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Genome-wide investigation of persistence to treatment with methotrexate in early rheumatoid arthritis.

Anton Öberg SysojevSaedis SaevarsdottirLina Marcela Diaz-GalloGilad N SilberbergLars AlfredssonLars KlareskogEva BaecklundLena BjörkmanAlf KastbomSolbritt Rantapää-DahlqvistCarl TuressonIngileif JonsdottirKari StefanssonThomas FrisellLeonid PadyukovJohan AsklingHelga Westerlind
Published in: Rheumatology (Oxford, England) (2023)
Despite being the largest GWAS on an MTX treatment outcome to date, no genome-wide significant associations were detected. The modest heritability observed, coupled with the broad spread of suggestively associated loci, indicate that genetic influence is of polygenic nature. Nevertheless, persistence to MTX monotherapy was lower in patients with a greater genetic disposition, per the PRS, towards RA.
Keyphrases
  • genome wide
  • rheumatoid arthritis
  • dna methylation
  • copy number
  • disease activity
  • combination therapy
  • high dose
  • ankylosing spondylitis
  • gene expression
  • randomized controlled trial
  • clinical trial
  • open label