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High genetic risk score is associated with early disease onset, damage accrual and decreased survival in systemic lupus erythematosus

Reid, Sarah (författare)
Uppsala University,Uppsala universitet,Reumatologi,Science for Life Laboratory, SciLifeLab
Alexsson, Andrei (författare)
Uppsala University,Uppsala universitet,Reumatologi,Science for Life Laboratory, SciLifeLab
Frodlund, Martina (författare)
Linköping University,Rheumatology/Division of Neuro and Inflammation Sciences, Department of Clinical and Experimental Medicine, Linköping University, Linkoping, Sweden
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Morris, David (författare)
Department of Medical and Molecular Genetics, King’s College London, London, UK
Sandling, Johanna K. (författare)
Uppsala University,Uppsala universitet,Reumatologi,Science for Life Laboratory, SciLifeLab
Bolin, Karin (författare)
Uppsala University,Uppsala universitet,Reumatologi,Science for Life Laboratory, SciLifeLab
Svenungsson, Elisabet (författare)
Karolinska Institutet,Karolinska Institute,Rheumatology Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
Jönsen, Andreas (författare)
Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lund SLE Research Group,Forskargrupper vid Lunds universitet,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups,Rheumatology, Department of Clinical Sciences, Lund University, Lund, Sweden
Bengtsson, Christine (författare)
Umeå University,Umeå universitet,Reumatologi,Department of Public Health and Clinical Medicine/Rheumatology, Umeå University, Umeå, Sweden
Gunnarsson, Iva (författare)
Karolinska Institutet,Karolinska Institute,Rheumatology Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
Illescas Rodriguez, Vera (författare)
Karolinska Institute,Rheumatology Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
Bengtsson, Anders (författare)
Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lund SLE Research Group,Forskargrupper vid Lunds universitet,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups,Rheumatology, Department of Clinical Sciences, Lund University, Lund, Sweden
Arve, Sabine (författare)
Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Rheumatology, Department of Clinical Sciences, Lund University, Lund, Sweden
Rantapää-Dahlqvist, Solbritt (författare)
Umeå University,Umeå universitet,Reumatologi,Department of Public Health and Clinical Medicine/Rheumatology, Umeå University, Umeå, Sweden
Eloranta, Maija-Leena (författare)
Uppsala University,Uppsala universitet,Reumatologi,Science for Life Laboratory, SciLifeLab
Syvänen, Ann-Christine, 1950- (författare)
Uppsala University,Uppsala universitet,Molekylär medicin,Science for Life Laboratory, SciLifeLab
Sjöwall, Christopher (författare)
Linköping University,Rheumatology/Division of Neuro and Inflammation Sciences, Department of Clinical and Experimental Medicine, Linköping University, Linkoping, Sweden
Vyse, Timothy James (författare)
Department of Medical and Molecular Genetics, King’s College London, London, UK
Rönnblom, Lars (författare)
Uppsala University,Uppsala universitet,Reumatologi,Science for Life Laboratory, SciLifeLab
Leonard, Dag, 1975- (författare)
Uppsala University,Uppsala universitet,Reumatologi,Science for Life Laboratory, SciLifeLab
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 (creator_code:org_t)
2019-12-11
2020
Engelska.
Ingår i: Annals of the Rheumatic Diseases. - : BMJ Publishing Group Ltd. - 0003-4967 .- 1468-2060. ; 79:3, s. 363-369
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • OBJECTIVES: To investigate associations between a high genetic disease risk and disease severity in patients with systemic lupus erythematosus (SLE).METHODS: Patients with SLE (n=1001, discovery cohort and n=5524, replication cohort) and healthy controls (n=2802 and n=9859) were genotyped using a 200K Immunochip single nucleotide polymorphism array. A genetic risk score (GRS) was assigned to each individual based on 57 SLE risk loci.RESULTS: SLE was more prevalent in the high, compared with the low, GRS-quartile (OR 12.32 (9.53 to 15.71), p=7.9×10-86 and OR 7.48 (6.73 to 8.32), p=2.2×10-304 for the discovery and the replication cohorts, respectively). In the discovery cohort, patients in the high GRS-quartile had a 6-year earlier mean disease onset (HR 1.47 (1.22 to 1.75), p=4.3×10-5), displayed higher prevalence of damage accrual (OR 1.47 (1.06 to 2.04), p=2.0×10-2), renal disorder (OR 2.22 (1.50 to 3.27), p=5.9×10-5), anti-dsDNA (OR 1.83 (1.19 to 2.81), p=6.1×10-3), end-stage renal disease (ESRD) (OR 5.58 (1.50 to 20.79), p=1.0×10-2), proliferative nephritis (OR 2.42 (1.30 to 4.49), p=5.1×10-3), anti-cardiolipin-IgG (OR 1.89 (1.13 to 3.18), p=1.6×10-2), anti-β2-glycoprotein-I-IgG (OR 2.29 (1.29 to 4.06), p=4.8×10-3) and positive lupus anticoagulant test (OR 2.12 (1.16 to 3.89), p=1.5×10-2) compared with patients in the low GRS-quartile. Survival analysis showed earlier onset of the first organ damage (HR 1.51 (1.04 to 2.25), p=3.7×10-2), first cardiovascular event (HR 1.65 (1.03 to 2.64), p=2.6×10-2), nephritis (HR 2.53 (1.72 to 3.71), p=9.6×10-7), ESRD (HR 6.78 (1.78 to 26.86), p=6.5×10-3) and decreased overall survival (HR 1.83 (1.02 to 3.30), p=4.3×10-2) in high to low quartile comparison.CONCLUSIONS: A high GRS is associated with increased risk of organ damage, renal dysfunction and all-cause mortality. Our results indicate that genetic profiling may be useful for predicting outcomes in patients with SLE.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)

Nyckelord

antiphospholipid syndrome
cardiovascular disease
gene polymorphism
lupus nephritis
systemic lupus erythematosus

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