Rheumatoid arthritis

Genetically-determined variation in CRP impacts disease activity assessment in rheumatoid arthritis

Rheumatology (Oxford)Published Genetic association study in three observational cohorts

Authors' conclusion

The rs1205 TT genotype in CRP is associated with lower CRP and DAS28(CRP).

Study context

Population
Patients from three observational cohorts: UK Biobank (United Kingdom Biobank (UKB)), Veterans Affairs RA Registry (VARA) and FORWARD Databank488,377 UKB
Exposure
rs1205 TT and CT genotypes vs CC genotype
Outcome
Effect of rs1205 genotype on log-adjusted serum CRP concentrations
Methodological detailslinear regression adjusted for sex, age and population structure
  • Linear regression adjusted for sex, age and population structure

Main finding

As reported in the abstract

Log-adjusted CRP (UKB)

β

−0.371

95% CI −0.381 to −0.360P < 0.001

TT

β

−0.173

95% CI −0.179 to −0.167P < 0.001

CT

Observational data: associations, not effects.

Further findings

Outcomeβ (95% CI)P value
DAS28(CRP) (VARA)TT vs CC−0.22 (−0.44 to −0.0027)P = 0.047

DAS28(CRP) (VARA)

Not significantly lower in CT vs CC genotype

Reclassification in TT genotype

Reclassified to abnormal CRP (>0.8 mg/dl)
6-8%
Reclassified from low to moderate disease activity
3%

Original publication

Genetically-determined variation in CRP impacts disease activity assessment in rheumatoid arthritis. Rheumatology (Oxford). Published 18 March 2025. doi:10.1093/rheumatology/keaf069

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