Peptidyl arginine deiminase type IV (PADI4) haplotypes interact with shared epitope regardless of anti-cyclic citrullinated peptide antibody or erosive joint status in rheumatoid arthritis a case control study 英文参考文献.docVIP
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Peptidyl arginine deiminase type IV (PADI4) haplotypes interact with shared epitope regardless of anti-cyclic citrullinated peptide antibody or erosive joint status in rheumatoid arthritis a case control study 英文参考文献
Bang et al. Arthritis Research Therapy 2010, 12:R115
/content/12/3/R115
RESEARCH ARTICLE
Open Access
Peptidyl arginine deiminase type IV (Research article PADI4)
haplotypes interact with shared epitope regardless
of anti-cyclic citrullinated peptide antibody or
erosive joint status in rheumatoid arthritis: a case
control study
So-Young Bang1, Tae-Un Han2, Chan-Bum Choi1, Yoon-Kyoung Sung1, Sang-Cheol Bae*1 and Changwon Kang*2
Abstract
Introduction: Anti-cyclic citrullinated peptide autoantibodies (anti-CCP) are the most specific serologic marker for
rheumatoid arthritis (RA). Genetic polymorphisms in a citrullinating (or deiminating) enzyme, peptidyl arginine
deiminase type IV (PADI4) have been reproducibly associated with RA susceptibility in several populations. We
investigated whether PADI4 polymorphisms contribute to anti-CCP-negative as well as -positive RA, whether they
influence disease severity (erosive joint status), and whether they interact with two major risk factors for RA, Human
Leukocyte Antigen-DRB1 (HLA-DRB1) shared epitope (SE) alleles and smoking, depending on anti-CCP and erosive joint
status.
Methods: All 2,317 unrelated Korean subjects including 1,313 patients with RA and 1,004 unaffected controls were
genotyped for three nonsynonymous (padi4_89, padi4_90, and padi4_92) and one synonymous (padi4_104) single-
nucleotide polymorphisms (SNPs) in PADI4 and for HLA-DRB1 by direct DNA sequence analysis. Odds ratios (OR) were
calculated by multivariate logistic regression. Interaction was evaluated by attributable proportions (AP), with 95%
confidence intervals (CI).
Results: A functional haplotype of the three fully correlated nonsynonymous SNPs in PADI4 was significantly associated
with susceptibility to not only anti-CCP-positive (adjusted OR 1.73, 95% CI 1.34 to 2.23) but also -negative RA (adjusted
OR 1.75, 95% CI 1.15 to 2.68). A strong association with both non-e
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