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ATIC missense variant affects response to methotrexate treatment in rheumatoid arthritis patients
Mateusz Kurzawski1, Damian Malinowski1, Natalia Szarmach1
1Department of Experimental & Clinical Pharmacology, Pomeranian Medical University, Powstancow Wlkp. 72, 70-111 Szczecin, Poland.
Aim:
The study was aimed at investigation of several gene variants of folate pathway enzymes for their potential association with methotrexate (MTX) treatment response in patients with rheumatoid arthritis.
Patients & Methods:
Four hundred and twenty two Caucasian patients were classified as good or poor responders, and subsequently genotyped for common SNPs in DHFR, FPGS and ATIC genes.
Results:
No significant differences were observed in case of DHFR and FGPS SNPs. As for ATIC rs2372536 (Thr116Ser), GG minor genotype was significantly associated with good response to MTX (OR: 2.40; 95% CI: 1.30-4.42; p = 0.005), which was confirmed by multivariate analysis.
Conclusion:
The results of the study suggest that ATIC missense rs2372536 SNP may influence response to MTX therapy in rheumatoid arthritis patients.
Insights
A specific gene variant in the ATIC gene (rs2372536) is linked to better treatment response in rheumatoid arthritis patients receiving methotrexate therapy.
Area of Science:
- Pharmacogenomics
- Molecular biology
- Rheumatology
Background:
- Methotrexate (MTX) is a cornerstone therapy for rheumatoid arthritis (RA).
- Individual responses to MTX vary significantly, impacting treatment efficacy.
- Folate pathway enzymes are crucial for MTX metabolism and action.
Purpose of the Study:
- To investigate the association between gene variants in folate pathway enzymes and MTX treatment response in RA patients.
- To identify genetic markers that predict MTX efficacy in rheumatoid arthritis.
Main Methods:
- Genotyping of single nucleotide polymorphisms (SNPs) in DHFR, FPGS, and ATIC genes in 422 Caucasian RA patients.
- Classification of patients into good and poor responders based on MTX treatment outcomes.
- Statistical analysis including univariate and multivariate approaches.
Main Results:
- No significant associations were found for DHFR and FPGS gene variants.
- The GG minor genotype of ATIC rs2372536 (Thr116Ser) was significantly associated with a good response to MTX (OR: 2.40; p = 0.005).
- This association was confirmed by multivariate analysis, indicating its predictive value.
Conclusions:
- The ATIC missense SNP rs2372536 may serve as a predictive biomarker for MTX response in rheumatoid arthritis.
- Genetic variations in the folate pathway, particularly in ATIC, play a role in MTX treatment outcomes.
- Further research can explore this SNP for personalized MTX dosing strategies in RA.
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