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A high-density genome-wide association with absolute blood monocyte count in domestic sheep identifies novel loci

  • Ryan D. Oliveira,

    Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Software, Validation, Visualization, Writing – original draft

    Affiliation Department of Veterinary Microbiology & Pathology, Washington State University, Pullman, Washington, United States of America

  • Michelle R. Mousel,

    Roles Funding acquisition, Methodology, Project administration, Resources, Supervision, Writing – review & editing

    Affiliations USDA-ARS Animal Disease Research, Pullman, Washington, United States of America, Allen School for Global Animal Health, Washington State University, Pullman, Washington, United States of America

  • Michael V. Gonzalez,

    Roles Conceptualization, Data curation, Investigation, Methodology, Writing – review & editing

    Affiliation Center for Applied Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America

  • Codie J. Durfee,

    Roles Formal analysis, Resources, Software, Validation, Writing – review & editing

    Affiliation USDA-ARS Animal Disease Research, Pullman, Washington, United States of America

  • Kimberly M. Davenport,

    Roles Data curation, Formal analysis, Investigation, Resources, Software, Writing – review & editing

    Affiliation Department of Animal, Veterinary, and Food Science, University of Idaho, Moscow, ID, United States of America

  • Brenda M. Murdoch,

    Roles Data curation, Formal analysis, Investigation, Software, Supervision, Writing – review & editing

    Affiliations Department of Animal, Veterinary, and Food Science, University of Idaho, Moscow, ID, United States of America, Center for Reproductive Biology, Washington State University, Pullman, WA, United States of America

  • J. Bret Taylor,

    Roles Data curation, Investigation, Methodology, Resources, Supervision, Writing – review & editing

    Affiliation USDA-ARS Range Sheep Production Efficiency Research, Dubois, Idaho, United States of America

  • Holly L. Neibergs,

    Roles Visualization, Writing – original draft, Writing – review & editing

    Affiliation Department of Animal Sciences, Washington State University, Pullman, WA, United States of America

  • Stephen N. White

    Roles Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing – original draft, Writing – review & editing

    Stephen.White@wsu.edu

    Affiliations Department of Veterinary Microbiology & Pathology, Washington State University, Pullman, Washington, United States of America, USDA-ARS Animal Disease Research, Pullman, Washington, United States of America, Center for Reproductive Biology, Washington State University, Pullman, WA, United States of America

Abstract

Monocytes are a core component of the immune system that arise from bone marrow and differentiate into cells responsible for phagocytosis and antigen presentation. Their derivatives are often responsible for the initiation of the adaptive immune response. Monocytes and macrophages are central in both controlling and propagating infectious diseases such as infection by Coxiella burnetii and small ruminant lentivirus in sheep. Genotypes from 513 Rambouillet, Polypay, and Columbia sheep (Ovis aries) were generated using the Ovine SNP50 BeadChip. Of these sheep, 222 animals were subsequently genotyped with the Ovine Infinium® HD SNP BeadChip to increase SNP coverage. Data from the 222 HD genotyped sheep were combined with the data from an additional 258 unique sheep to form a 480-sheep reference panel; this panel was used to impute the low-density genotypes to the HD genotyping density. Then, a genome-wide association analysis was conducted to identify loci associated with absolute monocyte counts from blood. The analysis used a single-locus mixed linear model implementing EMMAX with age and ten principal components as fixed effects. Two genome-wide significant peaks (p < 5x10-7) were identified on chromosomes 9 and 1, and ten genome-wide suggestive peaks (p < 1x10-5) were identified on chromosomes 1, 2, 3, 4, 9, 10, 15, and 16. The identified loci were within or near genes including KCNK9, involved into cytokine production, LY6D, a member of a superfamily of genes, some of which subset monocyte lineages, and HMGN1, which encodes a chromatin regulator associated with myeloid cell differentiation. Further investigation of these loci is being conducted to understand their contributions to monocyte counts. Investigating the genetic basis of monocyte lineages and numbers may in turn provide information about pathogens of veterinary importance and elucidate fundamental immunology.

Introduction

Monocytes are bone marrow-derived immune cells that circulate in the blood with a short lifespan, typically days [1]. They have traditionally been grouped in the mononuclear phagocyte system that includes macrophages and dendritic cells, though this grouping is based on historical studies of function and likely bridges several independent lineages [2]. Monocytes are an essential component in the immune response to a variety of pathogens [3], and they can be a source of some tissue resident macrophages and dendritic cells [4]. They also support differentiation of various T cell lineages in lymph nodes [5, 6], emphasizing their importance in both innate and adaptive immunity.

Monocytes can differentiate along multiple lineages to produce several categories of cells which are still being characterized [7, 8]. In brief, studies in mice imply that monocytes initially derive from a common myeloid progenitor, which becomes either a granulocyte-monocyte progenitor or monocyte-dendritic cell progenitor, and each lineage gives rise to separate monocyte subsets as distinguished with RNA profiles [7, 9]. Studies in human-derived cells suggest a similar multilineage differentiation of monocytes [10, 11].

After leaving the marrow, monocytes enter the circulation and can migrate to lymphoid and non-lymphoid tissues. Canonically, they are characterized as classical, nonclassical, and intermediate subsets in humans based on CD14 and CD16 expression profiles [12], while in mice they are similarly divided based on Ly6C expression [13]. Generally, classical monocytes enter tissues to aid in inflammation, while nonclassical monocytes are thought to patrol the vascular surfaces [14, 15]. Classical monocytes may terminally differentiate into macrophages or dendritic cells [16].

The concentration of monocytes in circulation, under normal conditions, stays within a consistent reference interval that is often measured in complete blood counts in the clinical setting [17]. In most studied species, monocyte elevations occur under conditions of inflammation. In humans, chronic elevations may be a biomarker of cardiovascular disease [18]. In otherwise healthy middle-aged and elderly adults, higher levels of circulating monocytes are associated with increased risk of cancer and mortality [19].

In sheep, monocytes are important in both the propagation and control of several infectious diseases. For example, small ruminant lentivirus, which causes a multisystemic inflammatory disease in sheep and goats [20], has been known for decades to use the monocyte system to disseminate through the bloodstream [21]. Viral replication in monocytes is tied to their maturation into phagocytes [22], and dendritic cells are an important site of infection as well [23, 24]. Similarly, Coxiella burnetii, an ubiquitous bacterial infection of sheep and goats that also causes the human disease Q fever [25], subverts classical phagocytosis to infect and replicate in the mononuclear phagocyte system [26]. C. burnetii actively replicates in monocytes and their derived macrophages [27, 28], including cell lines created from circulating monocytes [29].

Identifying the genetic influences underlying the amount of available circulating monocytes is paramount to characterizing the immune response to diseases influenced by their presence. Genome-wide association studies (GWAS) are a useful methodology employed to identify sites in the genome associated with phenotypes such as monocyte counts. Genotyping a wide array of natural variations across the genome such as single nucleotide polymorphisms (SNPs) or insertion-deletions (indels) followed by a GWAS can identify loci associated with a trait of interest. The genetic influences on monocyte count in humans have been explored extensively using GWAS and related methods. Variations in several leukocyte receptors and other proteins associated with leukocytic differentiation and function have been observed to partially account for circulating monocyte count and occasionally other circulating leukocytes in humans [3036]. From these studies, variations in or near ITGA4 and LPAR1 have been found to be important in multiple human populations [3335].

The effect of genetic variation on monocyte count in domestic animals has not been studied despite the important influence of the mononuclear phagocyte system in disease. Additionally, the ability of a GWAS to identify loci associated with a trait can be assisted by imputation, a process by which an algorithm estimates genotypes from a lower density genotyping profile to a higher density profile through principles of chromosomal linkage. This is performed when existing high-density (HD) genotypes from a reference population are available to accurately estimate the missing HD genotypes in a new population. This study uses imputed HD genotypes in a GWAS to identify loci and putative candidate genes that are associated with circulating monocyte count in sheep.

Materials and methods

Populations and phenotypes

Absolute monocyte count analysis.

Whole blood was obtained by jugular venipuncture into EDTA-coated vacutainer tubes from ewes (Ovis aries) at the U.S. Sheep Experiment Station in Dubois, Idaho as part of a previous study [37], using methods previously described [38]. For the present study, a subset of 513 sheep was selected from ewes of Columbia (N = 67), Polypay (N = 196), and Rambouillet (N = 250) breeds and of ages between 1 and 5 years. These three breeds were chosen based on their divergence of growth, reproductive, immune, and blood traits, and previous genetic studies [37, 3944], and because they are among the most common production breeds in the United States. The Columbia and Polypay breeds were derived from the Rambouillet breed [45, 46], and close genetic relationships still exist between these breeds [46]. Complete blood counts were performed on this subset as previously described [37]. Briefly, absolute monocyte counts were obtained as part of complete blood counts performed by Phoenix Labs, Inc. (Everett, Washington, USA) within approximately 24 hours of the time of collection, with reference values provided by Phoenix Labs, Inc.

Ethics statement.

All animal care and handling procedures were reviewed and approved by the Washington State University Institutional Animal Care and Use Committee (Permit Numbers: 3171, 4885, and 4594) and/or by the U.S. Sheep Experiment Station Animal Care and Use Committee (Protocol Numbers: 04–14, 10–07, 15–04, 15–05). All efforts were made to minimize any discomfort during blood collection.

Genotyping methods

Genotyping with Ovine SNP50 BeadChip.

The process of genotyping and imputation is summarized in S1 Fig. Genotyping at a lower density was performed for the study population of 513 animals as described in a previous study [37]. Briefly, DNA was isolated using the Invitrogen GeneCatcherTM gDNA 3–10 ml Blood Kit using the manufacturers’ instructions (Life Technologies, Carlsbad, CA). Genotyping services were provided by Geneseek Inc. (Lincoln, NE) using the OvineSNP50 BeadChip (Illumina Inc., San Diego, CA) with a set of 54,977 SNPs designed by the International Sheep Genome Consortium [47].

Genotyping with Ovine Infinium® HD SNP BeadChip.

Using the same DNA, a subset of 222 sheep from the lower density dataset (Columbia N = 33, Polypay N = 80, Rambouillet N = 109) were genotyped again using the Ovine Infinium® HD SNP BeadChip, which uses a set of 606,006 SNPs also designed by the International Sheep Genome Consortium [48]. A separate group of 258 sheep (Columbia N = 33, Polypay N = 140, Rambouillet N = 85) also from the U.S. Sheep Experiment Station, had blood drawn [49] with DNA extraction as previously described [38] but without complete blood counts. These sheep were also genotyped with the HD SNP BeadChip to aid in a reference panel for genotype imputation.

Genotype imputation.

Unphased genotype data were converted from PLINK v1.9.ped format [50, 51] to variant call format with a script in R v4.0.2 using the data.table v1.13.2 and R.utils v2.10.1 packages [52]. As part of pre-imputation quality control, loci without an assigned chromosome or base pair position, loci with a call rate lower than 95% from either the lower density (2,407 SNPs) or HD array (25,183 SNPs), and individuals with a call rate lower than 95% from either array (0 individuals) were removed from the dataset. Genotypes of the sheep were designated into two major sets based on genotyping density: a to-be-imputed group of 291 sheep genotyped by the Ovine SNP50 BeadChip (Columbia N = 34, Polypay N = 116, Rambouillet N = 141), and a reference panel of 480 sheep genotyped by the Ovine Infinium® HD SNP BeadChip (Columbia N = 66, Polypay N = 220, Rambouillet N = 194) created by merging the groups of 222 and 258 sheep previously described.

Each set was in turn separated into its three component breeds, and imputation of each low-density breed group was performed using its corresponding breed group in the reference panel. Imputation occurred in two major steps. First, the reference panel for each breed was phased with imputation of SNP50-exclusive loci using Beagle v5.1 [53, 54]. Once all genotypes had been determined in these groups, they were used as reference panels for breed-specific imputation and phasing of the low-density genotypes, again using Beagle v5.1 [53, 54]. Imputation accuracies were predicted by five-fold cross-validation in the reference population and were 0.705 for Columbia sheep, 0.735 for Polypay sheep, and 0.680 for Rambouillet sheep.

Statistical analysis

Genome-wide association analysis with absolute monocyte count.

Genome-wide association with the absolute monocyte count was performed using SNP & Variation Suite (SVS) version 8.9.0 (Golden Helix, Inc., Bozeman, MT, US). Variants with minor allele frequency below 1% were removed (45,263 SNPs). A Hardy-Weinberg test of equilibrium test was performed, and 768 SNPs at extreme skew (p < 1 x 10−80) were removed. After all quality control measures, 542,255 SNPs remained for absolute monocyte count analysis. Initially chosen fixed effects included age and breed. Thirty principal components were initially generated from the final curated set of genotypes using SVS. The ten principal components with the highest eigenvalues accounted for 84.4% of the variation explained by all thirty, and as such the other principal components were dropped from the analysis (S1 Table). As the principal components were found to account for breed (S2S4 Figs), breed was removed as a fixed effect. The association model used was a single-locus mixed linear model implementing EMMAX [55] using age and varying amounts of principal components as fixed effects with a calculated identity-by-state matrix as a random effect. A threshold of p < 5x10-7 was used for genome-wide significance, and a threshold of p < 1x10-5 was used for genome-wide suggestive evidence [56]. Genomic inflation factor (pseudo lambda) was calculated using a custom script for SVS hosted on the Golden Helix website [57]. The Manhattan plot was generated using a modification of a script developed by Pagé Goddard in R (https://github.com/pcgoddard/Burchardlab_Tutorials/wiki/GGplot2-Manhattan-Plot-Function, viewed on December 27, 2018). The Quantile-Quantile (Q-Q) plots were constructed using the qqman v0.1.8 package in R [52, 58].

Results

Absolute monocyte counts measured in the 513 sheep varied from 0 to 880 per microliter, with a mean of 205.7, a median of 190, and a standard deviation of 125.0 (S2 Table). More detailed distribution characteristics are listed in S3 Table. The monocyte count reference interval typically ranges up to 750 per microliter in sheep [59, 60], and only one animal exceeded this reference interval at 880 per microliter. No study sheep were noted to be clinically ill during sampling. The calculated genomic inflation factor (pseudo lambda) for the final genome-wide association analysis was 1.01.

As can be seen in the Manhattan plot (Fig 1), two loci had p values below the genome-wide significance threshold, while ten loci passed the genome-wide suggestive threshold. Detailed information on genome-wide significant SNPs is in Table 1, and more information on genome-wide suggestive SNPs is in Table 2. A Q-Q plot for this analysis is given in S5 Fig. A second single-locus analysis was performed with the same terms as the first but with the five SNPs with the lowest p values as fixed effects (S6 Fig). The allele frequencies by breed for each the genome-wide significant and suggestive SNP are in S4 Table.

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Fig 1. Manhattan plot of absolute monocyte count GWAS.

The Manhattan plot displays all nominal p values from the GWAS for absolute monocyte count by chromosomal position. Representative data from the additive genetic analysis is shown. The dotted and solid lines respectively denote p values of 1x10-5 (genome-wide suggestive) and 5x10-7 (genome-wide significant).

https://doi.org/10.1371/journal.pone.0266748.g001

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Table 1. Genome-wide significant single nucleotide polymorphisms (SNPs) associated with absolute monocyte count.

https://doi.org/10.1371/journal.pone.0266748.t001

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Table 2. Genome-wide suggestive single nucleotide polymorphisms (SNPs) associated with absolute monocyte count.

https://doi.org/10.1371/journal.pone.0266748.t002

Discussion

The advent of high-density GWAS has provided the potential to improve scientific understanding of the genetic influences behind many important health and developmental traits [61], including those in the livestock industry. Previous GWAS in sheep have identified genetic variants underlying factors important to agriculture such as litter size [62], growth and meat production [63], and wool production [64]. Similar analyses have also shed light on the genetic architecture underpinning disease susceptibility in sheep [38, 42, 65] and can highlight genes not previously known to be involved with the assessed pathogen in a species [38]. Analyzing circulating levels of monocytes, an important immune effector cell in sheep diseases [2123, 29], has a similar potential to benefit animal agriculture and expand on knowledge of genes associated with immune functions. Thus, we performed the first GWAS for circulating monocytes in sheep, associating genotypes imputed to high density in sheep with absolute monocyte counts. The breed imputation accuracies are mildly lower than initially reported accuracies in sheep [66], which may reflect the relatively limited availability of reference animals in this study. As a result, the findings must be interpreted in light of this limitation, which may affect their reliability. GWAS findings should be validated in an independent population to prevent overfitting and rule out spurious findings, and this is especially important as this study was limited somewhat by sample size and correspondingly low imputation accuracy. To the authors’ knowledge, however, this is the first association study utilizing imputation in Columbia, Polypay, and Rambouillet sheep. The model from our analysis had a genomic inflation factor of 1.01, indicating minimal test statistic inflation, and identified two SNPs of genome-wide significance and ten genome-wide suggestive SNPs across eight autosomes as listed in Tables 1 and 2. In this discussion, we delve into the potential importance of some of the associated loci, particularly with regard to nearby genes and how those genes may impact circulating monocyte count, though a link was not apparent with every locus.

Two genome-wide significant SNPs were identified. One SNP (rs401041089; p = 1.10 x 10−8; Table 1) is approximately 60 kilobases downstream of KCNK9, a gene encoding a pH-dependent potassium channel. This channel, also called TASK3, is constitutively expressed by T lymphocytes and affects downstream functions of T cell-receptor activation in vitro, including secretion of the proinflammatory cytokines IFNγ and IL2 [67]. IFNγ is linked in particular to the monocyte-macrophage lineage, with these cells both producing and becoming activated in response to IFNγ [68]. Monocyte precursors in murine bone marrow express the IFNγ receptor IFNγR1 [69]. IFNγ is thought to shift hematopoiesis in favor of monocytes during inflammation based on models of infectious disease in mice [70, 71]. TASK3 is also linked with apoptosis in cultured neurons [72] and human gastric adenocarcinoma cell lines [73]. The other significant SNP (rs428401450; p = 2.05 x 10−7) was not within 100 kilobases of any recognized genes in the Oar rambouillet v1.0 assembly [7476], though its association is suggested by the presence of three SNPs within 50 kilobases with p values less than 1 x 10−3. However, rs428401450 is approximately 114 kilobases upstream of the gene GOLIM4, which encodes a type II Golgi-resident protein considered to play a role in cell proliferation and apoptosis in some neoplastic cell lines [77, 78]. Additionally, the genomic locus where the SNP is found has a chromatin state consistent with an active promoter in tissue from the spleen [79], and the SNP is within 100 bases of chromatin consistent with an active promoter in alveolar macrophages [80]. While a gene is not identified in any closer vicinity than that of GOLIM4, it is not uncommon for GWAS findings to reside within “gene deserts”, with one studying estimating that nearly half of published SNPs associated with disease discovered by GWAS are not within or near genes [81]. Such areas may still contain regulatory elements that act on distant genes utilizing the three-dimensional structure of chromatin [81, 82], and projects that annotate genomes and elucidate chromatin structure are expected to reveal more information about these regions. For example, annotation in sheep is an ongoing effort with recent developments by the Functional Annotation of Animal Genomes (FAANG) consortium [79]. The FAANG project aims to map functional elements in the genomes of several domesticated animal species [83], and the ovine FAANG project has published multiple papers describing functional elements in the recent Oar rambouillet v1.0 genome [75, 79, 80].

Regarding the genome-wide suggestive SNPs, one locus (rs425174370; p = 7.98 x 10−7; Table 2) resides within a gene cluster on OAR9 including GML, LY6D, LYNX1, LYPD2, and SLURP1, which are members of the lymphocyte antigen-6/urokinase-type plasminogen activator receptor (Ly6/uPAR) family of genes [84, 85]. Ly6/uPAR genes are associated with stem cells and are particularly implicated in immune cell differentiation and clearance of cancer [84], and expression of the family member Ly6C defines classical and non-classical monocyte subsets in mice [13, 14, 86]. The gene family is conserved across species, though some gene family members are species-specific [85], and human monocyte subsets are classified as classical, non-classical, or intermediate by a different system [12]. While such a classification scheme does not exist in sheep, the association of loci within this gene cluster with absolute monocyte count could indicate such a system exists in sheep and/or that members of the LY6/uPAR family play a role in monocyte differentiation; establishing such subsets could be an exciting development in sheep monocyte physiology that deserves to be explored further.

Two genome-wide suggestive loci are on OAR3 (rs428909416; p = 1.74 x 10−6 and rs414400434; p = 2.42x10-6; Table 2), with rs428909416 mapping to two positions in Oar rambouillet v1.0 in Ensembl release 104 [74, 75, 87]. If the position at 100,745,902 is used for rs428909416, both SNPs are within EXOC6B, which encodes part of a multimeric protein called the exocyst, which is highly expressed in mast cells [88] and has a general role in exocytosis [89]. However, using the alternate position for rs428909416 places the locus close to the ENSOART00020002401.1 transcript on Ensembl [87], and a pairwise comparison of its 360 bp cDNA sequence had 100% nucleotide sequence identity with a predicted transcript from HMGN1 (XM_027963980.1) using a BLASTn search [90]. HMGN1 codes for a chromatin accessibility regulator closely linked with myeloid differentiation, being highly expressed in hematopoietic stem cells and progenitor cells but losing expression in differentiated myeloid cells [91]. In addition, extracellular product acts as an alarmin that favors a Th1 type response [92], an inflammatory pattern associated with IFNγ [93] and a strong cell-mediated response including macrophages [94].

Finally, a genome-wide suggestive SNP on OAR4 (rs423783355; p = 9.97 x 10−6; Table 2) does not map to Oar rambouillet v1.0 but maps close to several annotated genes in Oar v3.1 in NCBI [95] and near a long non-coding RNA in Ensembl [87]. Of particular interest, it is approximately 15 kilobases downstream of KEL, which encodes the Kell blood antigen group [96]. While best characterized as a glycoprotein determining blood groups in erythrocytes, Kell is also expressed on myeloid progenitor cells and monocytes [97, 98].

While no previous GWAS with monocyte counts have been performed in sheep, similar studies have been done for humans, with the genes ITGA4 and LPAR1 implicated in multiple study populations [3335]. These genes were not associated with absolute monocyte count in this study. While this study identifies several loci that have not been previously associated with the number of circulating monocytes in humans, one associated locus is near several genes in the Ly6/uPAR family, members of which are associated with immune cell differentiation and monocyte subclassification in mice [13, 85]. These findings shed new light on monocyte differentiation in sheep and can potentially help characterize the immune response associated with important infectious diseases of this species. These findings will be further investigated to determine their associated causal variant(s) and assess their validity.

Conclusions

This study is the first to perform a genome-wide association with a measure of circulating monocytes in sheep. Several significant and suggestive loci, all novel loci compared with those identified in human studies, were identified and are located near genes associated with monocyte subset differentiation, cytokine production, cell-mediated immunity, and hematopoiesis. Characterizing the genetic influences underlying monocyte counts in sheep may also have value in investigating the susceptibility to diseases that closely involve the monocyte-macrophage system such as Coxiella burnetii and ovine lentivirus. More research such as fine mapping is needed to identify what causal variants may be in linkage disequilibrium with the identified loci, and these functional mutations should be validated in an independent population. Fully characterizing these loci has the potential to benefit veterinary medicine, producers, and expand knowledge of immunologic development.

Supporting information

S1 Fig. Flowchart for genotype imputation.

A summary of how genotype measurement and imputation were conducted.

https://doi.org/10.1371/journal.pone.0266748.s001

(TIF)

S2 Fig. Principal components 1 and 2 by breed.

The first and second principal components are plotted against each other for the 513 study sheep, with each point color-coded to show breed.

https://doi.org/10.1371/journal.pone.0266748.s002

(TIFF)

S3 Fig. Principal components 2 and 3 by breed.

The second and third principal components are plotted against each other for the 513 study sheep, with each point color-coded to show breed.

https://doi.org/10.1371/journal.pone.0266748.s003

(TIFF)

S4 Fig. Principal components 1 and 3 by breed.

The first and third principal components are plotted against each other for the 513 study sheep, with each point color-coded to show breed.

https://doi.org/10.1371/journal.pone.0266748.s004

(TIFF)

S5 Fig. Quantile-quantile plot for the main mixed model analysis.

The quantile-quantile (QQ) plot for the mixed model used in the main analysis in the paper.

https://doi.org/10.1371/journal.pone.0266748.s005

(TIF)

S6 Fig. Quantile-quantile plot for an adjunct mixed model analysis.

The quantile-quantile (QQ) plot for an additional mixed model analysis run after the primary one. The five SNPs with lowest p values were added to the first model as fixed effects.

https://doi.org/10.1371/journal.pone.0266748.s006

(TIF)

S1 Table. Principal components by study ID.

The ten principal components used in the analysis matched to sheep study ID.

https://doi.org/10.1371/journal.pone.0266748.s007

(DOCX)

S2 Table. Monocyte counts by study ID.

The absolute monocyte count matched to sheep study ID.

https://doi.org/10.1371/journal.pone.0266748.s008

(DOCX)

S3 Table. Distribution characteristics of monocyte counts.

The distribution characteristics for the absolute monocyte counts are summarized.

https://doi.org/10.1371/journal.pone.0266748.s009

(DOCX)

S4 Table. Allele frequencies of the top SNPs by breed.

+Allele associated with higher absolute monocyte count.

https://doi.org/10.1371/journal.pone.0266748.s010

(DOCX)

Acknowledgments

The authors gratefully acknowledge the contributions of ADRU staff and Alisha Massa for assistance in gathering and analyzing data. We also acknowledge current and former USDA, Range Sheep Production Efficiency Research Unit (Dubois, ID, USA) employees Tom Kellom and Natalie Pierce for data collection, curation, and management. We gratefully appreciate Shiquan Wang, Mark Williams, Boyd Leonard, Ella Ybarlucea, Harley Carpenter, Joel Billman, Brad Eddins, Lyn Mortensen, Jack Hensley, Nicole Strong, and Jennifer Barnett for animal management, husbandry, and sample-collection assistance.

References

  1. 1. Patel AA, Zhang Y, Fullerton JN, Boelen L, Rongvaux A, Maini AA, et al. The fate and lifespan of human monocyte subsets in steady state and systemic inflammation. The Journal of Experimental Medicine. 2017;214(7):1913–23. pmid:28606987
  2. 2. Hume DA, Ross IL, Himes SR, Sasmono RT, Wells CA, Ravasi T. The mononuclear phagocyte system revisited. Journal of Leukocyte Biology. 2002;72(4):621–7. pmid:12377929
  3. 3. Serbina NV, Jia T, Hohl TM, Pamer EG. Monocyte-Mediated Defense Against Microbial Pathogens. Annual Review of Immunology. 2008;26(1):421–52. pmid:18303997.
  4. 4. Gordon S, Taylor PR. Monocyte and macrophage heterogeneity. Nature Reviews Immunology. 2005;5(12):953–64. pmid:16322748
  5. 5. Augier S, Ciucci T, Luci C, Carle GF, Blin-Wakkach C, Wakkach A. Inflammatory Blood Monocytes Contribute to Tumor Development and Represent a Privileged Target To Improve Host Immunosurveillance. The Journal of Immunology. 2010;185(12):7165–73. pmid:21078911
  6. 6. Jakubzick CV, Randolph GJ, Henson PM. Monocyte differentiation and antigen-presenting functions. Nature Reviews Immunology. 2017;17:349. pmid:28436425
  7. 7. Yáñez A, Coetzee SG, Olsson A, Muench DE, Berman BP, Hazelett DJ, et al. Granulocyte-Monocyte Progenitors and Monocyte-Dendritic Cell Progenitors Independently Produce Functionally Distinct Monocytes. Immunity. 2017;47(5):890–902.e4. pmid:29166589
  8. 8. Macrophages Jung S. and monocytes: of tortoises and hares. Nature Reviews Immunology. 2018;18:85. pmid:29292392
  9. 9. Menezes S, Melandri D, Anselmi G, Perchet T, Loschko J, Dubrot J, et al. The Heterogeneity of Ly6Chi Monocytes Controls Their Differentiation into iNOS+ Macrophages or Monocyte-Derived Dendritic Cells. Immunity. 2016;45(6):1205–18. pmid:28002729
  10. 10. Villani A-C, Satija R, Reynolds G, Sarkizova S, Shekhar K, Fletcher J, et al. Single-cell RNA-seq reveals new types of human blood dendritic cells, monocytes, and progenitors. Science. 2017;356(6335):eaah4573. pmid:28428369
  11. 11. Kawamura S, Onai N, Miya F, Sato T, Tsunoda T, Kurabayashi K, et al. Identification of a Human Clonogenic Progenitor with Strict Monocyte Differentiation Potential: A Counterpart of Mouse cMoPs. Immunity. 2017;46(5):835–48.e4. pmid:28514689
  12. 12. Ziegler-Heitbrock L, Ancuta P, Crowe S, Dalod M, Grau V, Hart DN, et al. Nomenclature of monocytes and dendritic cells in blood. Blood. 2010;116(16):e74–e80. pmid:20628149
  13. 13. Mildner A, Marinkovic G, Jung S. Murine Monocytes: Origins, Subsets, Fates, and Functions. Microbiol Spectr. 2016;4(5). pmid:27780020.
  14. 14. Wong KL, Tai JJ-Y, Wong W-C, Han H, Sem X, Yeap W-H, et al. Gene expression profiling reveals the defining features of the classical, intermediate, and nonclassical human monocyte subsets. Blood. 2011;118(5):e16–e31. pmid:21653326
  15. 15. Cros J, Cagnard N, Woollard K, Patey N, Zhang S-Y, Senechal B, et al. Human CD14dim Monocytes Patrol and Sense Nucleic Acids and Viruses via TLR7 and TLR8 Receptors. Immunity. 2010;33(3):375–86. pmid:20832340
  16. 16. Boyette LB, Macedo C, Hadi K, Elinoff BD, Walters JT, Ramaswami B, et al. Phenotype, function, and differentiation potential of human monocyte subsets. PLOS ONE. 2017;12(4):e0176460. pmid:28445506
  17. 17. Houwen B. The differential cell count. Laboratory Hematology. 2001;7:89–100.
  18. 18. Ducimetière P, Olivares R, Claude JR. Monocyte Count: A Risk Factor for Coronary Heart Disease? American Journal of Epidemiology. 1993;137(1):49–53. pmid:8434572
  19. 19. Sajadieh A, Mouridsen MR, Selmer C, Intzilakis T, Nielsen OW, Haugaard SB. Monocyte number associated with incident cancer and mortality in middle-aged and elderly community-dwelling Danes. European Journal of Cancer. 2011;47(13):2015–22. pmid:21439818
  20. 20. Minguijón E, Reina R, Pérez M, Polledo L, Villoria M, Ramírez H, et al. Small ruminant lentivirus infections and diseases. Veterinary Microbiology. 2015;181(1):75–89. pmid:26371852
  21. 21. Peluso R, Haase A, Stowring L, Edwards M, Ventura P. A Trojan Horse mechanism for the spread of visna virus in monocytes. Virology. 1985;147(1):231–6. pmid:2998068
  22. 22. Gendelman HE, Narayan O, Kennedy-Stoskopf S, Kennedy PG, Ghotbi Z, Clements JE, et al. Tropism of sheep lentiviruses for monocytes: susceptibility to infection and virus gene expression increase during maturation of monocytes to macrophages. Journal of Virology. 1986;58(1):67–74. pmid:3005660
  23. 23. Gorrell MD, Brandon MR, Sheffer D, Adams RJ, Narayan O. Ovine lentivirus is macrophagetropic and does not replicate productively in T lymphocytes. Journal of Virology. 1992;66(5):2679–88. pmid:1348546
  24. 24. Ryan S, Tiley L, McConnell I, Blacklaws B. Infection of Dendritic Cells by the Maedi-Visna Lentivirus. Journal of Virology. 2000;74(21):10096–103. pmid:11024138
  25. 25. Maurin M, Raoult D. Q Fever. Clinical Microbiology Reviews. 1999;12(4):518–53. pmid:10515901.
  26. 26. van Schaik EJ, Chen C, Mertens K, Weber MM, Samuel JE. Molecular pathogenesis of the obligate intracellular bacterium Coxiella burnetii. Nature reviews Microbiology. 2013;11(8):561–73. pmid:23797173.
  27. 27. Ghigo E, Pretat L, Desnues B, Capo C, Raoult D, Mege J-L. Intracellular Life of Coxiella burnetii in Macrophages. Annals of the New York Academy of Sciences. 2009;1166(1):55–66. pmid:19538264
  28. 28. Ghigo E, Capo C, Raoult D, Mege JL. Interleukin-10 stimulates Coxiella burnetii replication in human monocytes through tumor necrosis factor down-modulation: role in microbicidal defect of Q fever. Infection and immunity. 2001;69(4):2345–52. pmid:11254592.
  29. 29. Dellacasagrande J, Capo C, Raoult D, Mege J-L. IFN-γ-Mediated Control of Coxiella burnetii Survival in Monocytes: The Role of Cell Apoptosis and TNF. The Journal of Immunology. 1999;162(4):2259–65. pmid:9973502
  30. 30. Ferreira MAR, Hottenga J-J, Warrington NM, Medland SE, Willemsen G, Lawrence RW, et al. Sequence variants in three loci influence monocyte counts and erythrocyte volume. Am J Hum Genet. 2009;85(5):745–9. pmid:19853236.
  31. 31. Lin BD, Willemsen G, Fedko IO, Jansen R, Penninx B, de Geus E, et al. Heritability and GWAS Studies for Monocyte–Lymphocyte Ratio. Twin Research and Human Genetics. 2017;20(2):97–107. Epub 02/14. pmid:28193307
  32. 32. Crosslin DR, McDavid A, Weston N, Zheng X, Hart E, de Andrade M, et al. Genetic variation associated with circulating monocyte count in the eMERGE Network. Human Molecular Genetics. 2013;22(10):2119–27. pmid:23314186
  33. 33. Okada Y, Hirota T, Kamatani Y, Takahashi A, Ohmiya H, Kumasaka N, et al. Identification of Nine Novel Loci Associated with White Blood Cell Subtypes in a Japanese Population. PLOS Genetics. 2011;7(6):e1002067. pmid:21738478
  34. 34. Maugeri N, Powell JE, ’t Hoen PAC, de Geus EJC, Willemsen G, Kattenberg M, et al. LPAR1 and ITGA4 regulate peripheral blood monocyte counts. Human Mutation. 2011;32(8):873–6. pmid:21598361
  35. 35. Nalls MA, Couper DJ, Tanaka T, van Rooij FJA, Chen M-H, Smith AV, et al. Multiple Loci Are Associated with White Blood Cell Phenotypes. PLOS Genetics. 2011;7(6):e1002113. pmid:21738480
  36. 36. Reiner AP, Lettre G, Nalls MA, Ganesh SK, Mathias R, Austin MA, et al. Genome-Wide Association Study of White Blood Cell Count in 16,388 African Americans: the Continental Origins and Genetic Epidemiology Network (COGENT). PLOS Genetics. 2011;7(6):e1002108. pmid:21738479
  37. 37. Gonzalez MV, Mousel MR, Herndon DR, Jiang Y, Dalrymple BP, Reynolds JO, et al. A Divergent Artiodactyl MYADM-like Repeat Is Associated with Erythrocyte Traits and Weight of Lamb Weaned in Domestic Sheep. PLOS ONE. 2013;8(8):e74700. pmid:24023702
  38. 38. White SN, Mousel MR, Herrmann-Hoesing LM, Reynolds JO, Leymaster KA, Neibergs HL, et al. Genome-Wide Association Identifies Multiple Genomic Regions Associated with Susceptibility to and Control of Ovine Lentivirus. PLOS ONE. 2012;7(10):e47829. pmid:23082221
  39. 39. Bromley CM, Snowder GD, Van Vleck LD. Genetic parameters among weight, prolificacy, and wool traits of Columbia, Polypay, Rambouillet, and Targhee sheep. Journal of Animal Science. 2000;78(4):846–58. pmid:10784173
  40. 40. Herrmann-Hoesing LM, White SN, Mousel MR, Lewis GS, Knowles DP. Ovine progressive pneumonia provirus levels associate with breed and Ovar-DRB1. Immunogenetics. 2008;60(12):749–58. pmid:18797863
  41. 41. Massa AT, Mousel MR, Durfee CJ, Herndon MK, Hemmerling KM, Taylor JB, et al. A DNA Regulatory Element Haplotype at Zinc Finger Genes Is Associated with Host Resilience to Small Ruminant Lentivirus in Two Sheep Populations. Animals. 2021;11(7):1907. pmid:34206933
  42. 42. Mousel MR, Reynolds JO, White SN. Genome-Wide Association Identifies SLC2A9 and NLN Gene Regions as Associated with Entropion in Domestic Sheep. PLOS ONE. 2015;10(6):e0128909. pmid:26098909
  43. 43. Mousel MR, White SN, Herndon DR, Reynolds JO, Gonzalez MV, Johnson WC, et al. Ovine leukocyte profiles do not associate with variation in the prion gene, but are breed dependent. Animal genetics. 2016;47(1):136–7. Epub 2015/12/20. pmid:26685793.
  44. 44. Snowder GD, Glimp HA, Field RA. Carcass characteristics and optimal slaughter weights in four breeds of sheep. Journal of Animal Science. 1994;72(4):932–7. pmid:8014159
  45. 45. Hulet CV, Ercanbrack SK, Knight AD. Development of the Polypay Breed of Sheep. Journal of Animal Science. 1984;58(1):15–24. pmid:6698896
  46. 46. Zhang L, Mousel MR, Wu X, Michal JJ, Zhou X, Ding B, et al. Genome-Wide Genetic Diversity and Differentially Selected Regions among Suffolk, Rambouillet, Columbia, Polypay, and Targhee Sheep. PLOS ONE. 2013;8(6):e65942. pmid:23762451
  47. 47. Kijas JW, Lenstra JA, Hayes B, Boitard S, Porto Neto LR, San Cristobal M, et al. Genome-Wide Analysis of the World’s Sheep Breeds Reveals High Levels of Historic Mixture and Strong Recent Selection. PLOS Biology. 2012;10(2):e1001258. pmid:22346734
  48. 48. Kijas JW, Porto-Neto L, Dominik S, Reverter A, Bunch R, McCulloch R, et al. Linkage disequilibrium over short physical distances measured in sheep using a high-density SNP chip. Animal Genetics. 2014;45(5):754–7. pmid:25040320
  49. 49. Mousel MR, White SN, Herndon MK, Herndon DR, Taylor JB, Becker GM, et al. Genomic regions associated with Mycoplasma ovipneumoniae presence in nasal secretions of domestic sheep. PloS one. pmid:34252097
  50. 50. Purcell SM, Chang CC. PLINK 1.9. Available from: www.cog-genomics.org/plink/1.9/.
  51. 51. Chang CC, Chow CC, Tellier LC, Vattikuti S, Purcell SM, Lee JJ. Second-generation PLINK: rising to the challenge of larger and richer datasets. GigaScience. 2015;4(1):7. pmid:25722852
  52. 52. Team RC. R: A language and environment for statistical computing. 2020.
  53. 53. Browning SR, Browning BL. Rapid and Accurate Haplotype Phasing and Missing-Data Inference for Whole-Genome Association Studies By Use of Localized Haplotype Clustering. The American Journal of Human Genetics. 2007;81(5):1084–97. pmid:17924348
  54. 54. Browning BL, Zhou Y, Browning SR. A One-Penny Imputed Genome from Next-Generation Reference Panels. The American Journal of Human Genetics. 2018;103(3):338–48. pmid:30100085
  55. 55. Kang HM, Sul JH, Service SK, Zaitlen NA, Kong S-y, Freimer NB, et al. Variance component model to account for sample structure in genome-wide association studies. Nature Genetics. 2010;42(4):348–54. pmid:20208533
  56. 56. Burton PR, Clayton DG, Cardon LR, Craddock N, Deloukas P, Duncanson A, et al. Genome-wide association study of 14,000 cases of seven common diseases and 3,000 shared controls. Nature. 2007;447(7145):661–78. pmid:17554300
  57. 57. Laughbaum A. Calculate Pseudo Lambda Golden Helix [cited 2021 May 7]. Available from: https://www.goldenhelix.com/resources/SNP_Variation/scripts/pages/CalculatePseudoLambda.html.
  58. 58. Turner SD. qqman: an R package for visualizing GWAS results using Q-Q and manhattan plots. bioRxiv. 2014:005165.
  59. 59. Christian JA, Pugh DG. Appendix 2: Reference Intervals and Conversions. Sheep and Goat Medicine. 2nd ed: Elsevier Saunders; 2012. p. 597.
  60. 60. Fielder SE. Hematologic Reference Ranges—Special Subjects. Merck Veterinary Manual.
  61. 61. McCarthy MI, Abecasis GR, Cardon LR, Goldstein DB, Little J, Ioannidis JPA, et al. Genome-wide association studies for complex traits: consensus, uncertainty and challenges. Nature Reviews Genetics. 2008;9(5):356–69. pmid:18398418
  62. 62. Demars J, Fabre S, Sarry J, Rossetti R, Gilbert H, Persani L, et al. Genome-Wide Association Studies Identify Two Novel BMP15 Mutations Responsible for an Atypical Hyperprolificacy Phenotype in Sheep. PLOS Genetics. 2013;9(4):e1003482. pmid:23637641
  63. 63. Zhang L, Liu J, Zhao F, Ren H, Xu L, Lu J, et al. Genome-Wide Association Studies for Growth and Meat Production Traits in Sheep. PLOS ONE. 2013;8(6):e66569. pmid:23825544
  64. 64. Wang Z, Zhang H, Yang H, Wang S, Rong E, Pei W, et al. Genome-Wide Association Study for Wool Production Traits in a Chinese Merino Sheep Population. PLOS ONE. 2014;9(9):e107101. pmid:25268383
  65. 65. Sutera AM, Moscarelli A, Mastrangelo S, Sardina MT, Di Gerlando R, Portolano B, et al. Genome-Wide Association Study Identifies New Candidate Markers for Somatic Cells Score in a Local Dairy Sheep. Front Genet. 2021;12(409). pmid:33828586
  66. 66. Hayes BJ, Bowman PJ, Daetwyler HD, Kijas JW, van der Werf JHJ. Accuracy of genotype imputation in sheep breeds. Animal Genetics. 2012;43(1):72–80. pmid:22221027
  67. 67. Meuth SG, Bittner S, Meuth P, Simon OJ, Budde T, Wiendl H. TWIK-related acid-sensitive K+ channel 1 (TASK1) and TASK3 critically influence T lymphocyte effector functions. J Biol Chem. 2008;283(21):14559–70. Epub 2008/04/01. pmid:18375952.
  68. 68. Schroder K, Hertzog PJ, Ravasi T, Hume DA. Interferon-γ: an overview of signals, mechanisms and functions. Journal of Leukocyte Biology. 2004;75(2):163–89. pmid:14525967
  69. 69. de Bruin AM, Buitenhuis M, van der Sluijs KF, van Gisbergen KPJM, Boon L, Nolte MA. Eosinophil differentiation in the bone marrow is inhibited by T cell–derived IFN-γ. Blood. 2010;116(14):2559–69. pmid:20587787
  70. 70. de Bruin AM, Libregts SF, Valkhof M, Boon L, Touw IP, Nolte MA. IFNγ induces monopoiesis and inhibits neutrophil development during inflammation. Blood. 2012;119(6):1543–54. pmid:22117048
  71. 71. MacNamara KC, Oduro K, Martin O, Jones DD, McLaughlin M, Choi K, et al. Infection-induced myelopoiesis during intracellular bacterial infection is critically dependent upon IFN-γ signaling. J Immunol. 2011;186(2):1032–43. Epub 2010/12/15. pmid:21149601; PubMed Central PMCID: PMC3178067.
  72. 72. El Hachmane M-F, Rees KA, Veale EL, Sumbayev VV, Mathie A. Enhancement of TWIK-related Acid-sensitive Potassium Channel 3 (TASK3) Two-pore Domain Potassium Channel Activity by Tumor Necrosis Factor α. Journal of Biological Chemistry. 2014;289(3):1388–401. pmid:24307172
  73. 73. Cikutović-Molina R, Herrada AA, González W, Brown N, Zúñiga L. TASK-3 Gene Knockdown Dampens Invasion and Migration and Promotes Apoptosis in KATO III and MKN-45 Human Gastric Adenocarcinoma Cell Lines. Int J Mol Sci. 2019;20(23). Epub 2019/12/08. pmid:31810225; PubMed Central PMCID: PMC6928893.
  74. 74. Worley KC, editor Rambouillet Sheep Genome and Annotation Resources. Plant and Animal Genome XXVI Conference (January 13–17, 2018); 2018: PAG.
  75. 75. Salavati M, Caulton A, Clark R, Gazova I, Smith TPL, Worley KC, et al. Global Analysis of Transcription Start Sites in the New Ovine Reference Genome (Oar rambouillet v1.0). Front Genet. 2020;11:580580–. pmid:33193703.
  76. 76. Jiang Y, Xie M, Chen W, Talbot R, Maddox JF, Faraut T, et al. The sheep genome illuminates biology of the rumen and lipid metabolism. Science. 2014;344(6188):1168–73. pmid:24904168
  77. 77. Bai Y, Cui X, Gao D, Wang Y, Wang B, Wang W. Golgi integral membrane protein 4 manipulates cellular proliferation, apoptosis, and cell cycle in human head and neck cancer. Biosci Rep. 2018;38(4):BSR20180454. pmid:30068697.
  78. 78. Lin B, Liu C, Shi E, Jin Q, Zhao W, Wang J, et al. MiR-105-3p acts as an oncogene to promote the proliferation and metastasis of breast cancer cells by targeting GOLIM4. BMC Cancer. 2021;21(1):275–. pmid:33722196.
  79. 79. Davenport KM, Massa AT, Bhattarai S, McKay SD, Mousel MR, Herndon MK, et al. Characterizing Genetic Regulatory Elements in Ovine Tissues. Front Genet. 2021;12(566). pmid:34093640
  80. 80. Massa AT, Mousel MR, Herndon MK, Herndon DR, Murdoch BM, White SN. Genome-Wide Histone Modifications and CTCF Enrichment Predict Gene Expression in Sheep Macrophages. Front Genet. 2021;11(1658). pmid:33488675
  81. 81. Schierding W, Cutfield W, O’Sullivan J. The missing story behind Genome Wide Association Studies: single nucleotide polymorphisms in gene deserts have a story to tell. Frontiers in Genetics. 2014;5(39). pmid:24600475
  82. 82. Visel A, Rubin EM, Pennacchio LA. Genomic views of distant-acting enhancers. Nature. 2009;461(7261):199–205. pmid:19741700
  83. 83. Andersson L, Archibald AL, Bottema CD, Brauning R, Burgess SC, Burt DW, et al. Coordinated international action to accelerate genome-to-phenome with FAANG, the Functional Annotation of Animal Genomes project. Genome Biology. 2015;16(1):57. pmid:25854118
  84. 84. Upadhyay G. Emerging Role of Lymphocyte Antigen-6 Family of Genes in Cancer and Immune Cells. Frontiers in Immunology. 2019;10(819). pmid:31068932
  85. 85. Loughner CL, Bruford EA, McAndrews MS, Delp EE, Swamynathan S, Swamynathan SK. Organization, evolution and functions of the human and mouse Ly6/uPAR family genes. Human Genomics. 2016;10(1):10. pmid:27098205
  86. 86. Lee PY, Wang J-X, Parisini E, Dascher CC, Nigrovic PA. Ly6 family proteins in neutrophil biology. Journal of Leukocyte Biology. 2013;94(4):585–94. pmid:23543767
  87. 87. Howe KL, Achuthan P, Allen J, Allen J, Alvarez-Jarreta J, Amode MR, et al. Ensembl 2021. Nucleic Acids Research. 2021;49(D1):D884–D91. pmid:33137190
  88. 88. Motakis E, Guhl S, Ishizu Y, Itoh M, Kawaji H, de Hoon M, et al. Redefinition of the human mast cell transcriptome by deep-CAGE sequencing. Blood. 2014;123(17):e58–e67. pmid:24671954
  89. 89. TerBush DR, Maurice T, Roth D, Novick P. The Exocyst is a multiprotein complex required for exocytosis in Saccharomyces cerevisiae. The EMBO Journal. 1996;15(23):6483–94. https://doi.org/10.1002/j.1460-2075.1996.tb01039.x. pmid:8978675
  90. 90. Altschul SF, Gish W, Miller W, Myers EW, Lipman DJ. Basic local alignment search tool. Journal of Molecular Biology. 1990;215(3):403–10. pmid:2231712
  91. 91. Cabal-Hierro L, van Galen P, Prado MA, Higby KJ, Togami K, Mowery CT, et al. Chromatin accessibility promotes hematopoietic and leukemia stem cell activity. Nature communications. 2020;11(1):1406–. pmid:32179749.
  92. 92. Yang D, Han Z, Alam MM, Oppenheim JJ. High-mobility group nucleosome binding domain 1 (HMGN1) functions as a Th1-polarizing alarmin. Seminars in Immunology. 2018;38:49–53. pmid:29503123
  93. 93. Berger A. Th1 and Th2 responses: what are they? BMJ. 2000;321(7258):424. pmid:10938051
  94. 94. Desmedt M, Rottiers P, Dooms H, Fiers W, Grooten J. Macrophages Induce Cellular Immunity by Activating Th1 Cell Responses and Suppressing Th2 Cell Responses. The Journal of Immunology. 1998;160(11):5300–8. pmid:9605128
  95. 95. Coordinators NR. Database resources of the National Center for Biotechnology Information. Nucleic acids research. 2016;44(D1):D7–D19. Epub 2015/11/28. pmid:26615191.
  96. 96. Lee S, Russo D, Redman CM. The Kell blood group system: Kell and XK membrane proteins. Seminars in Hematology. 2000;37(2):113–21. pmid:10791880
  97. 97. Marsh WL, Uretsky SC, Douglas SD. Antigens of the Kell blood group system on neutrophils and monocytes: Their relation to chronic granulomatous disease. The Journal of Pediatrics. 1975;87(6, Part 2):1117–20. pmid:52702
  98. 98. Wagner T, Lanzer G, Geissler K. Kell Expression on Myeloid Progenitor Cells. Leukemia & Lymphoma. 2002;43(3):479–85. pmid:12002749