rs11783725 - SCRIB
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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high-fructose beverages and foods Moderate
Fructose metabolism increases hepatic uric acid production independent of purine content
Avoid regular soda and fruit juice concentrates; limit added sugars to <25g/day for women, <36g/day for men
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purine-rich foods (red meat, organ meats, shellfish) Moderate
Purines metabolize to uric acid; excess uric acid precipitates monosodium urate crystals in joints causing gout
Limit portion sizes or frequency; substitute poultry and fish when possible
Discuss with your doctor
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gout prophylaxis medications Moderate
Preventive pharmacotherapy reduces serum uric acid below supersaturation threshold in carriers of gout-risk variants
Discuss with physician if recurrent gout attacks (>2 per year) or asymptomatic hyperuricemia >10 mg/dL
Lifestyle
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adequate daily hydration Moderate
Increased urine volume lowers serum uric acid concentration and reduces crystal precipitation risk
Drink 2-3 liters water daily; increase during exercise or heat exposure
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excessive alcohol consumption, especially beer Moderate
Alcohol inhibits renal uric acid excretion and increases uric acid production; purine content in beer amplifies effect
Limit to 2 or fewer drinks per week; avoid binge drinking
Screening
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serum uric acid level Moderate
Genetic predisposition to gout reflects altered uric acid metabolism; baseline and periodic monitoring enables early intervention
Check baseline; repeat annually; aim for <6 mg/dL to prevent crystallization