Résumé
To assess the impact of single nucleotide polymorphisms (SNPs) in IL-2RA (rs2104286) and IL-2RB (rs743777 and rs3218253) genes on the risk of erosions in rheumatoid arthritis (RA) patients.
This work is derived from 2 prospective cohorts of early RA: ESPOIR (n=439) and RMP (n=180). The proportions of patients with erosions at baseline and 1year according to the genotypes of IL2RA (rs2104286) or the haplotypes constructed with the 2 SNPs of IL2RB were compared in the whole population and in ACPA positive patients. A meta-analysis assessing the risk of erosion depending on the haplotypes of the 2 SNPs of IL-2RB was performed using the Mantel-Haenszel method. A multivariate model was used to assess the independent effect of the haplotypes of IL-2RB on the risk of erosions.
The AC haplotype of IL-2RB carriage was significantly associated with the rate of erosions in ACPA positive patients in ESPOIR cohort (rate of erosions: AC/AC: 78% versus GC or GT/GC or GT: 44%, p=0.001). A meta-analysis of ESPOIR and RMP cohorts confirmed that the carriage of AC haplotype was significantly associated with the rate of erosions at 1year in the whole sample (OR[95%CI]=1.92[1.14–3.22], p=0.01) and in ACPA positive patients (OR[95%CI]=3.34[1.68–6.67], p=0.0006). A multivariate model in ESPOIR cohort demonstrated the independent effect of the carriage of the AC haplotype (6.03[1.94–18.69], p=0.002) on the risk of erosions in ACPA+ patients.
A haplotype constructed with 2 SNPs located on IL-2RB gene was associated with erosive status in early RA.