23 TYK2 belongs to the JAK protein tyrosine kinase family and mediates signaling of numerous 24 antiviral and immunoregulatory cytokines (type I and type III IFNs, IL-10, IL-12, IL-22, IL-25 23) in immune and non-immune cells. After many years of genetic association studies, TYK2 26 is recognized as a susceptibility gene for some inflammatory and autoimmune diseases (AID).27 Seven TYK2 variants have been associated with AIDs in Europeans, and establishing their 28 causality remains challenging. Previous work showed that a protective variant (P1104A) is 29 hypomorphic and also a risk allele for mycobacterial infection. Here, we have studied two 30 AID-associated common TYK2 variants: rs12720270 located in intron 7 and rs2304256, a 31 non-synonymous variant in exon 8 that causes a valine to phenylalanine substitution (c.1084 32 G > T, Val362Phe). We found that this amino acid substitution does not alter TYK2 33 expression, catalytic activity or ability to relay signaling in EBV-B cell lines or in 34 reconstituted TYK2-null cells. Based on in silico predictions that these variants may impact 35 splicing of exon 8, we: i) analyzed TYK2 transcripts in genotyped EBV-B cells and in 36 CRISPR/Cas9-edited cells, ii) measured splicing using minigene assays, and iii) performed 37 eQTL (expression quantitative trait locus) analysis of TYK2 transcripts in primary monocytes 38 and whole blood cells. Our results reveal that the two variants promote the inclusion of exon 39 8, which, we demonstrate, is essential for TYK2 binding to cognate receptors. In addition and 40 in line with GTEx (Genetic Tissue Expression) data, our eQTL results show that rs2304256 41 mildly enhances TYK2 expression in whole blood. In all, these findings suggest that these 42 TYK2 variants are not neutral but instead have a potential impact in AID. 3 43 Introduction 44 Early genetic association studies have assigned to the TYK2 locus an impact on susceptibility 45 to systemic lupus erythematosus (SLE) and other autoimmune diseases (AID). The 46 identification has been replicated in a number of recent analyses, and TYK2 is now recognized 47 as a susceptibility gene in a variety of inflammatory and autoimmune diseases, including type 48 I diabetes (T1D), psoriasis and multiple sclerosis (Table 1). These chronic disorders have a 49 complex etiology where combinations of genetic and environmental factors eventually lead to 50 loss of immunological tolerance, chronic immune activation, and damage to one organ or 51 several tissues [1].
52How TYK2 variants impact disease onset or progression remains an open question. In 53 human populations, the TYK2 locus presents with thousands of single nucleotide 54 polymorphisms (SNP), of which more than 500 cause non-synonymous (amino acid-altering) 55 changes. Seven TYK2 variants have been associated with AIDs in European cohorts and for 56 most the minor allele is protective (Table 1). Notably, rs12720356 (I684S) is protective for 57 some AID but risky for others, which suggests different underlying pathogenic mechanis...