Genetic correlations between traits associated with hyperuricemia, gout, and comorbidities

Hypertension, obesity, chronic kidney disease and type 2 diabetes are comorbidities that have very high prevalence among persons with hyperuricemia (serum urate > 6.8 mg/dL) and gout. Here we use multivariate genetic models to test the hypothesis that the co-association of traits representing hyp...

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Veröffentlicht in:European journal of human genetics : EJHG 2021-09, Vol.29 (9), p.1438-1445
Hauptverfasser: Reynolds, Richard J, Irvin, M Ryan, Bridges, S Louis, Kim, Hwasoon, Merriman, Tony R, Arnett, Donna K, Singh, Jasvinder A, Sumpter, Nicholas A, Lupi, Alexa S, Vazquez, Ana I
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container_issue 9
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container_title European journal of human genetics : EJHG
container_volume 29
creator Reynolds, Richard J
Irvin, M Ryan
Bridges, S Louis
Kim, Hwasoon
Merriman, Tony R
Arnett, Donna K
Singh, Jasvinder A
Sumpter, Nicholas A
Lupi, Alexa S
Vazquez, Ana I
description Hypertension, obesity, chronic kidney disease and type 2 diabetes are comorbidities that have very high prevalence among persons with hyperuricemia (serum urate > 6.8 mg/dL) and gout. Here we use multivariate genetic models to test the hypothesis that the co-association of traits representing hyperuricemia and its comorbidities is genetically based. Using Bayesian whole-genome regression models, we estimated the genetic marker-based variance and the covariance between serum urate, serum creatinine, systolic blood pressure (SBP), blood glucose and body mass index (BMI) from two independent family-based studies: The Framingham Heart Study-FHS and the Hypertension Genetic Epidemiology Network study-HyperGEN. The main genetic findings that replicated in both FHS and HyperGEN, were (1) creatinine was genetically correlated only with urate and (2) BMI was genetically correlated with urate, SBP, and glucose. The environmental covariance among the traits was generally highest for trait pairs involving BMI. The genetic overlap of traits representing the comorbidities of hyperuricemia and gout appears to cluster in two separate axes of genetic covariance. Because creatinine is genetically correlated with urate but not with metabolic traits, this suggests there is one genetic module of shared loci associated with hyperuricemia and chronic kidney disease. Another module of shared loci may account for the association of hyperuricemia and metabolic syndrome. This study provides a clear quantitative genetic basis for the clustering of comorbidities with hyperuricemia.
doi_str_mv 10.1038/s41431-021-00830-z
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Because creatinine is genetically correlated with urate but not with metabolic traits, this suggests there is one genetic module of shared loci associated with hyperuricemia and chronic kidney disease. Another module of shared loci may account for the association of hyperuricemia and metabolic syndrome. 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Here we use multivariate genetic models to test the hypothesis that the co-association of traits representing hyperuricemia and its comorbidities is genetically based. Using Bayesian whole-genome regression models, we estimated the genetic marker-based variance and the covariance between serum urate, serum creatinine, systolic blood pressure (SBP), blood glucose and body mass index (BMI) from two independent family-based studies: The Framingham Heart Study-FHS and the Hypertension Genetic Epidemiology Network study-HyperGEN. The main genetic findings that replicated in both FHS and HyperGEN, were (1) creatinine was genetically correlated only with urate and (2) BMI was genetically correlated with urate, SBP, and glucose. The environmental covariance among the traits was generally highest for trait pairs involving BMI. The genetic overlap of traits representing the comorbidities of hyperuricemia and gout appears to cluster in two separate axes of genetic covariance. 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subjects Bayes Theorem
Bayesian analysis
Blood Pressure
Body mass index
Cardiometabolic Risk Factors
Comorbidity
Creatinine
Creatinine - blood
Diabetes mellitus (non-insulin dependent)
Epidemiology
Genetic markers
Genome-Wide Association Study
Genomes
Gout
Gout - epidemiology
Gout - genetics
Humans
Hypertension
Hyperuricemia
Hyperuricemia - epidemiology
Hyperuricemia - genetics
Kidney diseases
Mathematical models
Metabolic syndrome
Metabolism
Quantitative genetics
Quantitative Trait Loci
Regression analysis
Uric acid
Uric Acid - blood
title Genetic correlations between traits associated with hyperuricemia, gout, and comorbidities
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