Gout & crystal arthritis

Association of Gout Polygenic Risk Score With Age at Disease Onset and Tophaceous Disease in European and Polynesian Men With Gout

Arthritis RheumatolPublished Genetic association study

Authors' conclusion

Genetic risk variants for gout also harbor risk for earlier age at gout onset and tophaceous disease in European and Polynesian men.

Study context

Population
European, East Polynesian and West Polynesian men and women with gout7 European, 2 East Polynesian and 1 West Polynesian gout cohorts
Participants
4,016 / 682 / 490
Comparison
Gout polygenic risk score and age at gout onset and tophaceous disease
  • Europeann = 4,016
  • East Polynesiann = 682
  • West Polynesiann = 490
Outcome
Age at gout onset and tophaceous disease, per unit PRS
Methodological detailssex-stratified regression models, 19-variant gout polygenic risk score (PRS), multiple cohorts (7 European, 2 East Polynesian, 1 West Polynesian)
  • Sex-stratified regression models
  • 19-variant gout PRS
  • Multiple cohorts (7 European, 2 East Polynesian, 1 West Polynesian)

Main finding

As reported in the abstract

Age at gout onset (β in years per unit PRS), men

β

−3.61 years per unit PRS

95% CI −4.32 to −2.90

European men

β

−6.35 years per unit PRS

95% CI −8.91 to −3.80

East Polynesian men

β

−3.51 years per unit PRS

95% CI −5.46 to −1.57

West Polynesian men

Further findings

Age at gout onset (β in years per unit PRS), women

β (years per unit PRS) (95% CI)
European women0.07 (−2.32 to 2.45)
East Polynesian women0.20 (−7.21 to 7.62)
West Polynesian women−3.33 (−9.28 to 2.62)
OutcomeOR (95% CI)
Tophaceous disease (OR per unit PRS), menEuropean men1.15 (1.00–1.31)
Tophaceous disease (OR per unit PRS), menEast Polynesian men2.60 (1.66–4.06)
Tophaceous disease (OR per unit PRS), menWest Polynesian men1.53 (1.07–2.19)
Tophaceous disease (OR per unit PRS), womenEuropean women0.68 (0.42–1.10)
Tophaceous disease (OR per unit PRS), womenEast Polynesian women1.45 (0.39–5.36)

Age at gout onset, PRS without ABCG2 variants, men

β (95% CI)
European menSensitivity analysis−2.42 (−3.37 to −1.46)
East Polynesian menSensitivity analysis−6.80 (−10.06 to −3.55)
West Polynesian menSensitivity analysis−1.79 (−4.74 to 1.16)

Original publication

Association of Gout Polygenic Risk Score With Age at Disease Onset and Tophaceous Disease in European and Polynesian Men With Gout. Arthritis Rheumatol. Published 25 March 2023. doi:10.1002/art.42393

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