Combined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.

The most consistent finding derived from the WTCCC GWAS for rheumatoid arthritis (RA) was association to a SNP at 6q23. We performed a fine-mapping of the region in order to search the 6q23 region for additional disease variants. 3962 RA patients and 3531 healthy controls were included in the study....

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Main Authors: Orozco, G, Hinks, A, Eyre, S, Ke, X, Gibbons, L, Bowes, J, Flynn, E, Martin, P, Wilson, A, Bax, D, Morgan, A, Emery, P, Steer, S, Hocking, L, Reid, D, Wordsworth, P, Harrison, P, Thomson, W, Barton, A, Worthington, J
Format: Journal article
Language:English
Published: 2009
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author Orozco, G
Hinks, A
Eyre, S
Ke, X
Gibbons, L
Bowes, J
Flynn, E
Martin, P
Wilson, A
Bax, D
Morgan, A
Emery, P
Steer, S
Hocking, L
Reid, D
Wordsworth, P
Harrison, P
Thomson, W
Barton, A
Worthington, J
author_facet Orozco, G
Hinks, A
Eyre, S
Ke, X
Gibbons, L
Bowes, J
Flynn, E
Martin, P
Wilson, A
Bax, D
Morgan, A
Emery, P
Steer, S
Hocking, L
Reid, D
Wordsworth, P
Harrison, P
Thomson, W
Barton, A
Worthington, J
author_sort Orozco, G
collection OXFORD
description The most consistent finding derived from the WTCCC GWAS for rheumatoid arthritis (RA) was association to a SNP at 6q23. We performed a fine-mapping of the region in order to search the 6q23 region for additional disease variants. 3962 RA patients and 3531 healthy controls were included in the study. We found 18 SNPs associated with RA. The SNP showing the strongest association was rs6920220 [P = 2.6 x 10(-6), OR (95% CI) 1.22 (1.13-1.33)]. The next most strongly associated SNP was rs13207033 [P = 0.0001, OR (95% CI) 0.86 (0.8-0.93)] which was perfectly correlated with rs10499194, a SNP previously associated with RA in a US/European series. Additionally, we found a number of new potential RA markers, including rs5029937, located in the intron 2 of TNFAIP3. Of the 18 associated SNPs, three polymorphisms, rs6920220, rs13207033 and rs5029937, remained significant after conditional logistic regression analysis. The combination of the carriage of both risk alleles of rs6920220 and rs5029937 together with the absence of the protective allele of rs13207033 was strongly associated with RA when compared with carriage of none [OR of 1.86 (95% CI) (1.51-2.29)]. This equates to an effect size of 1.50 (95% CI 1.21-1.85) compared with controls and is higher than that obtained for any SNP individually. This is the first study to show that the confirmed loci from the GWA studies, that confer only a modest effect size, could harbour a significantly greater effect once the effect of additional risk variants are accounted for.
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spelling oxford-uuid:2d885a1f-85f5-42a0-98c7-abb2a82a39d62022-03-26T12:43:35ZCombined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2d885a1f-85f5-42a0-98c7-abb2a82a39d6EnglishSymplectic Elements at Oxford2009Orozco, GHinks, AEyre, SKe, XGibbons, LBowes, JFlynn, EMartin, PWilson, ABax, DMorgan, AEmery, PSteer, SHocking, LReid, DWordsworth, PHarrison, PThomson, WBarton, AWorthington, JThe most consistent finding derived from the WTCCC GWAS for rheumatoid arthritis (RA) was association to a SNP at 6q23. We performed a fine-mapping of the region in order to search the 6q23 region for additional disease variants. 3962 RA patients and 3531 healthy controls were included in the study. We found 18 SNPs associated with RA. The SNP showing the strongest association was rs6920220 [P = 2.6 x 10(-6), OR (95% CI) 1.22 (1.13-1.33)]. The next most strongly associated SNP was rs13207033 [P = 0.0001, OR (95% CI) 0.86 (0.8-0.93)] which was perfectly correlated with rs10499194, a SNP previously associated with RA in a US/European series. Additionally, we found a number of new potential RA markers, including rs5029937, located in the intron 2 of TNFAIP3. Of the 18 associated SNPs, three polymorphisms, rs6920220, rs13207033 and rs5029937, remained significant after conditional logistic regression analysis. The combination of the carriage of both risk alleles of rs6920220 and rs5029937 together with the absence of the protective allele of rs13207033 was strongly associated with RA when compared with carriage of none [OR of 1.86 (95% CI) (1.51-2.29)]. This equates to an effect size of 1.50 (95% CI 1.21-1.85) compared with controls and is higher than that obtained for any SNP individually. This is the first study to show that the confirmed loci from the GWA studies, that confer only a modest effect size, could harbour a significantly greater effect once the effect of additional risk variants are accounted for.
spellingShingle Orozco, G
Hinks, A
Eyre, S
Ke, X
Gibbons, L
Bowes, J
Flynn, E
Martin, P
Wilson, A
Bax, D
Morgan, A
Emery, P
Steer, S
Hocking, L
Reid, D
Wordsworth, P
Harrison, P
Thomson, W
Barton, A
Worthington, J
Combined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.
title Combined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.
title_full Combined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.
title_fullStr Combined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.
title_full_unstemmed Combined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.
title_short Combined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.
title_sort combined effects of three independent snps greatly increase the risk estimate for ra at 6q23
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