RT Journal Article SR Electronic T1 Genetic and physical interaction of the B-cell systemic lupus erythematosus-associated genes BANK1 and BLK JF Annals of the Rheumatic Diseases JO Ann Rheum Dis FD BMJ Publishing Group Ltd and European League Against Rheumatism SP 136 OP 142 DO 10.1136/annrheumdis-2011-200085 VO 71 IS 1 A1 Casimiro Castillejo-López A1 Angélica M Delgado-Vega A1 Jerome Wojcik A1 Sergey V Kozyrev A1 Elangovan Thavathiru A1 Ying-Yu Wu A1 Elena Sánchez A1 David Pöllmann A1 Juan R López-Egido A1 Serena Fineschi A1 Nicolás Domínguez A1 Rufei Lu A1 Judith A James A1 Joan T Merrill A1 Jennifer A Kelly A1 Kenneth M Kaufman A1 Kathy L Moser A1 Gary Gilkeson A1 Johan Frostegård A1 Bernardo A Pons-Estel A1 Sandra D'Alfonso A1 Torsten Witte A1 José Luis Callejas A1 John B Harley A1 Patrick M Gaffney A1 Javier Martin A1 Joel M Guthridge A1 Marta E Alarcón-Riquelme YR 2012 UL http://ard.bmj.com/content/71/1/136.abstract AB Objectives Altered signalling in B cells is a predominant feature of systemic lupus erythematosus (SLE). The genes BANK1 and BLK were recently described as associated with SLE. BANK1 codes for a B-cell-specific cytoplasmic protein involved in B-cell receptor signalling and BLK codes for an Src tyrosine kinase with important roles in B-cell development. To characterise the role of BANK1 and BLK in SLE, a genetic interaction analysis was performed hypothesising that genetic interactions could reveal functional pathways relevant to disease pathogenesis. Methods The GPAT16 method was used to analyse the gene–gene interactions of BANK1 and BLK. Confocal microscopy was used to investigate co-localisation, and immunoprecipitation was used to verify the physical interaction of BANK1 and BLK. Results Epistatic interactions between BANK1 and BLK polymorphisms associated with SLE were observed in a discovery set of 279 patients and 515 controls from northern Europe. A meta-analysis with 4399 European individuals confirmed the genetic interactions between BANK1 and BLK. As BANK1 was identified as a binding partner of the Src tyrosine kinase LYN, the possibility that BANK1 and BLK could also show a protein–protein interaction was tested. The co-immunoprecipitation and co-localisation of BLK and BANK1 were demonstrated. In a Daudi cell line and primary naive B cells endogenous binding was enhanced upon B-cell receptor stimulation using anti-IgM antibodies. Conclusion This study shows a genetic interaction between BANK1 and BLK, and demonstrates that these molecules interact physically. The results have important consequences for the understanding of SLE and other autoimmune diseases and identify a potential new signalling pathway.