Twenty-eight loci that influence serum urate levels: analysis of association with gout

被引:122
作者
Phipps-Green, A. J. [1 ]
Merriman, M. E. [1 ]
Topless, R. [1 ]
Altaf, S. [1 ]
Montgomery, G. W. [2 ]
Franklin, C. [3 ]
Jones, G. T. [4 ]
Van Rij, A. M. [4 ]
White, D. [5 ]
Stamp, L. K. [6 ]
Dalbeth, N. [3 ]
Merriman, T. R. [1 ]
机构
[1] Univ Otago, Dept Biochem, Dunedin 9054, New Zealand
[2] Queensland Inst Med Res, Brisbane, Qld 4006, Australia
[3] Univ Auckland, Dept Med, Auckland, New Zealand
[4] Univ Otago, Dept Med, Dunedin 9054, New Zealand
[5] Waikato Dist Hlth Board, Hamilton, New Zealand
[6] Univ Otago, Dept Med, Christchurch, New Zealand
关键词
CONTROL SAMPLE SETS; NEW-ZEALAND; PACIFIC ISLAND; RARE VARIANTS; GENE; TRANSPORTER; DISEASE; ABCG2; SUSCEPTIBILITY; IDENTIFICATION;
D O I
10.1136/annrheumdis-2014-205877
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives Twenty-eight genetic loci are associated with serum urate levels in Europeans. Evidence for association with gout at most loci is absent, equivocal or not replicated. Our aim was to test the loci for association with gout meeting the American College of Rheumatology gout classification criteria in New Zealand European and Polynesian case-control sample sets. Methods 648 European cases and 1550 controls, and 888 Polynesian (Maori and Pacific) cases and 1095 controls were genotyped. Association with gout was tested by logistic regression adjusting for age and sex. Power was adequate (>0.7) to detect effects of OR>1.3. Results We focused on 24 loci without previous consistent evidence for association with gout. In Europeans, we detected association at seven loci, one of which was the first report of association with gout (IGF1R). In Polynesian, association was detected at three loci. Meta-analysis revealed association at eight loci-two had not previously been associated with gout (PDZK1 and MAF). In participants with higher Polynesian ancestry, there was association in an opposing direction to Europeans at PRKAG2 and HLF (HLF is the first report of association with gout). There was obvious inconsistency of gout association at four loci (GCKR, INHBC, SLC22A11, SLC16A9) that display very similar effects on urate levels. Conclusions We provide the first evidence for association with gout at four loci (IGF1R, PDZK1, MAF, HLF). Understanding why there is lack of correlation between urate and gout effect sizes will be important in understanding the aetiology of gout.
引用
收藏
页码:124 / 130
页数:7
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