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A genome-wide association analysis reveals new pathogenic pathways in gout*

Major, T.J. ; Kapetanovic, M.C. LU ; Melander, O. LU orcid and Merriman, T.R. (2024) In Nature Genetics 56(11).
Abstract
Gout is a chronic disease that is caused by an innate immune response to deposited monosodium urate crystals in the setting of hyperuricemia. Here, we provide insights into the molecular mechanism of the poorly understood inflammatory component of gout from a genome-wide association study (GWAS) of 2.6 million people, including 120,295 people with prevalent gout. We detected 377 loci and 410 genetically independent signals (149 previously unreported loci in urate and gout). An additional 65 loci with signals in urate (from a GWAS of 630,117 individuals) but not gout were identified. A prioritization scheme identified candidate genes in the inflammatory process of gout, including genes involved in epigenetic remodeling, cell osmolarity and... (More)
Gout is a chronic disease that is caused by an innate immune response to deposited monosodium urate crystals in the setting of hyperuricemia. Here, we provide insights into the molecular mechanism of the poorly understood inflammatory component of gout from a genome-wide association study (GWAS) of 2.6 million people, including 120,295 people with prevalent gout. We detected 377 loci and 410 genetically independent signals (149 previously unreported loci in urate and gout). An additional 65 loci with signals in urate (from a GWAS of 630,117 individuals) but not gout were identified. A prioritization scheme identified candidate genes in the inflammatory process of gout, including genes involved in epigenetic remodeling, cell osmolarity and regulation of NOD-like receptor protein 3 (NLRP3) inflammasome activity. Mendelian randomization analysis provided evidence for a causal role of clonal hematopoiesis of indeterminate potential in gout. Our study identifies candidate genes and molecular processes in the inflammatory pathogenesis of gout suitable for follow-up studies. © The Author(s), under exclusive licence to Springer Nature America, Inc. 2024. (Less)
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Contribution to journal
publication status
published
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in
Nature Genetics
volume
56
issue
11
publisher
Nature Publishing Group
external identifiers
  • scopus:85206813683
  • pmid:39406924
ISSN
1061-4036
DOI
10.1038/s41588-024-01921-5
language
English
LU publication?
yes
id
32d691ca-7d7f-4e8f-8649-3a8af8415bcb
date added to LUP
2025-09-25 08:29:19
date last changed
2025-09-26 03:03:18
@article{32d691ca-7d7f-4e8f-8649-3a8af8415bcb,
  abstract     = {{Gout is a chronic disease that is caused by an innate immune response to deposited monosodium urate crystals in the setting of hyperuricemia. Here, we provide insights into the molecular mechanism of the poorly understood inflammatory component of gout from a genome-wide association study (GWAS) of 2.6 million people, including 120,295 people with prevalent gout. We detected 377 loci and 410 genetically independent signals (149 previously unreported loci in urate and gout). An additional 65 loci with signals in urate (from a GWAS of 630,117 individuals) but not gout were identified. A prioritization scheme identified candidate genes in the inflammatory process of gout, including genes involved in epigenetic remodeling, cell osmolarity and regulation of NOD-like receptor protein 3 (NLRP3) inflammasome activity. Mendelian randomization analysis provided evidence for a causal role of clonal hematopoiesis of indeterminate potential in gout. Our study identifies candidate genes and molecular processes in the inflammatory pathogenesis of gout suitable for follow-up studies. © The Author(s), under exclusive licence to Springer Nature America, Inc. 2024.}},
  author       = {{Major, T.J. and Kapetanovic, M.C. and Melander, O. and Merriman, T.R.}},
  issn         = {{1061-4036}},
  language     = {{eng}},
  number       = {{11}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Nature Genetics}},
  title        = {{A genome-wide association analysis reveals new pathogenic pathways in gout*}},
  url          = {{http://dx.doi.org/10.1038/s41588-024-01921-5}},
  doi          = {{10.1038/s41588-024-01921-5}},
  volume       = {{56}},
  year         = {{2024}},
}