Gout & crystal arthritis

Proteomic footprint of serum urate concentration and urate transporter ABCG2 dysfunctional polymorphism: a cross-sectional study

RMD OpenPublished Cross-sectional study

Authors' conclusion

To the best of our knowledge, this is the first study to report a proteomic signature of SU concentration. These findings suggest that SU-associated proteomic signatures vary according to ABCG2 genotypes, highlighting the genetic contribution to pathophysiological processes associated with SU concentration variation.

Study context

Population
Japanese individuals aged ≥50 years2,886 proteins analysed
Participants
176 individuals
Exposure
Association of serum urate (SU) concentration with serum proteomic profiles, overall and by ABCG2 p.Q141K genotype
  • p.Q141K minor allele carriersn = 91
  • Wild-type homozygotesn = 85reference
Outcome
Association between SU concentration and serum proteins (Olink Explore 3072)
Methodological detailslinear regression adjusted for age, sex, renal function and insulin resistance, false discovery rate threshold of 5%
  • Linear regression adjusted for age, sex, renal function and insulin resistance
  • False discovery rate threshold of 5%

Main finding

As reported in the abstract

Serum proteins significantly associated with SU concentration

Proteins analysed

2886

Proteins significantly associated with SU concentration

63

Strongest association: uromodulin (adjusted p)

adjusted p=2.21×10-5

Observational data: associations, not effects.

Further findings

SU-associated proteins by ABCG2 p.Q141K genotype (subgroups) — p.Q141K minor allele carriers
11 events

SU-associated proteins by ABCG2 p.Q141K genotype (subgroups)

Wild-type homozygotes (n=85): no significant SU-associated proteins detected
Gene set enrichment: xenobiotic metabolism in wild-types; additional inflammation- and disease-related gene sets in minor allele carriers

Tissue-specific enrichment of the 63 SU-associated proteins

Significantly enriched in the liver, kidneys and duodenum

Original publication

Proteomic footprint of serum urate concentration and urate transporter ABCG2 dysfunctional polymorphism: a cross-sectional study. RMD Open. Published 27 January 2026. doi:10.1136/rmdopen-2025-006414

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