Literature DB >> 24936586

SPP1 rs9138 variant contributes to the severity of radiological damage in anti-citrullinated protein autoantibody-negative rheumatoid arthritis.

Pierre-Antoine Juge1, Hanna W van Steenbergen2, Arnaud Constantin3, Gabriel J Tobon4, Thierry Schaeverbeke5, Steven Gazal6, Bernard Combe7, Valérie Devauchelle-Pensec4, Delphine Nigon3, Annette H M van der Helm-van Mil2, Philippe Dieude8.   

Abstract

OBJECTIVE: We recently reported an association of the SPP1 rs9138 and rs11439060 functional variants with the risk of rheumatoid arthritis (RA), the association being greater in anti-citrullinated protein autoantibody (ACPA)-negative patients. We hypothesised that SPP1 may contribute to the severity of joint destruction in RA, specifically in the ACPA-negative population.
METHODS: Patients with RA in the ESPOIR cohort underwent genotyping for SPP1 rs9138 and rs11439060. Radiographs of the hands and feet were obtained at the first visit and at 1- and 2-year follow-up. Association analyses were performed by ACPA status. A replication study of the relevant subset of the Leiden Early Arthritis Clinic (EAC) cohort was performed.
RESULTS: In the ESPOIR cohort (652 patients), rs9138 was significantly associated with radiological progression of joint destruction at 2 years, the association being restricted to 358 ACPA-negative patients (p=0.034). In the replication study with the Leiden EAC cohort (273 ACPA-negative patients), rs4754, which is in complete linkage disequilibrium with rs9138, was significantly associated with joint damage progression in ACPA-negative patients at 2- and 7-year follow-up (p=0.019 and p=0.005, respectively). Combined analysis of the two cohorts revealed a 0.95-fold rate of joint destruction per year per minor allele (p=0.022).
CONCLUSIONS: The SPP1 rs9138 variant contributes to joint damage progression in ACPA-negative RA. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Entities:  

Keywords:  Ant-CCP; Autoantibodies; Early Rheumatoid Arthritis; Gene Polymorphism; Rheumatoid Arthritis

Mesh:

Substances:

Year:  2014        PMID: 24936586     DOI: 10.1136/annrheumdis-2014-205539

Source DB:  PubMed          Journal:  Ann Rheum Dis        ISSN: 0003-4967            Impact factor:   19.103


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