Key result
A rare nonsense variant in SLC22A12 (p.W258X) showed the strongest association with reduced serum uric acid levels (β = -1.151 mg/dL) in the Korean population.
Why the study?
Increased serum uric acid levels cause gout and associate with diseases including chronic kidney disease, prompting investigation into genetic determinants in the Korean population.
What are the genetic determinants of serum uric acid levels in the Korean population?
Observational (n=10,075)
Yes
What are the genetic determinants of serum uric acid levels in the Korean population?
This study identifies specific genetic variants, including an East Asian-specific missense variant in ALDH2, that significantly influence serum uric acid levels in the Korean population.
Does not support clinical genetic testing yet; extends uric acid GWAS data in Koreans.
Increased serum uric acid (SUA) levels cause gout and are associated with multiple diseases, including chronic kidney disease. Previous genome-wide association studies (GWAS) have identified more than 180 loci that contribute to SUA levels. Here, we investigated genetic determinants of SUA level in the Korean population. We conducted a GWAS for SUA in 6,881 Korean individuals, calculated polygenic risk scores (PRSs) for common variants, and validated the association of low-frequency variants and PRS with SUA levels in 3,194 individuals. We identified two low-frequency and six common independent variants associated with SUA. Despite the overall similar effect sizes of variants in Korean and European populations, the proportion of variance for SUA levels explained by the variants was greater in the Korean population. A rare, nonsense variant SLC22A12 p.W258X showed the most significant association with reduced SUA levels, and PRSs of common variants associated with SUA levels were significant in multiple Korean cohorts. Interestingly, an East Asian-specific missense variant (rs671) in ALDH2 displayed a significant association on chromosome 12 with the SUA level. Further genetic epidemiological studies on SUA are needed in ethnically diverse cohorts to investigate rare or low-frequency variants and determine the influence of genetic and environmental factors on SUA.
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Cho et al. (2020) conducted an observational in Serum uric acid levels (n=10,075). Common and low-frequency genetic variants (e.g., SLC22A12 p.W258X) vs. Reference alleles was evaluated on Association of genetic variants with serum uric acid levels (β = -1.151 mg/dL, p=7.43 × 10^-54). A rare nonsense variant in SLC22A12 (p.W258X) showed the strongest association with reduced serum uric acid levels (β = -1.151 mg/dL) in the Korean population.
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