Rheumatoid arthritis

Analysis of epigenetic biomarkers for diagnosis and assessment of severity in rheumatoid arthritis: a cross-sectional study

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

Our results indicate that the level of DNA methylation in validated DMPs is associated with RA.

Study context

Population
Rheumatoid arthritis (RA) patients and healthy controls from a prospective inception cohortdiscovery cohort
Participants
16 / 16 / 32
Exposure
RA vs healthy controls
  • Severe RAn = 16
  • Nonsevere RAn = 16
  • Healthy controlsn = 32reference
Outcome
DNA methylation patterns (diagnostic and prognostic epigenetic biomarkers) in RA vs controls
Methodological detailsdiscovery cohort, validation by pyrosequencing, independent cohort confirmation, Whole genome methylation analysis by Infinium Methylation EPIC BeadChip; validation by pyrosequencing (PyroMark Q48)
  • Discovery cohort
  • Validation by pyrosequencing
  • Independent cohort confirmation
  • Whole genome methylation analysis by Infinium Methylation EPIC BeadChip; validation by pyrosequencing (PyroMark Q48)

Main finding

As reported in the abstract

DNA methylation
  • At whole genome level, an epigenetic signature was associated with both RA and severity of RA
  • Pyrosequencing confirmed methylation at CpG sites in TBC1D22A, PRHOXNB, ALLC and PRG2 associated with RA or severity of RA

Observational data: associations, not effects.

Further findings

TBC1D22A hypermethylation and RA in an independent cohort

Novel association between TBC1D22A hypermethylation and RA confirmed

Original publication

Analysis of epigenetic biomarkers for diagnosis and assessment of severity in rheumatoid arthritis: a cross-sectional study. Arthritis Res Ther. Published 8 August 2025. doi:10.1186/s13075-025-03628-2

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