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.

Pharmacogenomics
|November 26, 2016
PubMed
Abstract

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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