rs10750862 - SLC43A3
Magnitude 2.2 · 1 study on file
Reported associations
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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
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limit high-purine food intake Moderate
Purines metabolize to uric acid; elevated dietary purine intake raises serum uric acid and gout risk
limit organ meats, red meat, and high-purine seafood to less than twice weekly
Exercise
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regular aerobic exercise for weight management Moderate
Obesity increases serum uric acid levels; regular exercise supports weight management and reduces gout risk
aim for 150 minutes of moderate-intensity aerobic exercise per week
Lifestyle
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excessive alcohol intake, especially beer Moderate
Alcohol reduces renal uric acid excretion and beer contains purines; both increase serum uric acid and gout risk
limit alcohol to no more than 2 standard drinks daily for men, 1 for women; minimize beer
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high-fructose beverages and added sugars Moderate
High-fructose intake increases serum uric acid; sugar-sweetened beverages associate with elevated gout flare risk
eliminate or minimize sugar-sweetened beverages to less than one serving per week
Screening
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serum uric acid measurement Moderate
SLC43A3 variants increase gout risk; regular uric acid monitoring identifies elevations for timely intervention
baseline serum uric acid test, then annual monitoring or per physician recommendation