Genetics of rheumatoid arthritis: 2018 status

Ann Rheum Dis. 2019 Apr;78(4):446-453. doi: 10.1136/annrheumdis-2018-213678. Epub 2018 Dec 8.

Abstract

Study of the genetics of rheumatoid arthritis (RA) began about four decades ago with the discovery of HLA-DRB1 Since the beginning of this century, a number of non-HLA risk loci have been identified through genome-wide association studies (GWAS). We now know that over 100 loci are associated with RA risk. Because genetic information implies a clear causal relationship to the disease, research into the pathogenesis of RA should be promoted. However, only 20% of GWAS loci contain coding variants, with the remaining variants occurring in non-coding regions, and therefore, the majority of causal genes and causal variants remain to be identified. The use of epigenetic studies, high-resolution mapping of open chromatin, chromosomal conformation technologies and other approaches could identify many of the missing links between genetic risk variants and causal genetic components, thus expanding our understanding of RA genetics.

Keywords: autoimmune diseases; gene polymorphism; rheumatoid arthritis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Arthritis, Rheumatoid / genetics*
  • Genetic Predisposition to Disease
  • Genome-Wide Association Study
  • HLA-DRB1 Chains / genetics
  • Humans
  • Major Histocompatibility Complex / genetics
  • Quantitative Trait Loci

Substances

  • HLA-DRB1 Chains