Association of Variants in IL2RA With Progression of Joint Destruction in Rheumatoid Arthritis

Objective Heritability studies have suggested an important role of genetic predisposition in the progression of joint destruction in rheumatoid arthritis (RA); the heritability is estimated at 45–58%. Several single‐nucleotide polymorphisms (SNPs) have been identified as being associated with RA sus...

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Veröffentlicht in:Arthritis & rheumatology (Hoboken, N.J.) N.J.), 2013-07, Vol.65 (7), p.1684-1693
Hauptverfasser: Knevel, R., Rooy, D. P. C., Zhernakova, A., Gröndal, G., Krabben, A., Steinsson, K., Wijmenga, C., Cavet, G., Toes, R. E. M., Huizinga, T. W. J., Gregersen, P. K., Helm‐van Mil, A. H. M.
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container_end_page 1693
container_issue 7
container_start_page 1684
container_title Arthritis & rheumatology (Hoboken, N.J.)
container_volume 65
creator Knevel, R.
Rooy, D. P. C.
Zhernakova, A.
Gröndal, G.
Krabben, A.
Steinsson, K.
Wijmenga, C.
Cavet, G.
Toes, R. E. M.
Huizinga, T. W. J.
Gregersen, P. K.
Helm‐van Mil, A. H. M.
description Objective Heritability studies have suggested an important role of genetic predisposition in the progression of joint destruction in rheumatoid arthritis (RA); the heritability is estimated at 45–58%. Several single‐nucleotide polymorphisms (SNPs) have been identified as being associated with RA susceptibility. Our objective was to study the association of several of these loci with progression of joint destruction. Methods We studied 1,750 RA patients in 4 independent data sets with 4,732 radiographs scored using the modified Sharp/van der Heijde method. Thirteen susceptibility SNPs that were not previously associated with joint destruction were tested in 596 Dutch RA patients. Subsequently, significant SNPs were studied in data sets of RA patients from North America and Iceland. Data were summarized in inverse‐weighted variance meta‐analyses. Further, the association with circulating protein levels was studied and the associated region was fine‐mapped. Results In stage 1, 3 loci (AFF3, IL2RA, and BLK) were significantly associated with the rate of joint destruction and were further analyzed in the additional data sets. In the combined meta‐analyses, the minor (C) allele of IL2RA (rs2104286) was associated with less progression of joint destruction (P = 7.2 × 10−4). Furthermore, the IL2RA (rs2104286) protective genotype was associated with lower (0.85‐fold [95% confidence interval 0.77–0.93], P = 1.4 × 10−3) circulating levels of soluble interleukin‐2 receptor α (sIL‐2Rα). Additionally, lower sIL‐2Rα levels were associated with a lower rate of joint destruction (P = 3.4 × 10−3). The association of IL2RA with the rate of joint destruction was further localized to a 40‐kb region encompassing the IL2RA intron 1 and the 5′ region of IL2RA and RBM17. Conclusion The present genetic and serologic data suggest that inherited altered genetic constitution at the IL2RA locus may predispose to a less destructive course of RA.
doi_str_mv 10.1002/art.37938
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P. C. ; Zhernakova, A. ; Gröndal, G. ; Krabben, A. ; Steinsson, K. ; Wijmenga, C. ; Cavet, G. ; Toes, R. E. M. ; Huizinga, T. W. J. ; Gregersen, P. K. ; Helm‐van Mil, A. H. M.</creator><creatorcontrib>Knevel, R. ; Rooy, D. P. C. ; Zhernakova, A. ; Gröndal, G. ; Krabben, A. ; Steinsson, K. ; Wijmenga, C. ; Cavet, G. ; Toes, R. E. M. ; Huizinga, T. W. J. ; Gregersen, P. K. ; Helm‐van Mil, A. H. M.</creatorcontrib><description>Objective Heritability studies have suggested an important role of genetic predisposition in the progression of joint destruction in rheumatoid arthritis (RA); the heritability is estimated at 45–58%. Several single‐nucleotide polymorphisms (SNPs) have been identified as being associated with RA susceptibility. Our objective was to study the association of several of these loci with progression of joint destruction. Methods We studied 1,750 RA patients in 4 independent data sets with 4,732 radiographs scored using the modified Sharp/van der Heijde method. Thirteen susceptibility SNPs that were not previously associated with joint destruction were tested in 596 Dutch RA patients. Subsequently, significant SNPs were studied in data sets of RA patients from North America and Iceland. Data were summarized in inverse‐weighted variance meta‐analyses. Further, the association with circulating protein levels was studied and the associated region was fine‐mapped. Results In stage 1, 3 loci (AFF3, IL2RA, and BLK) were significantly associated with the rate of joint destruction and were further analyzed in the additional data sets. In the combined meta‐analyses, the minor (C) allele of IL2RA (rs2104286) was associated with less progression of joint destruction (P = 7.2 × 10−4). Furthermore, the IL2RA (rs2104286) protective genotype was associated with lower (0.85‐fold [95% confidence interval 0.77–0.93], P = 1.4 × 10−3) circulating levels of soluble interleukin‐2 receptor α (sIL‐2Rα). Additionally, lower sIL‐2Rα levels were associated with a lower rate of joint destruction (P = 3.4 × 10−3). The association of IL2RA with the rate of joint destruction was further localized to a 40‐kb region encompassing the IL2RA intron 1 and the 5′ region of IL2RA and RBM17. 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P. C.</creatorcontrib><creatorcontrib>Zhernakova, A.</creatorcontrib><creatorcontrib>Gröndal, G.</creatorcontrib><creatorcontrib>Krabben, A.</creatorcontrib><creatorcontrib>Steinsson, K.</creatorcontrib><creatorcontrib>Wijmenga, C.</creatorcontrib><creatorcontrib>Cavet, G.</creatorcontrib><creatorcontrib>Toes, R. E. M.</creatorcontrib><creatorcontrib>Huizinga, T. W. J.</creatorcontrib><creatorcontrib>Gregersen, P. K.</creatorcontrib><creatorcontrib>Helm‐van Mil, A. H. M.</creatorcontrib><title>Association of Variants in IL2RA With Progression of Joint Destruction in Rheumatoid Arthritis</title><title>Arthritis &amp; rheumatology (Hoboken, N.J.)</title><addtitle>Arthritis Rheum</addtitle><description>Objective Heritability studies have suggested an important role of genetic predisposition in the progression of joint destruction in rheumatoid arthritis (RA); the heritability is estimated at 45–58%. Several single‐nucleotide polymorphisms (SNPs) have been identified as being associated with RA susceptibility. Our objective was to study the association of several of these loci with progression of joint destruction. Methods We studied 1,750 RA patients in 4 independent data sets with 4,732 radiographs scored using the modified Sharp/van der Heijde method. Thirteen susceptibility SNPs that were not previously associated with joint destruction were tested in 596 Dutch RA patients. Subsequently, significant SNPs were studied in data sets of RA patients from North America and Iceland. Data were summarized in inverse‐weighted variance meta‐analyses. Further, the association with circulating protein levels was studied and the associated region was fine‐mapped. Results In stage 1, 3 loci (AFF3, IL2RA, and BLK) were significantly associated with the rate of joint destruction and were further analyzed in the additional data sets. In the combined meta‐analyses, the minor (C) allele of IL2RA (rs2104286) was associated with less progression of joint destruction (P = 7.2 × 10−4). Furthermore, the IL2RA (rs2104286) protective genotype was associated with lower (0.85‐fold [95% confidence interval 0.77–0.93], P = 1.4 × 10−3) circulating levels of soluble interleukin‐2 receptor α (sIL‐2Rα). Additionally, lower sIL‐2Rα levels were associated with a lower rate of joint destruction (P = 3.4 × 10−3). The association of IL2RA with the rate of joint destruction was further localized to a 40‐kb region encompassing the IL2RA intron 1 and the 5′ region of IL2RA and RBM17. Conclusion The present genetic and serologic data suggest that inherited altered genetic constitution at the IL2RA locus may predispose to a less destructive course of RA.</description><subject>Arthritis, Rheumatoid - blood</subject><subject>Arthritis, Rheumatoid - diagnostic imaging</subject><subject>Arthritis, Rheumatoid - genetics</subject><subject>Cohort Studies</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Foot Joints - diagnostic imaging</subject><subject>Genetic Predisposition to Disease</subject><subject>Hand Joints - diagnostic imaging</subject><subject>Humans</subject><subject>Interleukin-2 Receptor alpha Subunit - blood</subject><subject>Interleukin-2 Receptor alpha Subunit - genetics</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Radiography</subject><issn>0004-3591</issn><issn>2326-5191</issn><issn>1529-0131</issn><issn>2326-5205</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1LwzAcBvAgipvTg19ACl700C0v7docy3ybDJQx9WZJ0tRltM1MUmTf3mydHgRPfwK_PDw8AJwjOEQQ4hEzbkgSStID0EcxpiFEBB2CPoQwCklMUQ-cWLvyT0xicgx6_mCaItoH75m1WijmlG4CXQavzCjWOBuoJpjO8DwL3pRbBs9Gfxhp7V49atW44EZaZ1qx--r5fCnbmjmtiiAzbmmUU_YUHJWssvJsfwfg5e52MXkIZ0_300k2C4UvlIacpFgIImXp60dpihihEqUxLwuU0iJikKExEpSRMeecySghhJYy4SVnvGSCDMBVl7s2-rP1vfJaWSGrijVStzZHxK-DEaTY08s_dKVb0_h2XiUERxDhrbrulDDaWiPLfG1UzcwmRzDfjp770fPd6N5e7BNbXsviV_6s7MGoA1-qkpv_k_JsvugivwGDE4ui</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Knevel, R.</creator><creator>Rooy, D. 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C.</au><au>Zhernakova, A.</au><au>Gröndal, G.</au><au>Krabben, A.</au><au>Steinsson, K.</au><au>Wijmenga, C.</au><au>Cavet, G.</au><au>Toes, R. E. M.</au><au>Huizinga, T. W. J.</au><au>Gregersen, P. K.</au><au>Helm‐van Mil, A. H. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Variants in IL2RA With Progression of Joint Destruction in Rheumatoid Arthritis</atitle><jtitle>Arthritis &amp; rheumatology (Hoboken, N.J.)</jtitle><addtitle>Arthritis Rheum</addtitle><date>2013-07</date><risdate>2013</risdate><volume>65</volume><issue>7</issue><spage>1684</spage><epage>1693</epage><pages>1684-1693</pages><issn>0004-3591</issn><issn>2326-5191</issn><eissn>1529-0131</eissn><eissn>2326-5205</eissn><coden>ARHEAW</coden><abstract>Objective Heritability studies have suggested an important role of genetic predisposition in the progression of joint destruction in rheumatoid arthritis (RA); the heritability is estimated at 45–58%. Several single‐nucleotide polymorphisms (SNPs) have been identified as being associated with RA susceptibility. Our objective was to study the association of several of these loci with progression of joint destruction. Methods We studied 1,750 RA patients in 4 independent data sets with 4,732 radiographs scored using the modified Sharp/van der Heijde method. Thirteen susceptibility SNPs that were not previously associated with joint destruction were tested in 596 Dutch RA patients. Subsequently, significant SNPs were studied in data sets of RA patients from North America and Iceland. Data were summarized in inverse‐weighted variance meta‐analyses. Further, the association with circulating protein levels was studied and the associated region was fine‐mapped. Results In stage 1, 3 loci (AFF3, IL2RA, and BLK) were significantly associated with the rate of joint destruction and were further analyzed in the additional data sets. In the combined meta‐analyses, the minor (C) allele of IL2RA (rs2104286) was associated with less progression of joint destruction (P = 7.2 × 10−4). Furthermore, the IL2RA (rs2104286) protective genotype was associated with lower (0.85‐fold [95% confidence interval 0.77–0.93], P = 1.4 × 10−3) circulating levels of soluble interleukin‐2 receptor α (sIL‐2Rα). Additionally, lower sIL‐2Rα levels were associated with a lower rate of joint destruction (P = 3.4 × 10−3). The association of IL2RA with the rate of joint destruction was further localized to a 40‐kb region encompassing the IL2RA intron 1 and the 5′ region of IL2RA and RBM17. Conclusion The present genetic and serologic data suggest that inherited altered genetic constitution at the IL2RA locus may predispose to a less destructive course of RA.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>23529819</pmid><doi>10.1002/art.37938</doi><tpages>10</tpages></addata></record>
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subjects Arthritis, Rheumatoid - blood
Arthritis, Rheumatoid - diagnostic imaging
Arthritis, Rheumatoid - genetics
Cohort Studies
Disease Progression
Female
Foot Joints - diagnostic imaging
Genetic Predisposition to Disease
Hand Joints - diagnostic imaging
Humans
Interleukin-2 Receptor alpha Subunit - blood
Interleukin-2 Receptor alpha Subunit - genetics
Longitudinal Studies
Male
Polymorphism, Single Nucleotide
Radiography
title Association of Variants in IL2RA With Progression of Joint Destruction in Rheumatoid Arthritis
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