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Published on: October 6, 2023
Association between PADI4 and rheumatoid arthritis: a meta-analysis
T Iwamoto1, K Ikari, T Nakamura
1Institute of Rheumatology, Tokyo Women's Medical University, 10-22 Kawada, Shinjuku, Tokyo 162-0054, Japan.
This meta-analysis confirms a link between the PADI4 gene and rheumatoid arthritis (RA). The peptidylarginine deiminase type 4 (PADI4) gene shows association with RA in both Japanese and European populations.
Area of Science:
- Genetics
- Rheumatology
- Immunology
Background:
- Polymorphisms and haplotypes of the peptidylarginine deiminase type 4 gene (PADI4) have been associated with rheumatoid arthritis (RA) in Japanese populations.
- Conflicting results from subsequent replication studies necessitate further investigation.
- A meta-analysis is required to definitively establish the association between PADI4 and RA.
Purpose of the Study:
- To determine if a meta-analysis can confirm the association between PADI4 gene polymorphisms/haplotypes and rheumatoid arthritis.
- To consolidate findings from existing replication studies on PADI4 and RA.
- To evaluate the PADI4-RA association across different ethnic groups.
Main Methods:
- A comprehensive PubMed search was conducted for 'PADI4' related articles up to December 2005.
- Replication studies investigating the PADI4-RA association were selected for meta-analysis.
- The Mantel-Haenszel procedure was employed to pool odds ratios (OR) with 95% confidence intervals (CI), and the Breslow-Day test assessed study homogeneity.
Main Results:
- Six replication studies (one Japanese, five European/North American) met the inclusion criteria.
- Homogeneity was confirmed across the included replication studies.
- A significant association was found for allelic distribution (common OR = 1.14, 95% CI = 1.07-1.21), further confirmed in European descent populations (P = 0.0096, common OR = 1.10).
Conclusions:
- The meta-analysis demonstrates a positive association between the PADI4 gene and rheumatoid arthritis.
- This association is evident not only in the Japanese population but also extends to populations of European descent.
- The findings support PADI4 as a potential genetic factor contributing to RA pathogenesis across diverse ethnic groups.
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