Spondyloarthritis & psoriatic arthritis

Defining a genetic background for bamboo spine and axial spondyloarthritis

Joint Bone SpinePublished Genetic association study

Authors' conclusion

Our results indicate that HLA-B27 positivity, ERAP1 haplotype 3 and -6, and being male confer a significant risk for developing bamboo spine.

Study context

Population
Patients with axSpA fulfilling the modified New York criteria followed in MARS (MARmara Spondyloarthritis) clinic
Participants
192 patients
Comparison
axSpA with bamboo spine vs axSpA without bamboo spine
Outcome
Association of ERAP1 and ERAP2 SNP haplotypes with development of bamboo spine
Methodological detailssingle-centre, ERAP1 and ERAP2 polymorphisms by real-time PCR (TaqMan SNP Genotyping Assay); HLA-B genotypes by LABTypeTM SSO method
  • Single-centre
  • ERAP1 and ERAP2 polymorphisms by real-time PCR (TaqMan SNP Genotyping Assay); HLA-B genotypes by LABTypeTM SSO method

Main finding

As reported in the abstract

ERAP1 and ERAP2 haplotypes/SNPs and bamboo spine
ERAP1 haplotype 3 significantly more prevalent in bamboo spine, adjusted for HLA-B27 status
P<0.05
Haplotype 3 and −6 significantly more prevalent exclusively in HLA-B27 (+) patients
P<0.05

Further findings

Clinical factors and bamboo spine

Male gender associated with increased risk of bamboo spine
P < 0.001
HLA-B27 positivity associated with increased risk of bamboo spine
P < 0.05
Peripheral arthritis significantly less prevalent with bamboo spine
P < 0.05

Original publication

Defining a genetic background for bamboo spine and axial spondyloarthritis. Joint Bone Spine. Published 17 January 2025. doi:10.1016/j.jbspin.2025.105842

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