin resistanceMetabolic syndromeNickel intoleranceObesityOsteoarthritisOverweightType 2 diabetes

Gene information from NCBI Gene. Variant classifications from ClinVar.

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