rs10750861 - SLC43A3

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 animal products and beverages Moderate

    Purines metabolize to uric acid; SLC43A3 risk variant increases gout susceptibility

    Limit red meat, organ meats, shellfish to <2x/week; avoid high-fructose beverages

Lifestyle

  • Adequate daily water intake Moderate

    Hydration reduces uric acid concentration and improves renal urate excretion

    Drink 8-10 cups (2-3 liters) of water daily

  • Alcohol consumption, especially beer Moderate

    Alcohol inhibits uric acid excretion and increases production in gout-susceptible individuals

    Minimize alcohol intake; if consumed, limit to <=1 drink/week

  • Weight management and BMI maintenance Moderate

    Obesity increases uric acid production and decreases renal clearance in gout-prone individuals

    Target BMI 18.5-25.0; aim for 0.5-1 kg/week loss if BMI >25

Screening

  • Serum uric acid and gout risk screening Moderate

    Early detection of hyperuricemia enables preventive intervention before gout manifestation

    Measure serum uric acid at least annually; discuss gout prevention with physician