rs10003529 - USP38 - Y_RNA

Magnitude 2.2 · 1 study on file

Reported associations

  • A genome-wide association analysis reveals new pathogenic pathways in gout. - Nature genetics (2024) · Major TJ, Takei R, Matsuo H, Leask MP, Sumpter NA, Topless RK, Shirai Y, Wang W, Cadzow MJ, Phipps-Green AJ, Li Z, Ji A, Merriman ME, Morice E, Kelley EE, Wei WH, McCormick SPA, Bixley MJ, Reynolds RJ, Saag KG, Fadason T, Golovina E, O'Sullivan JM, Stamp LK, Dalbeth N, Abhishek A, Doherty M, Roddy E, Jacobsson LTH, Kapetanovic MC, Melander O, Andrés M, Pérez-Ruiz F, Torres RJ, Radstake T, Jansen TL, Janssen M, Joosten LAB, Liu R, Gaal OI, Crişan TO, Rednic S, Kurreeman F, Huizinga TWJ, Toes R, Lioté F, Richette P, Bardin T, Ea HK, Pascart T, McCarthy GM, Helbert L, Stibůrková B, Tausche AK, Uhlig T, Vitart V, Boutin TS, Hayward C, Riches PL, Ralston SH, Campbell A, MacDonald TM, Nakayama A, Takada T, Nakatochi M, Shimizu S, Kawamura Y, Toyoda Y, Nakaoka H, Yamamoto K, Matsuo K, Shinomiya N, Ichida K, Lee C, Bradbury LA, Brown MA, Robinson PC, Buchanan RRC, Hill CL, Lester S, Smith MD, Rischmueller M, Choi HK, Stahl EA, Miner JN, Solomon DH, Cui J, Giacomini KM, Brackman DJ, Jorgenson EM, Liu H, Susztak K, Shringarpure S, So A, Okada Y, Li C, Shi Y, Merriman TR · PubMed 39406924

    Gout is a chronic disease that is caused by an innate immune response to deposited monosodium urate crystals in the setting of hyperuricemia. Here, we provide insights into the molecular mechanism of the poorly understood inflammatory component of gout from a genome-wide association study (GWAS) of 2.6 million people, including 120,295 people with prevalent gout. We detected 377 loci and 410 genetically independent signals (149 previously unreported loci in urate and gout). An additional 65 loci with signals in urate (from a GWAS of 630,117 individuals) but not gout were identified. A prioritization scheme identified candidate genes in the inflammatory process of gout, including genes involved in epigenetic remodeling, cell osmolarity and regulation of NOD-like receptor protein 3 (NLRP3) i


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Lifestyle context

Concrete actions anchored to the cited research. We do not prescribe, we describe.

Diet

  • high-purine foods and excess alcohol Moderate

    Purine-rich foods and alcohol increase uric acid production and decrease renal clearance, elevating gout risk in carriers.

    limit red meat, organ meats, anchovies, sardines, shellfish; minimize alcohol especially beer

Discuss with your doctor

  • personalized gout prevention strategy Moderate

    Genetic predisposition identified; individualized management can prevent acute episodes and joint damage.

    discuss gout risk, baseline uric acid target, and need for urate-lowering medication if hyperuricemia confirmed

Lifestyle

  • adequate hydration Moderate

    Increased fluid intake promotes renal clearance of uric acid and reduces crystal formation in genetically predisposed individuals.

    aim for 2-3 liters of water daily, or more in hot climates or during exercise

Screening

  • serum uric acid level Moderate

    Carriers of the rs10003529 A allele have significantly increased gout risk; baseline urate measurement identifies hyperuricemia risk.

    baseline serum uric acid measurement; repeat annually if baseline elevated (>6.8 mg/dL)