Pediatric rheumatology

Novel Genetic Loci in Early‐Onset Gout Derived From Whole‐Genome Sequencing of an Adolescent Gout Cohort

Arthritis RheumatolPublished Genetic association study

An erratum to this article was published (Arthritis Rheumatol, Mar 2026 ↗)

Authors' conclusion

This is the first comprehensive genetic characterization of adolescent-onset gout. The identified risk loci of early-onset gout mediate inflammatory responsiveness to crystals that could mediate gouty arthritis.

Study context

Population
Individuals with adolescent-onset (12 to 19 years) and early-onset (≤30 years) gout
Participants
905 vs 2,834
Comparison
Discovery vs Replication
  • Discoveryn = 905
  • Replicationn = 2,834
Outcome
Common and low-frequency SNVs associated with early-onset gout
Methodological detailswhole-genome sequencing with replication and meta-analysis, discovery and replication cohorts, functional studies (transcriptome, epigenomic, qPCR, RNA sequencing, THP-1 knock-down)
  • Whole-genome sequencing with replication and meta-analysis
  • Discovery and replication cohorts
  • Functional studies (transcriptome, epigenomic, qPCR, RNA sequencing, THP-1 knock-down)

Pooled result

As reported in the abstract

Loci associated with early-onset gout (meta-analysis)

Novel locus rs12887440 (RCOR1)

Pmeta < 5.0 × 10-8

Novel locus rs35213808 (FSTL5-MIR4454)

Pmeta < 5.0 × 10-8

Further pooled results

RCOR1 function

Single-nucleotide variants (SNVs) in RCOR1 linked to elevated blood leukocyte mRNA levels
In THP-1 macrophages, decreased RCOR1 may suppress gouty inflammation

Original publication

Novel Genetic Loci in Early‐Onset Gout Derived From Whole‐Genome Sequencing of an Adolescent Gout Cohort. Arthritis Rheumatol. Published 28 August 2024. doi:10.1002/art.42969

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