Gout & crystal arthritis

Identification of Novel Noncoding Genetic Variants of Serum Urate Using Whole‐Genome Sequencing in 7,339 Chinese Participants

Arthritis RheumatolPublished Genome-wide association study

Authors' conclusion

By resolving East Asian-specific allelic architecture and revealing ancestral diversity in SU genetics, this study advanced translational opportunities for precision urate-lowering therapies and prioritized novel candidates for future research.

Study context

Population
Han Chinese participants from the Healthy Zhejiang One Million People (HOPE) cohort9.1 million variants
Participants
7,339 participants
Outcome
SU levels
Methodological detailstwo-stage, whole-genome sequencing-based, genome-wide scan
  • Two-stage
  • Whole-genome sequencing-based
  • Genome-wide scan

Main finding

As reported in the abstract

Genetic variants associated with SU
  • Associations at common and low-frequency loci verified
  • Novel, replicable male-specific locus at MAN1A2
  • Candidate low-frequency male-specific locus at CPE
  • Rare missense and putative loss-of-function variant aggregates in genes such as SLC22A12, SLC2A9 and G6PC2, validated in replication data set or UK Biobank
  • Novel replicated associations with rare promoter variants near HDC and SLC22A12
  • Deep learning-based fine-mapping: transcription factors such as HNF1A, RUNX1 and SRF as potential up-regulators of serum urate (SU)-associated genes

Original publication

Identification of Novel Noncoding Genetic Variants of Serum Urate Using Whole‐Genome Sequencing in 7,339 Chinese Participants. Arthritis Rheumatol. Published 22 April 2026. doi:10.1002/art.70150

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