Expressive

rs10899113 - RN7SL786P - DGAT2-DT

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

Auto-generated from study metadata. AI-synthesised commentary is added when this entry is regenerated through content-service's LLM mode.

Lifestyle context

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

Diet

  • Reduce high-purine foods Moderate

    Dietary purines are metabolized to uric acid; reducing intake lowers uric acid levels and gout risk in carriers of this variant

    Limit organ meats, shellfish, and high-purine fish; moderate poultry and red meat intake

Discuss with your doctor

  • Gout risk and prevention strategy Moderate

    Variant carriers have significantly increased gout risk (OR 1.057); healthcare provider can assess individual risk factors and discuss prophylaxis options

Lifestyle

  • Alcohol, especially beer Moderate

    Alcohol increases serum uric acid and gout attack frequency; variant carriers have baseline elevated susceptibility

    Limit to no more than 1-2 drinks per week

  • Hydration with water Moderate

    Adequate hydration increases uric acid urinary excretion and reduces gout attack frequency in susceptible individuals

    Drink 2-3 liters of water daily, more if exercising or in hot climates

Screening

  • Serum uric acid level Moderate

    Variant is associated with increased gout risk through elevated uric acid metabolism; baseline and periodic monitoring detects risk early

    Baseline measurement, then annually if normal or when clinically indicated