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10.1136/annrheumdis-2011-201186

http://scihub22266oqcxt.onion/10.1136/annrheumdis-2011-201186
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suck abstract from ncbi


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pmid22753387
      Ann+Rheum+Dis 2013 ; 72 (5 ): 701-6
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  • A urate gene-by-diuretic interaction and gout risk in participants with hypertension: results from the ARIC study #MMPMID22753387
  • McAdams-DeMarco MA ; Maynard JW ; Baer AN ; Kao LW ; Kottgen A ; Coresh J
  • Ann Rheum Dis 2013[May]; 72 (5 ): 701-6 PMID22753387 show ga
  • OBJECTIVE: To test for a urate gene-by-diuretic interaction on incident gout. METHODS: The Atherosclerosis Risk in Communities Study is a prospective population-based cohort of 15 792 participants recruited from four US communities (1987-1989). Participants with hypertension and available single nucleotide polymorphism (SNP) genotype data were included. A genetic urate score (GUS) was created from common urate-associated SNPs for eight genes. Gout incidence was self-reported. Using logistic regression, the authors estimated the adjusted OR of incident gout by diuretic use, stratified by GUS median. RESULTS: Of 3524 participants with hypertension, 33% used a diuretic and 3.1% developed gout. The highest 9-year cumulative incidence of gout was in those with GUS above the median and taking a thiazide or loop diuretic (6.3%). Compared with no thiazide or loop diuretic use, their use was associated with an OR of 0.40 (95% CI 0.14 to 1.15) among those with a GUS below the median and 2.13 (95% CI 1.23 to 3.67) for those with GUS above the median; interaction p=0.006. When investigating the genes separately, SLC22A11 and SLC2A9 showed a significant interaction, consistent with the former encoding an organic anion/dicarboxylate exchanger, which mediates diuretic transport in the kidney. CONCLUSIONS: Participants who were genetically predisposed to hyperuricaemia were susceptible to developing gout when taking thiazide or loop diuretics, an effect not evident among those without a genetic predisposition. These findings argue for a potential benefit of genotyping individuals with hypertension to assess gout risk, relative in part to diuretic use.
  • |*Hypertension/drug therapy/epidemiology/genetics [MESH]
  • |Databases, Factual/statistics & numerical data [MESH]
  • |Diuretics/administration & dosage/*adverse effects [MESH]
  • |Drug Interactions [MESH]
  • |Female [MESH]
  • |Genotype [MESH]
  • |Glucose Transport Proteins, Facilitative/*genetics [MESH]
  • |Gout/*epidemiology/*genetics [MESH]
  • |Humans [MESH]
  • |Hyperuricemia/epidemiology/genetics [MESH]
  • |Incidence [MESH]
  • |Kidney/drug effects/physiology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Organic Anion Transporters, Sodium-Independent/*genetics [MESH]
  • |Pharmacogenetics [MESH]
  • |Polymorphism, Single Nucleotide/genetics [MESH]
  • |Prospective Studies [MESH]
  • |Risk Factors [MESH]


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