Vasculitis & polymyalgia rheumatica

Risk loci involved in giant cell arteritis susceptibility: a genome-wide association study

Lancet RheumatolPublished Genome-wide association study meta-analysis

Authors' conclusion

We have found several additional loci associated with giant cell arteritis, highlighting the crucial role of angiogenesis in disease susceptibility.

Study context

Population
Patients with GCA and healthy controls of European ancestry from ten cohorts across Europe and North Americaten cohorts
Participants
3,498 vs 15,550
Comparison
Patients with GCA vs healthy controls
  • GCAn = 3,498
  • Controlsn = 15,550reference
Outcome
Genetic loci associated with GCA risk
Methodological detailsten cohorts across Europe and North America, European ancestry, fine-mapping, causal gene prioritisation, drug repurposing analysis, polygenic risk score
  • Ten cohorts across Europe and North America
  • European ancestry
  • Fine-mapping
  • Causal gene prioritisation
  • Drug repurposing analysis
  • Polygenic risk score

Pooled result

As reported in the abstract

Novel loci associated with GCA risk (genome-wide association studies (GWAS) meta-analysis)
Odds ratio (95% CI)P value
MFGE8 (rs8029053)related to angiogenesis pathways
1.19(1.12–1.26)
P = 4.96 × 10-8
VTN (rs704)related to angiogenesis pathways
0.84(0.79–0.89)
P = 2.75 × 10-9
CCDC25 (rs11782624)related to neutrophil extracellular traps (NETs)
1.18(1.12–1.25)
P = 1.28 × 10-8
Three novel loci associated with risk of GCA
3

Further pooled results

OutcomeOR (95% CI)P value
Polygenic risk score, 90th percentile2.87 (2.15–3.82)P = 1.73 × 10-13

Other associated regions

Association between GCA and HLA region and PLG

Drug repurposing

Several drugs identified as promising treatment candidates

Original publication

Risk loci involved in giant cell arteritis susceptibility: a genome-wide association study. Lancet Rheumatol. Published 8 May 2024. doi:10.1016/s2665-9913(24)00064-x

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