Rheumatoid arthritis

Mosaic loss of chromosome Y characterises late-onset rheumatoid arthritis and contrasting associations of polygenic risk score based on age at onset

Ann Rheum DisPublished Case-control study

Authors' conclusion

LORA was characterised by the presence of a high burden of mLOY. The observed interaction between mLOY and PRS in LORA, but not in YORA, supports different gene-environment interactions between the subsets.

Study context

Population
Japanese rheumatoid arthritis (RA) cases and controls; Mosaic chromosomal alterations (mCAs) detected in peripheral blood samples (Set 1: 2107 RA cases and 86,998 controls; Set 2: 2359 RA cases and 86,998 controls)2 datasets
Comparison
RA cases vs controls, by mosaic chromosomal alterations; Late-onset RA (LORA) and young-onset RA (YORA) separately
  • Controlsn = 86,998reference
Outcome
Association between mCAs (incl. mosaic loss of Y) and RA, LORA and YORA
Methodological details2 independent Japanese datasets, logistic regression, meta-analysis
  • 2 independent Japanese datasets
  • Logistic regression
  • Meta-analysis

Main finding

As reported in the abstract

mLOY

Odds ratio

1.43

P = 0.0070

LORA

Odds ratio

0.66

P = 0.0034

YORA

Observational data: associations, not effects.

Further findings

Autosomal mCAs or mosaic loss of X

Consistently negative associations with RA, LORA and YORA

Polygenic risk score (PRS) effect sizes

Lower for LORA than for YORA

Interaction mosaic loss of Y (mLOY) (high cell fraction) × PRS

Strengthened association between PRS and LORA
P = 0.0036
Association with YORA independent of mLOY

Original publication

Mosaic loss of chromosome Y characterises late-onset rheumatoid arthritis and contrasting associations of polygenic risk score based on age at onset. Ann Rheum Dis. Published 21 February 2025. doi:10.1016/j.ard.2025.01.034

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