Gout & crystal arthritis

Interleukin-37: associations of plasma levels and genetic variants in gout

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

We demonstrated the up-regulation of IL-37 levels across the clinical phases of gout: asymptomatic hyperuricemia, intercritical, and chronic tophaceous gout compared to control.

Study context

Population
Controls, people with asymptomatic hyperuricemia and patients in various clinical phases of gout
Participants
50 / 74 / 200 / 18 / 30
Exposure
Clinical phases of gout and asymptomatic hyperuricaemia vs controls with no history of primary hyperuricemia/gout
  • Controln = 50reference
  • Asymptomatic hyperuricemian = 74
  • Intercritical goutn = 200
  • Acute gouty flaren = 18
  • Chronic tophaceous goutn = 30
Outcome
Plasma IL-37 levels (ELISA) and IL-37 genetic variants across clinical phases of gout
Methodological detailscase-control, genetic association
  • Case-control
  • Genetic association

Main finding

As reported in the abstract

Plasma IL-37 levels vs control
  • Asymptomatic hyperuricemia vs Control: P = 0.045
  • Intercritical gout vs Control: P = 0.001
  • Chronic tophaceous gout vs Control: P = 0.021
  • Acute gouty flare vs Control: P = 0.061

Observational data: associations, not effects.

Further findings

MAF

OutcomeChronic tophaceous goutControl
rs3811045, rs3811046, rs3811047, rs3811048 MAF0.570.67
rs2708959 over-presentation vs European population (MAF = 0.05) · gouty cohort vs European population
P = 0.003
rs2708959 over-presentation vs European population (MAF = 0.05) · vs European population
0.033
rs2708959 over-presentation vs European population (MAF = 0.05) · not over-presented; MAF 0.08
0.17
rs2708959 over-presentation vs European population (MAF = 0.05) · not over-presented; MAF 0.05
0.71

IL-37 genetic variants identified

Genetic variants of IL-37 identified (8 intron, 7 non-synonymous)
15

rs3811045, rs3811046, rs3811047, rs3811048 MAF

Underrepresented in tophaceous gout vs European MAF 0.70-0.71, but not vs control

Original publication

Interleukin-37: associations of plasma levels and genetic variants in gout. Arthritis Res Ther. Published 18 October 2023. doi:10.1186/s13075-023-03188-3

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