rs117035602 - CEBPA-DT - RPS3AP50
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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beer and high-alcohol beverages Moderate
Alcohol impairs uric acid excretion; genetic gout predisposition warrants stricter alcohol control
Minimize beer; limit other alcohol to moderation
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fructose-sweetened beverages Moderate
Fructose increases hepatic uric acid production; relevant to genetic gout predisposition
Avoid sugary sodas and fruit juices
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purine-rich foods Moderate
Purines metabolize to uric acid; this SNP associates with gout, suggesting affected uric acid handling
Limit red meat, organ meats, shellfish; prefer plant proteins
Discuss with your doctor
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preventive urate-lowering therapy Moderate
Strong genetic predisposition (GWAS p=2.00e-9) may warrant consideration of prophylactic therapy
Discuss allopurinol or febuxostat initiation
Lifestyle
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adequate daily hydration Moderate
Fluid intake promotes urinary urate excretion and prevents crystal formation in those at genetic risk
Drink 2-3 liters water daily
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weight management for uric acid control Moderate
Obesity increases uric acid production; weight management reduces gout flare risk in genetic predisposition
Target BMI 18.5-24.9
Screening
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serum uric acid levels Moderate
This SNP associates with gout; monitoring uric acid helps detect hyperuricemia before acute attacks
Check baseline; repeat annually or with symptom onset