<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-17T00:50:58Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:11351/8494" metadataPrefix="mets">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:11351/8494</identifier><datestamp>2025-10-31T04:50:15Z</datestamp><setSpec>com_2072_378070</setSpec><setSpec>com_2072_378040</setSpec><setSpec>col_2072_378092</setSpec></header><metadata><mets xmlns="http://www.loc.gov/METS/" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" ID="&#xa;&#x9;&#x9;&#x9;&#x9;DSpace_ITEM_11351-8494" TYPE="DSpace ITEM" PROFILE="DSpace METS SIP Profile 1.0" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd" OBJID="&#xa;&#x9;&#x9;&#x9;&#x9;hdl:11351/8494">
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                  <mods:namePart>Callejas, José Luis</mods:namePart>
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                  <mods:namePart>Assassi, Shervin</mods:namePart>
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                  <mods:namePart>International SSc Group</mods:namePart>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Acosta-Herrera, Marialbert</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Simeón Aznar, Carmen Pilar</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Kerick, Martin</mods:namePart>
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                  <mods:dateIssued encoding="iso8601">2022-11-17T08:48:48Z2022-11-17T08:48:48Z2022-10-05</mods:dateIssued>
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               <mods:abstract>Genetic association study; Quantitative trait; Systemic sclerosisEstudi d'associació genètica; Tret quantitatiu; Esclerosi sistèmicaEstudio de asociación genética; Rasgo cuantitativo; Esclerosis sistémicaCopy number (CN) polymorphisms of complement C4 play distinct roles in many conditions, including immune-mediated diseases. We investigated the association of C4 CN with systemic sclerosis (SSc) risk. Imputed total C4, C4A, C4B, and HERV-K CN were analyzed in 26,633 individuals and validated in an independent cohort. Our results showed that higher C4 CN confers protection to SSc, and deviations from CN parity of C4A and C4B augmented risk. The protection contributed per copy of C4A and C4B differed by sex. Stronger protection was afforded by C4A in men and by C4B in women. C4 CN correlated well with its gene expression and serum protein levels, and less C4 was detected for both in SSc patients. Conditioned analysis suggests that C4 genetics strongly contributes to the SSc association within the major histocompatibility complex locus and highlights classical alleles and amino acid variants of HLA-DRB1 and HLA-DPB1 as C4-independent signals.This work was supported by grant RTI2018101332-B-100 funded by MCIN/AEI/10.13039/501100011033 by “ERDF A way of making Europe”, Red de Investigación en Inflamación y Enfermedades Reumáticas (RIER) from Instituto de Salud Carlos III (RD16/0012/0013). This work has received funding from the Innovative Medicines Initiative 1 &amp; 2 Joint Undertaking (JU) under grant agreements No 115565 (PRECISESADS) and No 831434 (3TR). The JU receives support from the European Union’s FP7 and Horizon 2020 research and innovation programs and EFPIA. MAH was supported by the Juan de la Cierva Incorporacion program, grant IJC2018-035131-I funded by MCIN/AEI/10.13039/501100011033. This work is dedicated to the memory of Annette Kerick (1945-2020).</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess</mods:accessCondition>
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                  <mods:topic>Expressió gènica</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Esclerosi sistemàtica progressiva - Aspectes genètics</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DISEASES::Skin and Connective Tissue Diseases::Connective Tissue Diseases::Scleroderma, Systemic</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Other subheadings::Other subheadings::Other subheadings::/genetics</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>PHENOMENA AND PROCESSES::Genetic Phenomena::Genetic Phenomena::Genetic Structures::Transcriptome</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ENFERMEDADES::enfermedades de la piel y tejido conjuntivo::enfermedades del tejido conjuntivo::esclerodermia sistémica</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Otros calificadores::Otros calificadores::Otros calificadores::/genética</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>FENÓMENOS Y PROCESOS::fenómenos genéticos::expresión génica</mods:topic>
               </mods:subject>
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                  <mods:title>Complement component C4 structural variation and quantitative traits contribute to sex-biased vulnerability in systemic sclerosis</mods:title>
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