PMID- 32461333 OWN - NLM STAT- In-Data-Review LR - 20200709 IS - 1946-6242 (Electronic) IS - 1946-6234 (Linking) VI - 12 IP - 545 DP - 2020 May 27 TI - Using genetics to prioritize diagnoses for rheumatology outpatients with inflammatory arthritis. LID - eaay1548 [pii] LID - 10.1126/scitranslmed.aay1548 [doi] AB - It is challenging to quickly diagnose slowly progressing diseases. To prioritize multiple related diagnoses, we developed G-PROB (Genetic Probability tool) to calculate the probability of different diseases for a patient using genetic risk scores. We tested G-PROB for inflammatory arthritis-causing diseases (rheumatoid arthritis, systemic lupus erythematosus, spondyloarthropathy, psoriatic arthritis, and gout). After validating on simulated data, we tested G-PROB in three cohorts: 1211 patients identified by International Classification of Diseases (ICD) codes within the eMERGE database, 245 patients identified through ICD codes and medical record review within the Partners Biobank, and 243 patients first presenting with unexplained inflammatory arthritis and with final diagnoses by record review within the Partners Biobank. Calibration of G-probabilities with disease status was high, with regression coefficients from 0.90 to 1.08 (1.00 is ideal). G-probabilities discriminated true diagnoses across the three cohorts with pooled areas under the curve (95% CI) of 0.69 (0.67 to 0.71), 0.81 (0.76 to 0.84), and 0.84 (0.81 to 0.86), respectively. For all patients, at least one disease could be ruled out, and in 45% of patients, a likely diagnosis was identified with a 64% positive predictive value. In 35% of cases, the clinician's initial diagnosis was incorrect. Initial clinical diagnosis explained 39% of the variance in final disease, which improved to 51% (P < 0.0001) after adding G-probabilities. Converting genotype information before a clinical visit into an interpretable probability value for five different inflammatory arthritides could potentially be used to improve the diagnostic efficiency of rheumatic diseases in clinical practice. CI - Copyright (c) 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. FAU - Knevel, Rachel AU - Knevel R AUID- ORCID: http://orcid.org/0000-0002-7494-3023 AD - Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. AD - Department of Rheumatology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands. AD - Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA. FAU - le Cessie, Saskia AU - le Cessie S AUID- ORCID: http://orcid.org/0000-0003-2154-4923 AD - Department of Clinical Epidemiology and Department of Biomedical Data Sciences, Leiden University Medical Center, 2333 ZA Leiden, Netherlands. FAU - Terao, Chikashi C AU - Terao CC AUID- ORCID: http://orcid.org/0000-0002-6452-4095 AD - Laboratory for Statistical and Translational Genetics, RIKEN Center for Integrative Medical Sciences, Yokohama, Kanagawa 230-0045, Japan. AD - Clinical Research Center, Shizuoka General Hospital, Shizuoka 230-0045, Japan. AD - Department of Applied Genetics, School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka 420-8527, Japan. FAU - Slowikowski, Kamil AU - Slowikowski K AUID- ORCID: http://orcid.org/0000-0002-2843-6370 AD - Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA. AD - Center for Data Sciences, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. AD - Division of Genetics, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA. FAU - Cui, Jing AU - Cui J AD - Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Huizinga, Tom W J AU - Huizinga TWJ AUID- ORCID: http://orcid.org/0000-0001-7033-7520 AD - Department of Rheumatology, Leiden University Medical Center, 2333 ZA Leiden, Netherlands. FAU - Costenbader, Karen H AU - Costenbader KH AD - Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Liao, Katherine P AU - Liao KP AUID- ORCID: http://orcid.org/0000-0002-4797-3200 AD - Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. AD - Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, MA 02130, USA. FAU - Karlson, Elizabeth W AU - Karlson EW AD - Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Raychaudhuri, Soumya AU - Raychaudhuri S AUID- ORCID: http://orcid.org/0000-0002-1901-8265 AD - Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. soumya@broadinstitute.org. AD - Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA 02142, USA. AD - Center for Data Sciences, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. AD - Division of Genetics, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA. AD - Centre for Genetics and Genomics Versus Arthritis and Centre for Musculoskeletal Research, Manchester M13 9PL, UK. LA - eng GR - K24 AR066109/AR/NIAMS NIH HHS/United States GR - U01 GM092691/GM/NIGMS NIH HHS/United States GR - F31 AR070582/AR/NIAMS NIH HHS/United States GR - R01 AR049880/AR/NIAMS NIH HHS/United States GR - R01 AR063759/AR/NIAMS NIH HHS/United States GR - U01 HG009379/HG/NHGRI NIH HHS/United States GR - UH2 AR067677/AR/NIAMS NIH HHS/United States PT - Journal Article PL - United States TA - Sci Transl Med JT - Science translational medicine JID - 101505086 SB - IM PMC - PMC7341896 MID - NIHMS1605236 EDAT- 2020/05/29 06:00 MHDA- 2020/05/29 06:00 CRDT- 2020/05/29 06:00 PHST- 2019/05/24 00:00 [received] PHST- 2019/10/15 00:00 [revised] PHST- 2020/05/03 00:00 [accepted] PHST- 2020/05/29 06:00 [entrez] PHST- 2020/05/29 06:00 [pubmed] PHST- 2020/05/29 06:00 [medline] AID - 12/545/eaay1548 [pii] AID - 10.1126/scitranslmed.aay1548 [doi] PST - ppublish SO - Sci Transl Med. 2020 May 27;12(545). pii: 12/545/eaay1548. doi: 10.1126/scitranslmed.aay1548. PMID- 32079724 OWN - NLM STAT- MEDLINE DCOM- 20200713 LR - 20200713 IS - 1091-6490 (Electronic) IS - 0027-8424 (Linking) VI - 117 IP - 10 DP - 2020 Mar 10 TI - CUX1 and IkappaBzeta (NFKBIZ) mediate the synergistic inflammatory response to TNF and IL-17A in stromal fibroblasts. PG - 5532-5541 LID - 10.1073/pnas.1912702117 [doi] AB - The role of stromal fibroblasts in chronic inflammation is unfolding. In rheumatoid arthritis, leukocyte-derived cytokines TNF and IL-17A work together, activating fibroblasts to become a dominant source of the hallmark cytokine IL-6. However, IL-17A alone has minimal effect on fibroblasts. To identify key mediators of the synergistic response to TNF and IL-17A in human synovial fibroblasts, we performed time series, dose- response, and gene-silencing transcriptomics experiments. Here we show that in combination with TNF, IL-17A selectively induces a specific set of genes mediated by factors including cut-like homeobox 1 (CUX1) and IkappaBzeta (NFKBIZ). In the promoters of CXCL1, CXCL2, and CXCL3, we found a putative CUX1-NF-kappaB binding motif not found elsewhere in the genome. CUX1 and NF-kappaB p65 mediate transcription of these genes independent of LIFR, STAT3, STAT4, and ELF3. Transcription of NFKBIZ, encoding the atypical IkappaB factor IkappaBzeta, is IL-17A dose- dependent, and IkappaBzeta only mediates the transcriptional response to TNF and IL-17A, but not to TNF alone. In fibroblasts, IL-17A response depends on CUX1 and IkappaBzeta to engage the NF-kappaB complex to produce chemoattractants for neutrophil and monocyte recruitment. FAU - Slowikowski, Kamil AU - Slowikowski K AUID- ORCID: 0000-0002-2843-6370 AD - Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. AD - Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. AD - Broad Institute of MIT and Harvard, Cambridge, MA 02142. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115. AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA 02115. FAU - Nguyen, Hung N AU - Nguyen HN AD - Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. FAU - Noss, Erika H AU - Noss EH AD - Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. FAU - Simmons, Daimon P AU - Simmons DP AD - Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. AD - Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. FAU - Mizoguchi, Fumitaka AU - Mizoguchi F AUID- ORCID: 0000-0002-3956-7122 AD - Department of Rheumatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 113-8519 Tokyo, Japan. FAU - Watts, Gerald F M AU - Watts GFM AD - Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. FAU - Gurish, Michael F AU - Gurish MF AD - Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. FAU - Brenner, Michael B AU - Brenner MB AD - Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115; mbrenner@research.bwh.harvard.edu soumya@broadinstitute.org. FAU - Raychaudhuri, Soumya AU - Raychaudhuri S AD - Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115; mbrenner@research.bwh.harvard.edu soumya@broadinstitute.org. AD - Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115. AD - Broad Institute of MIT and Harvard, Cambridge, MA 02142. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115. AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA 02115. AD - Centre for Genetics and Genomics Versus Arthritis, Manchester Academic Health Science Centre, University of Manchester, M13 9PL Manchester, United Kingdom. LA - eng GR - T32 HL007627/HL/NHLBI NIH HHS/United States GR - U19 AI111224/AI/NIAID NIH HHS/United States GR - T32 HG002295/HG/NHGRI NIH HHS/United States GR - U01 GM092691/GM/NIGMS NIH HHS/United States GR - F31 AR070582/AR/NIAMS NIH HHS/United States GR - R01 AR063709/AR/NIAMS NIH HHS/United States GR - UH2 AR067677/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200220 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (CUX1 protein, human) RN - 0 (CXCL1 protein, human) RN - 0 (CXCL2 protein, human) RN - 0 (CXCL3 protein, human) RN - 0 (Chemokine CXCL1) RN - 0 (Chemokine CXCL2) RN - 0 (Chemokines, CXC) RN - 0 (Chemotactic Factors) RN - 0 (Homeodomain Proteins) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-17) RN - 0 (Interleukin-6) RN - 0 (NFKBIZ protein, human) RN - 0 (RELA protein, human) RN - 0 (RNA, Small Interfering) RN - 0 (Repressor Proteins) RN - 0 (Transcription Factor RelA) RN - 0 (Transcription Factors) RN - 0 (Tumor Necrosis Factor-alpha) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adaptor Proteins, Signal Transducing/genetics/*metabolism MH - Arthritis, Rheumatoid/genetics/*metabolism MH - Cells, Cultured MH - Chemokine CXCL1/genetics MH - Chemokine CXCL2/genetics MH - Chemokines, CXC/genetics MH - Chemotactic Factors/genetics MH - Fibroblasts/drug effects/*metabolism MH - Homeodomain Proteins/genetics/*metabolism MH - Humans MH - Inflammation/genetics/*metabolism MH - Interleukin-17/pharmacology/*physiology MH - Interleukin-6/genetics MH - Matrix Metalloproteinase 3/metabolism MH - Monocytes/drug effects/physiology MH - RNA, Small Interfering/genetics MH - Repressor Proteins/genetics/*metabolism MH - Stromal Cells/drug effects/metabolism MH - Synovial Fluid MH - Transcription Factor RelA/metabolism MH - Transcription Factors/genetics/*metabolism MH - Transcriptome/*physiology/radiation effects MH - Tumor Necrosis Factor-alpha/pharmacology/*physiology PMC - PMC7071902 OTO - NOTNLM OT - *RNA-seq OT - *inflammation OT - *regulation OT - *time series OT - *transcription COIS- The authors declare no competing interest. EDAT- 2020/02/23 06:00 MHDA- 2020/07/14 06:00 CRDT- 2020/02/22 06:00 PMCR- 2020/08/20 00:00 PHST- 2020/08/20 00:00 [pmc-release] PHST- 2020/02/23 06:00 [pubmed] PHST- 2020/07/14 06:00 [medline] PHST- 2020/02/22 06:00 [entrez] AID - 1912702117 [pii] AID - 10.1073/pnas.1912702117 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2020 Mar 10;117(10):5532-5541. doi: 10.1073/pnas.1912702117. Epub 2020 Feb 20. PMID- 31740819 OWN - NLM STAT- MEDLINE DCOM- 20200213 LR - 20200807 IS - 1548-7105 (Electronic) IS - 1548-7091 (Linking) VI - 16 IP - 12 DP - 2019 Dec TI - Fast, sensitive and accurate integration of single-cell data with Harmony. PG - 1289-1296 LID - 10.1038/s41592-019-0619-0 [doi] AB - The emerging diversity of single-cell RNA-seq datasets allows for the full transcriptional characterization of cell types across a wide variety of biological and clinical conditions. However, it is challenging to analyze them together, particularly when datasets are assayed with different technologies, because biological and technical differences are interspersed. We present Harmony (https://github.com/immunogenomics/harmony), an algorithm that projects cells into a shared embedding in which cells group by cell type rather than dataset-specific conditions. Harmony simultaneously accounts for multiple experimental and biological factors. In six analyses, we demonstrate the superior performance of Harmony to previously published algorithms while requiring fewer computational resources. Harmony enables the integration of ~10(6) cells on a personal computer. We apply Harmony to peripheral blood mononuclear cells from datasets with large experimental differences, five studies of pancreatic islet cells, mouse embryogenesis datasets and the integration of scRNA-seq with spatial transcriptomics data. FAU - Korsunsky, Ilya AU - Korsunsky I AUID- ORCID: http://orcid.org/0000-0003-4848-3948 AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Divisions of Genetics and Rheumatology, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Millard, Nghia AU - Millard N AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Divisions of Genetics and Rheumatology, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Fan, Jean AU - Fan J AUID- ORCID: http://orcid.org/0000-0002-0212-5451 AD - Department of Chemistry and Chemical Biology, Harvard University, Cambridge, MA, USA. FAU - Slowikowski, Kamil AU - Slowikowski K AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Divisions of Genetics and Rheumatology, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Zhang, Fan AU - Zhang F AUID- ORCID: http://orcid.org/0000-0002-6102-2970 AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Divisions of Genetics and Rheumatology, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Wei, Kevin AU - Wei K AD - Divisions of Genetics and Rheumatology, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Baglaenko, Yuriy AU - Baglaenko Y AUID- ORCID: http://orcid.org/0000-0002-9020-6824 AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Divisions of Genetics and Rheumatology, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Brenner, Michael AU - Brenner M AD - Divisions of Genetics and Rheumatology, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Loh, Po-Ru AU - Loh PR AUID- ORCID: http://orcid.org/0000-0001-5542-9064 AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Raychaudhuri, Soumya AU - Raychaudhuri S AUID- ORCID: http://orcid.org/0000-0002-1901-8265 AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. soumya@broadinstitute.org. AD - Divisions of Genetics and Rheumatology, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. soumya@broadinstitute.org. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. soumya@broadinstitute.org. AD - Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. soumya@broadinstitute.org. AD - Versus Arthritis Centre for Genetics and Genomics, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK. soumya@broadinstitute.org. LA - eng GR - U19 AI111224/AI/NIAID NIH HHS/United States GR - T32 HG002295/HG/NHGRI NIH HHS/United States GR - T32 AR007530/AR/NIAMS NIH HHS/United States GR - K00 CA222750/CA/NCI NIH HHS/United States GR - R01 AR063759/AR/NIAMS NIH HHS/United States GR - U01 HG009379/HG/NHGRI NIH HHS/United States GR - UH2 AR067677/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20191118 PL - United States TA - Nat Methods JT - Nature methods JID - 101215604 SB - IM MH - Algorithms MH - Animals MH - Base Sequence MH - Datasets as Topic MH - HEK293 Cells MH - Humans MH - Jurkat Cells MH - Mice MH - Single-Cell Analysis/*methods PMC - PMC6884693 MID - NIHMS1539299 EDAT- 2019/11/20 06:00 MHDA- 2020/02/14 06:00 CRDT- 2019/11/20 06:00 PHST- 2018/11/05 00:00 [received] PHST- 2019/09/06 00:00 [accepted] PHST- 2019/11/20 06:00 [pubmed] PHST- 2020/02/14 06:00 [medline] PHST- 2019/11/20 06:00 [entrez] AID - 10.1038/s41592-019-0619-0 [doi] AID - 10.1038/s41592-019-0619-0 [pii] PST - ppublish SO - Nat Methods. 2019 Dec;16(12):1289-1296. doi: 10.1038/s41592-019-0619-0. Epub 2019 Nov 18. PMID- 31061532 OWN - NLM STAT- MEDLINE DCOM- 20190709 LR - 20200617 IS - 1529-2916 (Electronic) IS - 1529-2908 (Linking) VI - 20 IP - 7 DP - 2019 Jul TI - Defining inflammatory cell states in rheumatoid arthritis joint synovial tissues by integrating single-cell transcriptomics and mass cytometry. PG - 928-942 LID - 10.1038/s41590-019-0378-1 [doi] AB - To define the cell populations that drive joint inflammation in rheumatoid arthritis (RA), we applied single-cell RNA sequencing (scRNA- seq), mass cytometry, bulk RNA sequencing (RNA-seq) and flow cytometry to T cells, B cells, monocytes, and fibroblasts from 51 samples of synovial tissue from patients with RA or osteoarthritis (OA). Utilizing an integrated strategy based on canonical correlation analysis of 5,265 scRNA-seq profiles, we identified 18 unique cell populations. Combining mass cytometry and transcriptomics revealed cell states expanded in RA synovia: THY1(CD90)(+)HLA-DRA(hi) sublining fibroblasts, IL1B(+) pro- inflammatory monocytes, ITGAX(+)TBX21(+) autoimmune-associated B cells and PDCD1(+) peripheral helper T (TPH) cells and follicular helper T (TFH) cells. We defined distinct subsets of CD8(+) T cells characterized by GZMK(+), GZMB(+), and GNLY(+) phenotypes. We mapped inflammatory mediators to their source cell populations; for example, we attributed IL6 expression to THY1(+)HLA-DRA(hi) fibroblasts and IL1B production to pro-inflammatory monocytes. These populations are potentially key mediators of RA pathogenesis. FAU - Zhang, Fan AU - Zhang F AUID- ORCID: http://orcid.org/0000-0002-6102-2970 AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Division of Genetics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Broad Institute of MIT and Harvard, Cambridge, MA, USA. AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Wei, Kevin AU - Wei K AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Slowikowski, Kamil AU - Slowikowski K AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Division of Genetics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Broad Institute of MIT and Harvard, Cambridge, MA, USA. AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Fonseka, Chamith Y AU - Fonseka CY AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. AD - Division of Genetics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. AD - Broad Institute of MIT and Harvard, Cambridge, MA, USA. AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Rao, Deepak A AU - Rao DA AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Kelly, Stephen AU - Kelly S AD - Department of Rheumatology, Barts Health NHS Trust, London, UK. FAU - Goodman, Susan M AU - Goodman SM AD - Division of Rheumatology, Hospital for Special Surgery, New York, NY, USA. AD - Department of Medicine, Weill Cornell Medical College, New York, NY, USA. FAU - Tabechian, Darren AU - Tabechian D AD - Division of Allergy, Immunology and Rheumatology, Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA. FAU - Hughes, Laura B AU - Hughes LB AD - Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. FAU - Salomon-Escoto, Karen AU - Salomon-Escoto K AD - Division of Rheumatology, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA. FAU - Watts, Gerald F M AU - Watts GFM AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Jonsson, A Helena AU - Jonsson AH AUID- ORCID: http://orcid.org/0000-0002-9558-2474 AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Rangel-Moreno, Javier AU - Rangel-Moreno J AD - Division of Allergy, Immunology and Rheumatology, Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA. FAU - Meednu, Nida AU - Meednu N AD - Division of Allergy, Immunology and Rheumatology, Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA. FAU - Rozo, Cristina AU - Rozo C AD - Arthritis and Tissue Degeneration, Hospital for Special Surgery, New York, NY, USA. FAU - Apruzzese, William AU - Apruzzese W AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Eisenhaure, Thomas M AU - Eisenhaure TM AD - Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Lieb, David J AU - Lieb DJ AUID- ORCID: http://orcid.org/0000-0001-7459-4719 AD - Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Boyle, David L AU - Boyle DL AD - Department of Medicine, Division of Rheumatology, Allergy and Immunology, University of California, San Diego, La Jolla, CA, USA. FAU - Mandelin, Arthur M 2nd AU - Mandelin AM 2nd AD - Division of Rheumatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. CN - Accelerating Medicines Partnership Rheumatoid Arthritis and Systemic Lupus Erythematosus (AMP RA/SLE) Consortium FAU - Boyce, Brendan F AU - Boyce BF AD - Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY, USA. FAU - DiCarlo, Edward AU - DiCarlo E AD - Department of Pathology and Laboratory Medicine, Hospital for Special Surgery, New York, NY, USA. FAU - Gravallese, Ellen M AU - Gravallese EM AD - Division of Rheumatology, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA. FAU - Gregersen, Peter K AU - Gregersen PK AD - Feinstein Institute for Medical Research, Northwell Health, Manhasset, New York, NY, USA. FAU - Moreland, Larry AU - Moreland L AD - Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. FAU - Firestein, Gary S AU - Firestein GS AD - Department of Medicine, Division of Rheumatology, Allergy and Immunology, University of California, San Diego, La Jolla, CA, USA. FAU - Hacohen, Nir AU - Hacohen N AD - Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Nusbaum, Chad AU - Nusbaum C AD - Broad Institute of MIT and Harvard, Cambridge, MA, USA. FAU - Lederer, James A AU - Lederer JA AD - Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Perlman, Harris AU - Perlman H AD - Division of Rheumatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. FAU - Pitzalis, Costantino AU - Pitzalis C AUID- ORCID: http://orcid.org/0000-0003-1326-5051 AD - Centre for Experimental Medicine & Rheumatology, William Harvey Research Institute, Queen Mary University of London, London, UK. FAU - Filer, Andrew AU - Filer A AUID- ORCID: http://orcid.org/0000-0001-8164-6249 AD - NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK. AD - University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK. FAU - Holers, V Michael AU - Holers VM AD - Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO, USA. FAU - Bykerk, Vivian P AU - Bykerk VP AD - Division of Rheumatology, Hospital for Special Surgery, New York, NY, USA. AD - Department of Medicine, Weill Cornell Medical College, New York, NY, USA. FAU - Donlin, Laura T AU - Donlin LT AUID- ORCID: http://orcid.org/0000-0002-1428-090X AD - Department of Medicine, Weill Cornell Medical College, New York, NY, USA. AD - Arthritis and Tissue Degeneration, Hospital for Special Surgery, New York, NY, USA. FAU - Anolik, Jennifer H AU - Anolik JH AD - Division of Allergy, Immunology and Rheumatology, Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA. AD - Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY, USA. FAU - Brenner, Michael B AU - Brenner MB AUID- ORCID: http://orcid.org/0000-0001-6202-8445 AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. FAU - Raychaudhuri, Soumya AU - Raychaudhuri S AUID- ORCID: http://orcid.org/0000-0002-1901-8265 AD - Center for Data Sciences, Brigham and Women's Hospital, Boston, MA, USA. soumya@broadinstitute.org. AD - Division of Genetics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. soumya@broadinstitute.org. AD - Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA. soumya@broadinstitute.org. AD - Broad Institute of MIT and Harvard, Cambridge, MA, USA. soumya@broadinstitute.org. AD - Division of Rheumatology, Immunology, Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. soumya@broadinstitute.org. AD - Arthritis Research UK Centre for Genetics and Genomics, Centre for Musculoskeletal Research, The University of Manchester, Manchester, UK. soumya@broadinstitute.org. LA - eng GR - R01 AR046713/AR/NIAMS NIH HHS/United States GR - KL2 TR002542/TR/NCATS NIH HHS/United States GR - UM2 AR067678/AR/NIAMS NIH HHS/United States GR - R21 AR071670/AR/NIAMS NIH HHS/United States GR - R01 AI046712/AI/NIAID NIH HHS/United States GR - T32 HG002295/HG/NHGRI NIH HHS/United States GR - UH2 AR067689/AR/NIAMS NIH HHS/United States GR - UH2 AR067694/AR/NIAMS NIH HHS/United States GR - UH2 AR067679/AR/NIAMS NIH HHS/United States GR - MR/S025308/1/MRC_/Medical Research Council/United Kingdom GR - UH2 AR067685/AR/NIAMS NIH HHS/United States GR - K01 AR066063/AR/NIAMS NIH HHS/United States GR - U19 AI111224/AI/NIAID NIH HHS/United States GR - MR/N026977/1/MRC_/Medical Research Council/United Kingdom GR - UH2 AR067681/AR/NIAMS NIH HHS/United States GR - UH2 AR067688/AR/NIAMS NIH HHS/United States GR - F31 AR070582/AR/NIAMS NIH HHS/United States GR - K08 AR072791/AR/NIAMS NIH HHS/United States GR - R01 AR063759/AR/NIAMS NIH HHS/United States GR - UH2 AR067690/AR/NIAMS NIH HHS/United States GR - U01 HG009379/HG/NHGRI NIH HHS/United States GR - UH2 AR067677/AR/NIAMS NIH HHS/United States GR - WT_/Wellcome Trust/United Kingdom GR - R01 HL134375/HL/NHLBI NIH HHS/United States GR - UH2 AR067676/AR/NIAMS NIH HHS/United States GR - G0800648/MRC_/Medical Research Council/United Kingdom GR - UH2 AR067691/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20190506 PL - United States TA - Nat Immunol JT - Nature immunology JID - 100941354 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Arthritis, Rheumatoid/*genetics/*metabolism/pathology MH - Autoimmunity/genetics MH - Biomarkers MH - Computational Biology/methods MH - Cross-Sectional Studies MH - Cytokines/metabolism MH - Fibroblasts/metabolism MH - Flow Cytometry MH - Gene Expression MH - *Gene Expression Profiling/methods MH - High-Throughput Nucleotide Sequencing MH - Histocompatibility Antigens Class II/genetics/immunology MH - Humans MH - Leukocytes/immunology/metabolism MH - Monocytes/immunology/metabolism MH - Signal Transduction MH - Single-Cell Analysis/methods MH - Synovial Membrane/*metabolism/pathology MH - T-Lymphocyte Subsets/immunology/metabolism MH - *Transcriptome MH - Workflow PMC - PMC6602051 MID - NIHMS1524330 IR - Albrecht J FIR - Albrecht, Jennifer IR - Bridges SL Jr FIR - Bridges, S Louis Jr IR - Buckley CD FIR - Buckley, Christopher D IR - Buckner JH FIR - Buckner, Jane H IR - Dolan J FIR - Dolan, James IR - Guthridge JM FIR - Guthridge, Joel M IR - Gutierrez-Arcelus M FIR - Gutierrez-Arcelus, Maria IR - Ivashkiv LB FIR - Ivashkiv, Lionel B IR - James EA FIR - James, Eddie A IR - James JA FIR - James, Judith A IR - Keegan J FIR - Keegan, Josh IR - Lee YC FIR - Lee, Yvonne C IR - McGeachy MJ FIR - McGeachy, Mandy J IR - McNamara MA FIR - McNamara, Michael A IR - Mears JR FIR - Mears, Joseph R IR - Mizoguchi F FIR - Mizoguchi, Fumitaka IR - Nguyen JP FIR - Nguyen, Jennifer P IR - Noma A FIR - Noma, Akiko IR - Orange DE FIR - Orange, Dana E IR - Rohani-Pichavant M FIR - Rohani-Pichavant, Mina IR - Ritchlin C FIR - Ritchlin, Christopher IR - Robinson WH FIR - Robinson, William H IR - Seshadri A FIR - Seshadri, Anupamaa IR - Sutherby D FIR - Sutherby, Danielle IR - Seifert J FIR - Seifert, Jennifer IR - Turner JD FIR - Turner, Jason D IR - Utz PJ FIR - Utz, Paul J EDAT- 2019/05/08 06:00 MHDA- 2019/07/10 06:00 CRDT- 2019/05/08 06:00 PHST- 2018/06/19 00:00 [received] PHST- 2019/03/18 00:00 [accepted] PHST- 2019/05/08 06:00 [pubmed] PHST- 2019/07/10 06:00 [medline] PHST- 2019/05/08 06:00 [entrez] AID - 10.1038/s41590-019-0378-1 [doi] AID - 10.1038/s41590-019-0378-1 [pii] PST - ppublish SO - Nat Immunol. 2019 Jul;20(7):928-942. doi: 10.1038/s41590-019-0378-1. Epub 2019 May 6.