Gout & crystal arthritis

Genome-wide association study in chondrocalcinosis reveals ENPP1 as a candidate therapeutic target in calcium pyrophosphate deposition disease

Ann Rheum DisPublished Genome-wide association study

Authors' conclusion

ENPP1 encodes ectonucleotide pyrophosphatase/phosphodiesterase family member 1 (NPP1) that produces adenosine monophosphate (AMP) and inorganic pyrophosphate which, together with calcium ions, leads to the formation of calcium pyrophosphate crystals.

Study context

Population
People of African (AFR) and European (EUR) ancestry in the Veterans Affairs Million Veteran Program with Phecode-defined chondrocalcinosis or crystal arthropathychondrocalcinosis cases (536 AFR, 2468 EUR)
Participants
3,004 people
Outcome
Genome-wide significant loci for chondrocalcinosis
Methodological detailspublicly available genome-wide association study (GWAS) summary statistics, colocalisation analysis with genetic control of gene expression
  • Publicly available GWAS summary statistics
  • Colocalisation analysis with genetic control of gene expression

Main finding

As reported in the abstract

Genome-wide significant loci for chondrocalcinosis in both AFR and EUR cases, both on chromosome 6 (signals within ENPP1 and RNF144B)
2

Further findings

Crystal arthropathy (3766 cases: 700 AFR, 3066 EUR)

Findings supported by analysis of the crystal arthropathy cohort

Colocalisation with genetic control of gene expression and alternative splicing

Further supported ENPP1 and RNF144B as candidate causal genes

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Genome-wide association study in chondrocalcinosis reveals ENPP1 as a candidate therapeutic target in calcium pyrophosphate deposition disease. Ann Rheum Dis. Published 28 May 2025. doi:10.1016/j.ard.2025.04.002

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