Pleiotropic effect of the ABCG2 gene in gout: involvement in serum urate levels and progression from hyperuricemia to gout

Abstract Background The ABCG2 Q141K (rs2231142) and rs10011796 variants associate with hyperuricaemia (HU). The effect size of ABCG2 rs2231142 on urate is ~ 60% that of SLC2A9, yet the effect size on gout is greater. We tested the hypothesis that ABCG2 plays a role in the progression from HU to gout...

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Main Authors: Rebekah Wrigley, Amanda J. Phipps-Green, Ruth K. Topless, Tanya J. Major, Murray Cadzow, Philip Riches, Anne-Kathrin Tausche, Matthijs Janssen, Leo A. B. Joosten, Tim L. Jansen, Alexander So, Jennie Harré Hindmarsh, Lisa K. Stamp, Nicola Dalbeth, Tony R. Merriman
Format: Article
Language:English
Published: BMC 2020-03-01
Series:Arthritis Research & Therapy
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Online Access:http://link.springer.com/article/10.1186/s13075-020-2136-z
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author Rebekah Wrigley
Amanda J. Phipps-Green
Ruth K. Topless
Tanya J. Major
Murray Cadzow
Philip Riches
Anne-Kathrin Tausche
Matthijs Janssen
Leo A. B. Joosten
Tim L. Jansen
Alexander So
Jennie Harré Hindmarsh
Lisa K. Stamp
Nicola Dalbeth
Tony R. Merriman
author_facet Rebekah Wrigley
Amanda J. Phipps-Green
Ruth K. Topless
Tanya J. Major
Murray Cadzow
Philip Riches
Anne-Kathrin Tausche
Matthijs Janssen
Leo A. B. Joosten
Tim L. Jansen
Alexander So
Jennie Harré Hindmarsh
Lisa K. Stamp
Nicola Dalbeth
Tony R. Merriman
author_sort Rebekah Wrigley
collection DOAJ
description Abstract Background The ABCG2 Q141K (rs2231142) and rs10011796 variants associate with hyperuricaemia (HU). The effect size of ABCG2 rs2231142 on urate is ~ 60% that of SLC2A9, yet the effect size on gout is greater. We tested the hypothesis that ABCG2 plays a role in the progression from HU to gout by testing for association of ABCG2 rs2231142 and rs10011796 with gout using HU controls. Methods We analysed 1699 European gout cases and 14,350 normouricemic (NU) and HU controls, and 912 New Zealand (NZ) Polynesian (divided into Eastern and Western Polynesian) gout cases and 696 controls. Association testing was performed using logistic and linear regression with multivariate adjusting for confounding variables. Results In Europeans and Polynesians, the ABCG2 141K (T) allele was associated with gout using HU controls (OR = 1.85, P = 3.8E− 21 and ORmeta = 1.85, P = 1.3E− 03, respectively). There was evidence for an effect of 141K in determining HU in European (OR = 1.56, P = 1.7E− 18) but not in Polynesian (ORmeta = 1.49, P = 0.057). For SLC2A9 rs11942223, the T allele associated with gout in the presence of HU in European (OR = 1.37, P = 4.7E− 06), however significantly weaker than ABCG2 rs2231142 141K (P Het = 0.0023). In Western Polynesian and European, there was epistatic interaction between ABCG2 rs2231142 and rs10011796. Combining the presence of the 141K allele with the rs10011796 CC-genotype increased gout risk, in the presence of HU, 21.5-fold in Western Polynesian (P = 0.009) and 2.6-fold in European (P = 9.9E− 06). The 141K allele of ABCG2 associated with increased gout flare frequency in Polynesian (P meta = 2.5E− 03). Conclusion These data are consistent with a role for ABCG2 141K in gout in the presence of established HU.
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spelling doaj.art-88e69affacaf42ba8bbee5b52156c6c72022-12-22T00:01:18ZengBMCArthritis Research & Therapy1478-63622020-03-0122111010.1186/s13075-020-2136-zPleiotropic effect of the ABCG2 gene in gout: involvement in serum urate levels and progression from hyperuricemia to goutRebekah Wrigley0Amanda J. Phipps-Green1Ruth K. Topless2Tanya J. Major3Murray Cadzow4Philip Riches5Anne-Kathrin Tausche6Matthijs Janssen7Leo A. B. Joosten8Tim L. Jansen9Alexander So10Jennie Harré Hindmarsh11Lisa K. Stamp12Nicola Dalbeth13Tony R. Merriman14Department of Biochemistry, University of OtagoDepartment of Biochemistry, University of OtagoDepartment of Biochemistry, University of OtagoDepartment of Biochemistry, University of OtagoDepartment of Biochemistry, University of OtagoRheumatic Diseases Unit, Institute of Genetics and Molecular Medicine, University of EdinburghDepartment of Rheumatology, University Clinic “Carl-Gustav-Carus”Department of Rheumatology, VieCuri Medical CenterDepartment of Internal Medicine and Radboud Institute of Molecular Life Science, Radboud University Medical CenterDepartment of Rheumatology, VieCuri Medical CenterLaboratory of Rheumatology, University of Lausanne, CHUVNgāti Porou Hauora Charitable TrustDepartment of Medicine, University of Otago, ChristchurchDepartment of Medicine, University of AucklandDepartment of Biochemistry, University of OtagoAbstract Background The ABCG2 Q141K (rs2231142) and rs10011796 variants associate with hyperuricaemia (HU). The effect size of ABCG2 rs2231142 on urate is ~ 60% that of SLC2A9, yet the effect size on gout is greater. We tested the hypothesis that ABCG2 plays a role in the progression from HU to gout by testing for association of ABCG2 rs2231142 and rs10011796 with gout using HU controls. Methods We analysed 1699 European gout cases and 14,350 normouricemic (NU) and HU controls, and 912 New Zealand (NZ) Polynesian (divided into Eastern and Western Polynesian) gout cases and 696 controls. Association testing was performed using logistic and linear regression with multivariate adjusting for confounding variables. Results In Europeans and Polynesians, the ABCG2 141K (T) allele was associated with gout using HU controls (OR = 1.85, P = 3.8E− 21 and ORmeta = 1.85, P = 1.3E− 03, respectively). There was evidence for an effect of 141K in determining HU in European (OR = 1.56, P = 1.7E− 18) but not in Polynesian (ORmeta = 1.49, P = 0.057). For SLC2A9 rs11942223, the T allele associated with gout in the presence of HU in European (OR = 1.37, P = 4.7E− 06), however significantly weaker than ABCG2 rs2231142 141K (P Het = 0.0023). In Western Polynesian and European, there was epistatic interaction between ABCG2 rs2231142 and rs10011796. Combining the presence of the 141K allele with the rs10011796 CC-genotype increased gout risk, in the presence of HU, 21.5-fold in Western Polynesian (P = 0.009) and 2.6-fold in European (P = 9.9E− 06). The 141K allele of ABCG2 associated with increased gout flare frequency in Polynesian (P meta = 2.5E− 03). Conclusion These data are consistent with a role for ABCG2 141K in gout in the presence of established HU.http://link.springer.com/article/10.1186/s13075-020-2136-zGoutUrateHyperuricemiaABCG2AssociationPolymorphism
spellingShingle Rebekah Wrigley
Amanda J. Phipps-Green
Ruth K. Topless
Tanya J. Major
Murray Cadzow
Philip Riches
Anne-Kathrin Tausche
Matthijs Janssen
Leo A. B. Joosten
Tim L. Jansen
Alexander So
Jennie Harré Hindmarsh
Lisa K. Stamp
Nicola Dalbeth
Tony R. Merriman
Pleiotropic effect of the ABCG2 gene in gout: involvement in serum urate levels and progression from hyperuricemia to gout
Arthritis Research & Therapy
Gout
Urate
Hyperuricemia
ABCG2
Association
Polymorphism
title Pleiotropic effect of the ABCG2 gene in gout: involvement in serum urate levels and progression from hyperuricemia to gout
title_full Pleiotropic effect of the ABCG2 gene in gout: involvement in serum urate levels and progression from hyperuricemia to gout
title_fullStr Pleiotropic effect of the ABCG2 gene in gout: involvement in serum urate levels and progression from hyperuricemia to gout
title_full_unstemmed Pleiotropic effect of the ABCG2 gene in gout: involvement in serum urate levels and progression from hyperuricemia to gout
title_short Pleiotropic effect of the ABCG2 gene in gout: involvement in serum urate levels and progression from hyperuricemia to gout
title_sort pleiotropic effect of the abcg2 gene in gout involvement in serum urate levels and progression from hyperuricemia to gout
topic Gout
Urate
Hyperuricemia
ABCG2
Association
Polymorphism
url http://link.springer.com/article/10.1186/s13075-020-2136-z
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