“…Under the GCAS-approach, we found that the presence of FEIs on study entry ( ) versus their absence ( ) was strongly associated with four CTLA4 -assigned SNPs ( Figure 2 ), with rs231780 yielding the strongest signal ( p =2.3E-5) (Table 2), and suggestively associated with rs7528265, a SNP assigned to the interleukin (IL)-10 gene ( IL10 ) ( p =3.7E-3), which is closely linked to the three other Chr1 genes of the IL10 -superfamily, i.e., IL19 , IL20 , and IL24 encoding IL-19, IL-20, and IL-24 (Table 2). Like NOS2A and B3GNT2 , both CTLA4 and IL10 had previously been implicated in multiple AADs—including, e.g., RA, IDDM, and SLE 58 , 59 , 60 , 61 , 62 , 63 —but both had also been confirmed genetically to play a role in the development of FEIs. 20 , 22 , 23 Located on the long-arm of Chr2, CTLA4 comprises a telomerically-oriented, four-exon-containing transcription unit which spans sense-strand nucleotides 203,867,771–203,873,965 (GRCh38/hg38) ( Figure 3C ) and encodes the T-cell receptor—cytotoxic T-lymphocyte-associated-protein-4 (CTLA4)—that transduces inhibitory signals to down-regulate immune responses.…”