Cargando…
TRAF1/C5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies
INTRODUCTION: Recently an association between a genetic variation in TRAF1/C5 and mortality from sepsis or cancer was found in rheumatoid arthritis (RA). The most prevalent cause of death, cardiovascular disease, may have been missed in that study, since patients were enrolled at an advanced disease...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2888185/ https://www.ncbi.nlm.nih.gov/pubmed/20205706 http://dx.doi.org/10.1186/ar2947 |
_version_ | 1782182631826259968 |
---|---|
author | van Nies, Jessica AB Marques, Rute B Trompet, Stella de Jong, Zuzana Kurreeman, Fina AS Toes, Rene EM Jukema, J Wouter Huizinga, Tom WJ van der Helm-van Mil, Annette HM |
author_facet | van Nies, Jessica AB Marques, Rute B Trompet, Stella de Jong, Zuzana Kurreeman, Fina AS Toes, Rene EM Jukema, J Wouter Huizinga, Tom WJ van der Helm-van Mil, Annette HM |
author_sort | van Nies, Jessica AB |
collection | PubMed |
description | INTRODUCTION: Recently an association between a genetic variation in TRAF1/C5 and mortality from sepsis or cancer was found in rheumatoid arthritis (RA). The most prevalent cause of death, cardiovascular disease, may have been missed in that study, since patients were enrolled at an advanced disease stage. Therefore, we used an inception cohort of RA patients to investigate the association between TRAF1/C5 and cardiovascular mortality, and replicate the findings on all-cause mortality. As TRAF1/C5 associated mortality may not be restricted to RA, we also studied a large cohort of non-RA patients. METHODS: 615 RA patients from the Leiden Early Arthritis Clinic (EAC) (mean follow-up 7.6 years) were genotyped for rs10818488. In addition 5634 persons enrolled in the PROspective Study of Pravastatin in the Elderly at Risk (mean follow-up 3.2 years) were genotyped for rs2416808 (R(2 )>0.99 with rs10818488). The life/death status was determined and for the deceased persons the cause of death was ascertained. Cox proportional hazards and regression models were used to assess hazard ratios (HR) and 95% confidence intervals (CI). RESULTS: Seventy-seven RA patients died. The main death causes in RA patients were cardiovascular diseases (37.7%), cancer (28.6%) and death due to infections (9.1%). No association was observed between the rs10818488 susceptible genotype AA and cardiovascular mortality (HR 1.08 95%CI 0.54 to 2.15) and all-cause mortality (HR 0.81 95%CI 0.27 to 2.43). Similar findings were observed for rs2416808 susceptible genotype GG in the non-RA cohort (HR 0.99; 95%CI 0.79 to 1.25 and HR 0.89; 95%CI 0.64 to 1.25, respectively). CONCLUSIONS: The TRAF1/C5 region is not associated with an increased mortality risk. |
format | Text |
id | pubmed-2888185 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28881852010-06-21 TRAF1/C5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies van Nies, Jessica AB Marques, Rute B Trompet, Stella de Jong, Zuzana Kurreeman, Fina AS Toes, Rene EM Jukema, J Wouter Huizinga, Tom WJ van der Helm-van Mil, Annette HM Arthritis Res Ther Research article INTRODUCTION: Recently an association between a genetic variation in TRAF1/C5 and mortality from sepsis or cancer was found in rheumatoid arthritis (RA). The most prevalent cause of death, cardiovascular disease, may have been missed in that study, since patients were enrolled at an advanced disease stage. Therefore, we used an inception cohort of RA patients to investigate the association between TRAF1/C5 and cardiovascular mortality, and replicate the findings on all-cause mortality. As TRAF1/C5 associated mortality may not be restricted to RA, we also studied a large cohort of non-RA patients. METHODS: 615 RA patients from the Leiden Early Arthritis Clinic (EAC) (mean follow-up 7.6 years) were genotyped for rs10818488. In addition 5634 persons enrolled in the PROspective Study of Pravastatin in the Elderly at Risk (mean follow-up 3.2 years) were genotyped for rs2416808 (R(2 )>0.99 with rs10818488). The life/death status was determined and for the deceased persons the cause of death was ascertained. Cox proportional hazards and regression models were used to assess hazard ratios (HR) and 95% confidence intervals (CI). RESULTS: Seventy-seven RA patients died. The main death causes in RA patients were cardiovascular diseases (37.7%), cancer (28.6%) and death due to infections (9.1%). No association was observed between the rs10818488 susceptible genotype AA and cardiovascular mortality (HR 1.08 95%CI 0.54 to 2.15) and all-cause mortality (HR 0.81 95%CI 0.27 to 2.43). Similar findings were observed for rs2416808 susceptible genotype GG in the non-RA cohort (HR 0.99; 95%CI 0.79 to 1.25 and HR 0.89; 95%CI 0.64 to 1.25, respectively). CONCLUSIONS: The TRAF1/C5 region is not associated with an increased mortality risk. BioMed Central 2010 2010-03-05 /pmc/articles/PMC2888185/ /pubmed/20205706 http://dx.doi.org/10.1186/ar2947 Text en Copyright ©2010 van Nies et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research article van Nies, Jessica AB Marques, Rute B Trompet, Stella de Jong, Zuzana Kurreeman, Fina AS Toes, Rene EM Jukema, J Wouter Huizinga, Tom WJ van der Helm-van Mil, Annette HM TRAF1/C5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies |
title | TRAF1/C5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies |
title_full | TRAF1/C5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies |
title_fullStr | TRAF1/C5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies |
title_full_unstemmed | TRAF1/C5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies |
title_short | TRAF1/C5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies |
title_sort | traf1/c5 polymorphism is not associated with increased mortality in rheumatoid arthritis: two large longitudinal studies |
topic | Research article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2888185/ https://www.ncbi.nlm.nih.gov/pubmed/20205706 http://dx.doi.org/10.1186/ar2947 |
work_keys_str_mv | AT vanniesjessicaab traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies AT marquesruteb traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies AT trompetstella traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies AT dejongzuzana traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies AT kurreemanfinaas traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies AT toesreneem traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies AT jukemajwouter traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies AT huizingatomwj traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies AT vanderhelmvanmilannettehm traf1c5polymorphismisnotassociatedwithincreasedmortalityinrheumatoidarthritistwolargelongitudinalstudies |