Expressive

rs12251238 - TCF7L2

Magnitude 2.2 · 2 studies 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

  • High Blood Pressure and Intraocular Pressure: A Mendelian Randomization Study - Unknown journal (n.d.) · Unknown authors · PubMed 35762941

    ABSTRACT: Purpose To test for causality with regard to the association between blood pressure (BP) and intraocular pressure (IOP) and glaucoma. Methods Single nucleotide polymorphisms (SNPs) associated with BP were identified in a genome-wide association study (GWAS) meta-analysis of 526,001 participants of European ancestry. These SNPs were used to assess the BP versus IOP relationship in a distinct sample (n = 70,832) whose corneal-compensated IOP (IOPcc) was measured. To evaluate the BP versus primary open-angle glaucoma (POAG) relationship, additional Mendelian randomization (MR) analyses were conducted using published GWAS summary statistics. Results Observational analysis revealed a linear relationship between BP traits and IOPcc, with a +0.28 mm Hg increase in IOPcc per 10-mm Hg inc

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

  • limit alcohol consumption Moderate

    Alcohol impairs uric acid excretion; T-allele carriers have elevated gout susceptibility

    limit to 1 or fewer drinks daily for women, 2 or fewer for men; minimize beer

  • reduce dietary sodium intake Moderate

    High sodium raises blood pressure; T-allele carriers show elevated systolic BP risk

    target less than 2.3 grams per day

  • reduce purine-rich foods Moderate

    High purine foods increase serum uric acid; T-allele carriers show elevated gout risk

    limit red meat, organ meats, anchovies, and high-fructose beverages

Exercise

  • regular aerobic exercise Moderate

    Aerobic activity reduces systolic blood pressure; T-allele carriers show elevated BP risk

    150 minutes per week moderate intensity or 75 minutes vigorous intensity

Lifestyle

  • adequate daily hydration Moderate

    Increased water intake promotes uric acid excretion; supports gout prevention for T-allele carriers

    drink at least 2-3 liters of water daily

  • maintain healthy body weight Moderate

    Obesity elevates serum uric acid and blood pressure; both traits associate with rs12251238-T

    target BMI 18.5-24.9 or discuss weight goals with clinician

  • stress management practices Moderate

    Chronic stress elevates blood pressure; T-allele carriers at higher risk for hypertension

    20-30 minutes daily of meditation, yoga, or equivalent

Screening

  • regular blood pressure monitoring Moderate

    T-allele carriers show elevated systolic BP risk; early detection enables intervention

    check at least annually, more frequently if elevated

  • serum uric acid testing Moderate

    T-allele carriers at elevated gout risk; monitoring enables early intervention

    baseline measurement, then annually or if symptoms develop