title: Genetic variation of the Toll-like receptors in a Swedish allergic rhinitis case population.
abstract: BACKGROUND
  Variation in the 10 toll-like receptor (TLR) genes has been significantly associated with allergic rhinitis (AR) in several candidate gene studies and three large genome-wide association studies. These have all investigated common variants, but no investigations for rare variants (MAF ≤ 1%) have been made in AR. The present study aims to describe the genetic variation of the promoter and coding sequences of the 10 TLR genes in 288 AR patients.
  
  
  METHODS
  Sanger sequencing and Ion Torrent next-generation sequencing was used to identify polymorphisms in a Swedish AR population and these were subsequently compared and evaluated using 1000Genomes and Exome Aggregation Consortium (ExAC) data.
  
  
  RESULTS
  The overall level of genetic variation was clearly different among the 10 TLR genes. The TLR10-TLR1-TLR6 locus was the most variable, while the TLR7-TLR8 locus was consistently showing a much lower level of variation. The AR patients had a total of 37 promoter polymorphisms with 14 rare (MAF ≤ 1%) and 14 AR-specific polymorphisms. These numbers were highly similar when comparing the AR and the European part of the 1000Genomes populations, with the exception of TLR10 where a significant (P = 0.00009) accumulation of polymorphisms were identified. The coding sequences had a total of 119 polymorphisms, 68 were rare and 43 were not present in the European part of the 1000Genomes population. Comparing the numbers of rare and AR-specific SNPs in the patients with the European part of the 1000Genomes population it was seen that the numbers were quite similar both for individual genes and for the sum of all 10 genes. However, TLR1, TLR5, TLR7 and TLR9 showed a significant excess of rare variants in the AR population when compared to the non-Finnish European part of ExAC. In particular the TLR1 S324* nonsense mutation was clearly overrepresented in the AR population.
  
  
  CONCLUSIONS
  Most TLR genes showed a similar level of variation between AR patients and public databases, but a significant excess of rare variants in AR patients were detected in TLR1, TLR5, TLR7, TLR9 and TLR10. This further emphasizes the frequently reproduced TLR10-TLR1-TLR6 locus as being involved in the pathogenesis of allergic rhinitis.
authors.affiliation: Department of Biology, Lund University, Lund, Sweden. viktor.henmyr@hkr.se.|Department of Biomedicine, Kristianstad University, 291 39, Kristianstad, Sweden. viktor.henmyr@hkr.se.
authors.forename: V
authors.initials: V
authors.lastname: Henmyr
authors.affiliation: Department of Biomedicine, Kristianstad University, 291 39, Kristianstad, Sweden.
authors.forename: D
authors.initials: D
authors.lastname: Carlberg
authors.affiliation: Department of Biology, Lund University, Lund, Sweden.|Department of Biomedicine, Kristianstad University, 291 39, Kristianstad, Sweden.
authors.forename: E
authors.initials: E
authors.lastname: Manderstedt
authors.affiliation: Department of Biomedicine, Kristianstad University, 291 39, Kristianstad, Sweden.
authors.forename: C
authors.initials: C
authors.lastname: Lind-Halldén
authors.affiliation: Department of Biology, Lund University, Lund, Sweden.
authors.forename: T
authors.initials: T
authors.lastname: Säll
authors.affiliation: Division of ENT Diseases, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
authors.forename: L O
authors.initials: LO
authors.lastname: Cardell
authors.affiliation: Department of Biomedicine, Kristianstad University, 291 39, Kristianstad, Sweden.
authors.forename: C
authors.initials: C
authors.lastname: Halldén
mesh_terms: D000328:Adult; D000483:Alleles; D004247:DNA / Q000737:chemistry / Q000302:isolation & purification / Q000378:metabolism; D030541:Databases, Genetic; D005260:Female; D005787:Gene Frequency; D014644:Genetic Variation; D055106:Genome-Wide Association Study; D059014:High-Throughput Nucleotide Sequencing; D006801:Humans; D008297:Male; D020641:Polymorphism, Single Nucleotide; D011401:Promoter Regions, Genetic; D065631:Rhinitis, Allergic / Q000235:genetics* / Q000473:pathology; D017422:Sequence Analysis, DNA; D013548:Sweden; D051193:Toll-Like Receptors / Q000235:genetics*
chemical_list: D051193:Toll-Like Receptors; D004247:DNA
keywords: Allergic rhinitis; Mutation spectrum; Next-generation sequencing; Rare variants; Toll-like receptor