rs11078711 - NAA38

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

  • Alcoholic beverages, particularly beer Moderate

    Alcohol increases uric acid production and decreases renal excretion; amplified by genetic risk

    Limit to ≤1 drink/day if male, ≤0.5 if female

  • High-fructose drinks and sugary foods Moderate

    Fructose increases uric acid synthesis; effect amplified by genetic predisposition

    Limit added sugars to <10% daily calories; avoid sugary drinks

  • Red meat, organ meats, high-purine shellfish Moderate

    Purines metabolize to uric acid; NAA38 variant increases gout susceptibility

    Limit to 2-3 servings weekly

Discuss with your doctor

  • Genetic gout risk and prophylactic management strategy Moderate

    Carrier status indicates elevated gout risk; clinician can assess need for urate-lowering therapy

    Review serum uric acid, consider prophylactic allopurinol or febuxostat if symptomatic

Lifestyle

  • Adequate water intake for uric acid clearance Moderate

    Increased renal water clearance enhances urate excretion; reduces serum uric acid

    2-3 liters daily

  • Maintain healthy body weight (BMI 18.5-24.9) Moderate

    Obesity increases uric acid production and decreases renal clearance

    Target 0.5-1 lb/week weight loss if overweight

Screening

  • Serum uric acid levels and gout symptoms Moderate

    Genetic variant increases gout risk; early detection enables timely intervention

    Annual serum uric acid testing; log acute joint pain episodes