Rheumatoid arthritis

Genetic architecture underlying IgG-RF production is distinct from that of IgM-RF

Rheumatology (Oxford)Published Genetic association study

Authors' conclusion

We found a unique genetic architecture for IgG-RF(-) RA, which showed a strong association with a SE allele not frequent in the Japanese population but the most frequent SE allele in Europeans.

Study context

Population
RA subjects with detailed autoantibody (IgG-RF, IgM-RF, ACPA) data, and healthy controls; Japanese population743 RA patients · 2008 healthy controls
Comparison
IgG-RF vs IgG-RF RA subsets, vs healthy controls
  • Healthy controlsn = 2,008reference
Outcome
Associations between presence or levels of autoantibodies (IgG-RF, IgM-RF, ACPA) and HLA-DRB1 alleles
Methodological detailscase-control
  • Case-control

Main finding

As reported in the abstract

Association with HLA-DRB1 SE alleles by IgG-RF status
  • Both IgG-RF(+) and IgG-RF(-) RA showed comparable associations with SE alleles, not observed for the other autoantibodies
  • Association in IgG-RF(+) subset solely driven by HLA-DRB1*04:05 (most frequent SE allele in Japanese)
  • In IgG-RF(-) subset, HLA-DRB1*04:05 and HLA-DRB1*04:01 (most frequent SE allele in Europeans) were main drivers
  • Associations irrespective of ACPA presence

Observational data: associations, not effects.

Original publication

Genetic architecture underlying IgG-RF production is distinct from that of IgM-RF. Rheumatology (Oxford). Published 17 October 2022. doi:10.1093/rheumatology/keac593

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