The 11q23.3 genomic region-rs964184-is associated with cardiovascular disease in patients with rheumatoid arthritis
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R López-Mejías1, F Genre, M García-Bermúdez
1Epidemiology, Genetics and Atherosclerosis Research Group on Systemic Inflammatory Diseases, Rheumatology Division, Hospital Universitario Marqués de Valdecilla, IFIMAV, Santander, Spain.
Insights
The rs964184 genetic polymorphism increases cardiovascular event risk in rheumatoid arthritis (RA) patients. This finding highlights a potential genetic marker for cardiovascular disease in individuals with RA.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Genetics
Background:
- Rheumatoid arthritis (RA) is an inflammatory condition linked to a higher risk of cardiovascular (CV) events.
- The rs964184 polymorphism has previously been associated with coronary artery disease in nonrheumatic populations.
Purpose of the Study:
- To investigate the association between the rs964184 polymorphism and cardiovascular disease risk in Spanish rheumatoid arthritis patients.
Main Methods:
- Genotyping of 2160 Spanish RA patients for the rs964184 polymorphism.
- Statistical analysis adjusted for sex, age at diagnosis, and traditional CV risk factors (diabetes mellitus, dyslipidemia, smoking).
Main Results:
- RA patients with the rs964184 GG genotype showed a significantly higher risk of CV events compared to those with the CC genotype (HR=2.91, P=0.006).
- Traditional CV risk factors and patient demographics were also associated with increased CV event risk.
Conclusions:
- The rs964184 polymorphism is significantly associated with cardiovascular disease in rheumatoid arthritis patients.
- This genetic variant may serve as a predictive biomarker for cardiovascular risk in RA.
Abstract:
Rheumatoid arthritis (RA) is an inflammatory disease associated with high risk of cardiovascular (CV) events. Recently, the rs964184 polymorphism has been associated with coronary artery disease in nonrheumatic Caucasian individuals. 2160 Spanish RA patients were genotyped for the rs964184 polymorphism. Sex, age at diagnosis and traditional CV risk factors (diabetes mellitus, dyslipidemia and smoking habit) were associated with increased risk of CV events. Interestingly, RA patients carrying the rs964184 GG genotype had significantly higher risk of CV events than those with CC genotype [hazard ratio (HR) = 2.91, 95% confidence interval (CI): 1.36-6.26, P = 0.006] after adjusting the results for sex, age at diagnosis and traditional CV risk factors. Our results indicate that rs964184 polymorphism is associated with CV disease in RA.
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