Cargando…
Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy
Narcolepsy type 1 (NT1) is caused by a loss of hypocretin/orexin transmission. Risk factors include pandemic 2009 H1N1 influenza A infection and immunization with Pandemrix®. Here, we dissect disease mechanisms and interactions with environmental triggers in a multi-ethnic sample of 6,073 cases and...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185546/ https://www.ncbi.nlm.nih.gov/pubmed/37188663 http://dx.doi.org/10.1038/s41467-023-36120-z |
_version_ | 1785042379117428736 |
---|---|
author | Ollila, Hanna M. Sharon, Eilon Lin, Ling Sinnott-Armstrong, Nasa Ambati, Aditya Yogeshwar, Selina M. Hillary, Ryan P. Jolanki, Otto Faraco, Juliette Einen, Mali Luo, Guo Zhang, Jing Han, Fang Yan, Han Dong, Xiao Song Li, Jing Zhang, Jun Hong, Seung-Chul Kim, Tae Won Dauvilliers, Yves Barateau, Lucie Lammers, Gert Jan Fronczek, Rolf Mayer, Geert Santamaria, Joan Arnulf, Isabelle Knudsen-Heier, Stine Bredahl, May Kristin Lyamouri Thorsby, Per Medbøe Plazzi, Giuseppe Pizza, Fabio Moresco, Monica Crowe, Catherine Van den Eeden, Stephen K. Lecendreux, Michel Bourgin, Patrice Kanbayashi, Takashi Martínez-Orozco, Francisco J. Peraita-Adrados, Rosa Benetó, Antonio Montplaisir, Jacques Desautels, Alex Huang, Yu-Shu Jennum, Poul Nevsimalova, Sona Kemlink, David Iranzo, Alex Overeem, Sebastiaan Wierzbicka, Aleksandra Geisler, Peter Sonka, Karel Honda, Makoto Högl, Birgit Stefani, Ambra Coelho, Fernando Morgadinho Mantovani, Vilma Feketeova, Eva Wadelius, Mia Eriksson, Niclas Smedje, Hans Hallberg, Pär Hesla, Per Egil Rye, David Pelin, Zerrin Ferini-Strambi, Luigi Bassetti, Claudio L. Mathis, Johannes Khatami, Ramin Aran, Adi Nampoothiri, Sheela Olsson, Tomas Kockum, Ingrid Partinen, Markku Perola, Markus Kornum, Birgitte R. Rueger, Sina Winkelmann, Juliane Miyagawa, Taku Toyoda, Hiromi Khor, Seik-Soon Shimada, Mihoko Tokunaga, Katsushi Rivas, Manuel Pritchard, Jonathan K. Risch, Neil Kutalik, Zoltan O’Hara, Ruth Hallmayer, Joachim Ye, Chun Jimmie Mignot, Emmanuel J. |
author_facet | Ollila, Hanna M. Sharon, Eilon Lin, Ling Sinnott-Armstrong, Nasa Ambati, Aditya Yogeshwar, Selina M. Hillary, Ryan P. Jolanki, Otto Faraco, Juliette Einen, Mali Luo, Guo Zhang, Jing Han, Fang Yan, Han Dong, Xiao Song Li, Jing Zhang, Jun Hong, Seung-Chul Kim, Tae Won Dauvilliers, Yves Barateau, Lucie Lammers, Gert Jan Fronczek, Rolf Mayer, Geert Santamaria, Joan Arnulf, Isabelle Knudsen-Heier, Stine Bredahl, May Kristin Lyamouri Thorsby, Per Medbøe Plazzi, Giuseppe Pizza, Fabio Moresco, Monica Crowe, Catherine Van den Eeden, Stephen K. Lecendreux, Michel Bourgin, Patrice Kanbayashi, Takashi Martínez-Orozco, Francisco J. Peraita-Adrados, Rosa Benetó, Antonio Montplaisir, Jacques Desautels, Alex Huang, Yu-Shu Jennum, Poul Nevsimalova, Sona Kemlink, David Iranzo, Alex Overeem, Sebastiaan Wierzbicka, Aleksandra Geisler, Peter Sonka, Karel Honda, Makoto Högl, Birgit Stefani, Ambra Coelho, Fernando Morgadinho Mantovani, Vilma Feketeova, Eva Wadelius, Mia Eriksson, Niclas Smedje, Hans Hallberg, Pär Hesla, Per Egil Rye, David Pelin, Zerrin Ferini-Strambi, Luigi Bassetti, Claudio L. Mathis, Johannes Khatami, Ramin Aran, Adi Nampoothiri, Sheela Olsson, Tomas Kockum, Ingrid Partinen, Markku Perola, Markus Kornum, Birgitte R. Rueger, Sina Winkelmann, Juliane Miyagawa, Taku Toyoda, Hiromi Khor, Seik-Soon Shimada, Mihoko Tokunaga, Katsushi Rivas, Manuel Pritchard, Jonathan K. Risch, Neil Kutalik, Zoltan O’Hara, Ruth Hallmayer, Joachim Ye, Chun Jimmie Mignot, Emmanuel J. |
author_sort | Ollila, Hanna M. |
collection | PubMed |
description | Narcolepsy type 1 (NT1) is caused by a loss of hypocretin/orexin transmission. Risk factors include pandemic 2009 H1N1 influenza A infection and immunization with Pandemrix®. Here, we dissect disease mechanisms and interactions with environmental triggers in a multi-ethnic sample of 6,073 cases and 84,856 controls. We fine-mapped GWAS signals within HLA (DQ0602, DQB1*03:01 and DPB1*04:02) and discovered seven novel associations (CD207, NAB1, IKZF4-ERBB3, CTSC, DENND1B, SIRPG, PRF1). Significant signals at TRA and DQB1*06:02 loci were found in 245 vaccination-related cases, who also shared polygenic risk. T cell receptor associations in NT1 modulated TRAJ*24, TRAJ*28 and TRBV*4-2 chain-usage. Partitioned heritability and immune cell enrichment analyses found genetic signals to be driven by dendritic and helper T cells. Lastly comorbidity analysis using data from FinnGen, suggests shared effects between NT1 and other autoimmune diseases. NT1 genetic variants shape autoimmunity and response to environmental triggers, including influenza A infection and immunization with Pandemrix®. |
format | Online Article Text |
id | pubmed-10185546 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-101855462023-05-17 Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy Ollila, Hanna M. Sharon, Eilon Lin, Ling Sinnott-Armstrong, Nasa Ambati, Aditya Yogeshwar, Selina M. Hillary, Ryan P. Jolanki, Otto Faraco, Juliette Einen, Mali Luo, Guo Zhang, Jing Han, Fang Yan, Han Dong, Xiao Song Li, Jing Zhang, Jun Hong, Seung-Chul Kim, Tae Won Dauvilliers, Yves Barateau, Lucie Lammers, Gert Jan Fronczek, Rolf Mayer, Geert Santamaria, Joan Arnulf, Isabelle Knudsen-Heier, Stine Bredahl, May Kristin Lyamouri Thorsby, Per Medbøe Plazzi, Giuseppe Pizza, Fabio Moresco, Monica Crowe, Catherine Van den Eeden, Stephen K. Lecendreux, Michel Bourgin, Patrice Kanbayashi, Takashi Martínez-Orozco, Francisco J. Peraita-Adrados, Rosa Benetó, Antonio Montplaisir, Jacques Desautels, Alex Huang, Yu-Shu Jennum, Poul Nevsimalova, Sona Kemlink, David Iranzo, Alex Overeem, Sebastiaan Wierzbicka, Aleksandra Geisler, Peter Sonka, Karel Honda, Makoto Högl, Birgit Stefani, Ambra Coelho, Fernando Morgadinho Mantovani, Vilma Feketeova, Eva Wadelius, Mia Eriksson, Niclas Smedje, Hans Hallberg, Pär Hesla, Per Egil Rye, David Pelin, Zerrin Ferini-Strambi, Luigi Bassetti, Claudio L. Mathis, Johannes Khatami, Ramin Aran, Adi Nampoothiri, Sheela Olsson, Tomas Kockum, Ingrid Partinen, Markku Perola, Markus Kornum, Birgitte R. Rueger, Sina Winkelmann, Juliane Miyagawa, Taku Toyoda, Hiromi Khor, Seik-Soon Shimada, Mihoko Tokunaga, Katsushi Rivas, Manuel Pritchard, Jonathan K. Risch, Neil Kutalik, Zoltan O’Hara, Ruth Hallmayer, Joachim Ye, Chun Jimmie Mignot, Emmanuel J. Nat Commun Article Narcolepsy type 1 (NT1) is caused by a loss of hypocretin/orexin transmission. Risk factors include pandemic 2009 H1N1 influenza A infection and immunization with Pandemrix®. Here, we dissect disease mechanisms and interactions with environmental triggers in a multi-ethnic sample of 6,073 cases and 84,856 controls. We fine-mapped GWAS signals within HLA (DQ0602, DQB1*03:01 and DPB1*04:02) and discovered seven novel associations (CD207, NAB1, IKZF4-ERBB3, CTSC, DENND1B, SIRPG, PRF1). Significant signals at TRA and DQB1*06:02 loci were found in 245 vaccination-related cases, who also shared polygenic risk. T cell receptor associations in NT1 modulated TRAJ*24, TRAJ*28 and TRBV*4-2 chain-usage. Partitioned heritability and immune cell enrichment analyses found genetic signals to be driven by dendritic and helper T cells. Lastly comorbidity analysis using data from FinnGen, suggests shared effects between NT1 and other autoimmune diseases. NT1 genetic variants shape autoimmunity and response to environmental triggers, including influenza A infection and immunization with Pandemrix®. Nature Publishing Group UK 2023-05-15 /pmc/articles/PMC10185546/ /pubmed/37188663 http://dx.doi.org/10.1038/s41467-023-36120-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Ollila, Hanna M. Sharon, Eilon Lin, Ling Sinnott-Armstrong, Nasa Ambati, Aditya Yogeshwar, Selina M. Hillary, Ryan P. Jolanki, Otto Faraco, Juliette Einen, Mali Luo, Guo Zhang, Jing Han, Fang Yan, Han Dong, Xiao Song Li, Jing Zhang, Jun Hong, Seung-Chul Kim, Tae Won Dauvilliers, Yves Barateau, Lucie Lammers, Gert Jan Fronczek, Rolf Mayer, Geert Santamaria, Joan Arnulf, Isabelle Knudsen-Heier, Stine Bredahl, May Kristin Lyamouri Thorsby, Per Medbøe Plazzi, Giuseppe Pizza, Fabio Moresco, Monica Crowe, Catherine Van den Eeden, Stephen K. Lecendreux, Michel Bourgin, Patrice Kanbayashi, Takashi Martínez-Orozco, Francisco J. Peraita-Adrados, Rosa Benetó, Antonio Montplaisir, Jacques Desautels, Alex Huang, Yu-Shu Jennum, Poul Nevsimalova, Sona Kemlink, David Iranzo, Alex Overeem, Sebastiaan Wierzbicka, Aleksandra Geisler, Peter Sonka, Karel Honda, Makoto Högl, Birgit Stefani, Ambra Coelho, Fernando Morgadinho Mantovani, Vilma Feketeova, Eva Wadelius, Mia Eriksson, Niclas Smedje, Hans Hallberg, Pär Hesla, Per Egil Rye, David Pelin, Zerrin Ferini-Strambi, Luigi Bassetti, Claudio L. Mathis, Johannes Khatami, Ramin Aran, Adi Nampoothiri, Sheela Olsson, Tomas Kockum, Ingrid Partinen, Markku Perola, Markus Kornum, Birgitte R. Rueger, Sina Winkelmann, Juliane Miyagawa, Taku Toyoda, Hiromi Khor, Seik-Soon Shimada, Mihoko Tokunaga, Katsushi Rivas, Manuel Pritchard, Jonathan K. Risch, Neil Kutalik, Zoltan O’Hara, Ruth Hallmayer, Joachim Ye, Chun Jimmie Mignot, Emmanuel J. Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy |
title | Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy |
title_full | Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy |
title_fullStr | Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy |
title_full_unstemmed | Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy |
title_short | Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy |
title_sort | narcolepsy risk loci outline role of t cell autoimmunity and infectious triggers in narcolepsy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185546/ https://www.ncbi.nlm.nih.gov/pubmed/37188663 http://dx.doi.org/10.1038/s41467-023-36120-z |
work_keys_str_mv | AT ollilahannam narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT sharoneilon narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT linling narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT sinnottarmstrongnasa narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT ambatiaditya narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT yogeshwarselinam narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT hillaryryanp narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT jolankiotto narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT faracojuliette narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT einenmali narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT luoguo narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT zhangjing narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT hanfang narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT yanhan narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT dongxiaosong narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT lijing narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT zhangjun narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT hongseungchul narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT kimtaewon narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT dauvilliersyves narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT barateaulucie narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT lammersgertjan narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT fronczekrolf narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT mayergeert narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT santamariajoan narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT arnulfisabelle narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT knudsenheierstine narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT bredahlmaykristinlyamouri narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT thorsbypermedbøe narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT plazzigiuseppe narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT pizzafabio narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT morescomonica narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT crowecatherine narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT vandeneedenstephenk narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT lecendreuxmichel narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT bourginpatrice narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT kanbayashitakashi narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT martinezorozcofranciscoj narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT peraitaadradosrosa narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT benetoantonio narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT montplaisirjacques narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT desautelsalex narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT huangyushu narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT jennumpoul narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT nevsimalovasona narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT kemlinkdavid narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT iranzoalex narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT overeemsebastiaan narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT wierzbickaaleksandra narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT geislerpeter narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT sonkakarel narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT hondamakoto narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT hoglbirgit narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT stefaniambra narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT coelhofernandomorgadinho narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT mantovanivilma narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT feketeovaeva narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT wadeliusmia narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT erikssonniclas narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT smedjehans narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT hallbergpar narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT heslaperegil narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT ryedavid narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT pelinzerrin narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT ferinistrambiluigi narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT bassetticlaudiol narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT mathisjohannes narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT khatamiramin narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT aranadi narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT nampoothirisheela narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT olssontomas narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT kockumingrid narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT partinenmarkku narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT perolamarkus narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT kornumbirgitter narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT ruegersina narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT winkelmannjuliane narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT miyagawataku narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT toyodahiromi narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT khorseiksoon narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT shimadamihoko narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT tokunagakatsushi narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT rivasmanuel narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT pritchardjonathank narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT rischneil narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT kutalikzoltan narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT ohararuth narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT hallmayerjoachim narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT yechunjimmie narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy AT mignotemmanuelj narcolepsyrisklocioutlineroleoftcellautoimmunityandinfectioustriggersinnarcolepsy |