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Published in: Clinical Rheumatology 11/2022

28-07-2022 | Rheumatoid Arthritis | Original Article

Correlation of CRP genotypes with serum CRP levels and the risk of rheumatoid arthritis in Chinese Han population

Authors: Shanshan Liu, Ju Li, Yongsheng Li, Yan Liu, Kai Wang, Wenyou Pan

Published in: Clinical Rheumatology | Issue 11/2022

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Abstract

Objective

C-reactive protein (CRP) is an important index for evaluating the disease activity of rheumatoid arthritis (RA). CRP may play a direct role in bone destruction in RA. Studies have demonstrated that serum CRP levels had a close correlation with tissue inflammation scores in patients with RA. In addition, genetic factors play a crucial role in the development of RA. In this study, we aimed to investigate the relationship between the CRP gene variants (rs1205 polymorphism) and the risk of RA in Chinese Han population.

Methods

502 RA patients and 581 controls were included in this study. The associations between CRP gene variants and CRP levels and RA risk were investigated.

Results

We found that TT/ TT + CT genotype was significantly related with an increased risk of RA (TT vs CC: OR, 1.56, 95%CI, 1.01–2.40, P = 0.045; TT + CT vs CC: OR, 1.30, 95%CI, 1.02–1.65, P = 0.032). In addition, T allele was shown to associate with an elevated risk of RA. After subgroup analysis, we found that rs1205 polymorphism was significantly related with an enhanced risk of RA among females, individuals lower than 60 years, and subjects with a BMI > 25 kg/m2. Furthermore, data showed that the CRP gene rs1205 polymorphism correlated with CRP and ESR levels. Furthermore, the TT genotype was significantly associated with a reduction of CRP levels compared with CT or CC genotype.

Conclusions

To sum up, this study reveals that rs1205 polymorphism of the CRP gene is related with an increased risk of RA and CRP levels in Chinese Han population.
Key Points
The CRP gene rs1205 polymorphism is related with a higher risk of RA.
The CRP gene rs1205 polymorphism correlates with CRP and ESR levels.
The TT genotype of rs1205 polymorphism is linked with a reduction of CRP levels.
Literature
8.
go back to reference Traylor M, Curtis C, Patel H, Breen G, Hyuck Lee S, Xu X, Newhouse S, Dobson R, Steer S, Cope AP, Markus HS, Lewis CM, Scott IC (2017) Genetic and environmental risk factors for rheumatoid arthritis in a UK African ancestry population: the GENRA case-control study. Rheumatology (Oxford) 56(8):1282–1292. https://doi.org/10.1093/rheumatology/kex048CrossRef Traylor M, Curtis C, Patel H, Breen G, Hyuck Lee S, Xu X, Newhouse S, Dobson R, Steer S, Cope AP, Markus HS, Lewis CM, Scott IC (2017) Genetic and environmental risk factors for rheumatoid arthritis in a UK African ancestry population: the GENRA case-control study. Rheumatology (Oxford) 56(8):1282–1292. https://​doi.​org/​10.​1093/​rheumatology/​kex048CrossRef
10.
go back to reference Kwon YC, Lim J, Bang SY, Ha E, Hwang MY, Yoon K, Choe JY, Yoo DH, Lee SS, Lee J, Chung WT, Kim TH, Sung YK, Shim SC, Choi CB, Jun JB, Kang YM, Shin JM, Lee YK, Cho SK, Kim BJ, Lee HS, Kim K, Bae SC (2020) Genome-wide association study in a Korean population identifies six novel susceptibility loci for rheumatoid arthritis. Ann Rheum Dis 79(11):1438–1445. https://doi.org/10.1136/annrheumdis-2020-217663CrossRefPubMed Kwon YC, Lim J, Bang SY, Ha E, Hwang MY, Yoon K, Choe JY, Yoo DH, Lee SS, Lee J, Chung WT, Kim TH, Sung YK, Shim SC, Choi CB, Jun JB, Kang YM, Shin JM, Lee YK, Cho SK, Kim BJ, Lee HS, Kim K, Bae SC (2020) Genome-wide association study in a Korean population identifies six novel susceptibility loci for rheumatoid arthritis. Ann Rheum Dis 79(11):1438–1445. https://​doi.​org/​10.​1136/​annrheumdis-2020-217663CrossRefPubMed
11.
go back to reference Saxena R, Plenge RM, Bjonnes AC, Dashti HS, Okada Y, Gad El Haq W, Hammoudeh M, Al Emadi S, Masri BK, Halabi H, Badsha H, Uthman IW, Margolin L, Gupta N, Mahfoud ZR, Kapiri M, Dargham SR, Aranki G, Kazkaz LA, Arayssi T (2017) A multinational Arab genome-wide association study identifies new genetic associations for rheumatoid arthritis. Arthritis Rheumatol 69(5):976–985. https://doi.org/10.1002/art.40051CrossRefPubMed Saxena R, Plenge RM, Bjonnes AC, Dashti HS, Okada Y, Gad El Haq W, Hammoudeh M, Al Emadi S, Masri BK, Halabi H, Badsha H, Uthman IW, Margolin L, Gupta N, Mahfoud ZR, Kapiri M, Dargham SR, Aranki G, Kazkaz LA, Arayssi T (2017) A multinational Arab genome-wide association study identifies new genetic associations for rheumatoid arthritis. Arthritis Rheumatol 69(5):976–985. https://​doi.​org/​10.​1002/​art.​40051CrossRefPubMed
18.
go back to reference Delongui F, Lozovoy MAB, Iriyoda TMV, Costa NT, Stadtlober NP, Alfieri DF, Flauzino T, Dichi I, Simao ANC, Reiche EMV (2017) C-reactive protein +1444CT (rs1130864) genetic polymorphism is associated with the susceptibility to systemic lupus erythematosus and C-reactive protein levels. Clin Rheumatol 36(8):1779–1788. https://doi.org/10.1007/s10067-017-3695-5CrossRefPubMed Delongui F, Lozovoy MAB, Iriyoda TMV, Costa NT, Stadtlober NP, Alfieri DF, Flauzino T, Dichi I, Simao ANC, Reiche EMV (2017) C-reactive protein +1444CT (rs1130864) genetic polymorphism is associated with the susceptibility to systemic lupus erythematosus and C-reactive protein levels. Clin Rheumatol 36(8):1779–1788. https://​doi.​org/​10.​1007/​s10067-017-3695-5CrossRefPubMed
21.
go back to reference Plant D, Ibrahim I, Lunt M, Eyre S, Flynn E, Hyrich KL, Morgan AW, Wilson AG, Isaacs JD, Bragggss BA (2012) Correlation of C-reactive protein haplotypes with serum C-reactive protein level and response to anti-tumor necrosis factor therapy in UK rheumatoid arthritis patients: results from the Biologics in Rheumatoid Arthritis Genetics and Genomics Study Syndicate cohort. Arthritis Res Ther 14(5):R214. https://doi.org/10.1186/ar4052CrossRefPubMedPubMedCentral Plant D, Ibrahim I, Lunt M, Eyre S, Flynn E, Hyrich KL, Morgan AW, Wilson AG, Isaacs JD, Bragggss BA (2012) Correlation of C-reactive protein haplotypes with serum C-reactive protein level and response to anti-tumor necrosis factor therapy in UK rheumatoid arthritis patients: results from the Biologics in Rheumatoid Arthritis Genetics and Genomics Study Syndicate cohort. Arthritis Res Ther 14(5):R214. https://​doi.​org/​10.​1186/​ar4052CrossRefPubMedPubMedCentral
22.
go back to reference Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd, Birnbaum NS, Burmester GR, Bykerk VP, Cohen MD, Combe B, Costenbader KH, Dougados M, Emery P, Ferraccioli G, Hazes JM, Hobbs K, Huizinga TW, Kavanaugh A, Kay J, Kvien TK, Laing T, Mease P, Menard HA, Moreland LW, Naden RL, Pincus T, Smolen JS, Stanislawska-Biernat E, Symmons D, Tak PP, Upchurch KS, Vencovsky J, Wolfe F, Hawker G (2010) 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis 69(9):1580–1588. https://doi.org/10.1136/ard.2010.138461CrossRefPubMed Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd, Birnbaum NS, Burmester GR, Bykerk VP, Cohen MD, Combe B, Costenbader KH, Dougados M, Emery P, Ferraccioli G, Hazes JM, Hobbs K, Huizinga TW, Kavanaugh A, Kay J, Kvien TK, Laing T, Mease P, Menard HA, Moreland LW, Naden RL, Pincus T, Smolen JS, Stanislawska-Biernat E, Symmons D, Tak PP, Upchurch KS, Vencovsky J, Wolfe F, Hawker G (2010) 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis 69(9):1580–1588. https://​doi.​org/​10.​1136/​ard.​2010.​138461CrossRefPubMed
25.
26.
go back to reference Atisha-Fregoso Y, Lima G, Carrillo-Maravilla E, Posadas-Sanchez R, Perez-Hernandez N, Banos-Pelaez M, Iturralde-Chavez A, Hernandez-Diaz N, Jakez-Ocampo J, Rodriguez-Perez JM, Vargas-Alarcon G, Llorente L, Romero-Diaz J (2018) C-reactive protein (CRP) polymorphisms and haplotypes are associated with SLE susceptibility and activity but not with serum CRP levels in Mexican population. Clin Rheumatol 37(7):1817–1824. https://doi.org/10.1007/s10067-018-4059-5CrossRefPubMed Atisha-Fregoso Y, Lima G, Carrillo-Maravilla E, Posadas-Sanchez R, Perez-Hernandez N, Banos-Pelaez M, Iturralde-Chavez A, Hernandez-Diaz N, Jakez-Ocampo J, Rodriguez-Perez JM, Vargas-Alarcon G, Llorente L, Romero-Diaz J (2018) C-reactive protein (CRP) polymorphisms and haplotypes are associated with SLE susceptibility and activity but not with serum CRP levels in Mexican population. Clin Rheumatol 37(7):1817–1824. https://​doi.​org/​10.​1007/​s10067-018-4059-5CrossRefPubMed
27.
go back to reference Enocsson H, Sjowall C, Kastbom A, Skogh T, Eloranta ML, Ronnblom L, Wettero J (2014) Association of serum C-reactive protein levels with lupus disease activity in the absence of measurable interferon-alpha and a C-reactive protein gene variant. Arthritis Rheumatol 66(6):1568–1573. https://doi.org/10.1002/art.38408CrossRefPubMed Enocsson H, Sjowall C, Kastbom A, Skogh T, Eloranta ML, Ronnblom L, Wettero J (2014) Association of serum C-reactive protein levels with lupus disease activity in the absence of measurable interferon-alpha and a C-reactive protein gene variant. Arthritis Rheumatol 66(6):1568–1573. https://​doi.​org/​10.​1002/​art.​38408CrossRefPubMed
28.
Metadata
Title
Correlation of CRP genotypes with serum CRP levels and the risk of rheumatoid arthritis in Chinese Han population
Authors
Shanshan Liu
Ju Li
Yongsheng Li
Yan Liu
Kai Wang
Wenyou Pan
Publication date
28-07-2022
Publisher
Springer International Publishing
Published in
Clinical Rheumatology / Issue 11/2022
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-022-06306-9

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