RT Journal Article T1 Identification of IRX1 as a Risk Locus for Rheumatoid Factor Positivity in Rheumatoid Arthritis in a Genome-Wide Association Study. A1 Julia, Antonio A1 Blanco, Francisco A1 Fernandez-Gutierrez, Benjamin A1 Gonzalez, Antonio A1 Cañete, Juan D A1 Maymo, Joan A1 Alperi-Lopez, Mercedes A1 Olive, Alex A1 Corominas, Hector A1 Martinez-Taboada, Victor A1 Gonzalez-Alvaro, Isidoro A1 Fernandez-Nebro, Antonio A1 Erra, Alba A1 Sanchez-Fernandez, Simon A1 Alonso, Arnald A1 Lopez-Lasanta, Maria A1 Tortosa, Raul A1 Codo, Laia A1 Lluis-Gelpi, Josep A1 Garcia-Montero, Andres C A1 Bertranpetit, Jaume A1 Absher, Devin A1 Myers, Richard M A1 Tornero, Jesus A1 Marsal, Sara K1 Arthritis, Rheumatoid K1 Genetic Loci K1 Genetic Variation K1 Genome-Wide Association Study AB Rheumatoid factor (RF) is a well-established diagnostic and prognostic biomarker in rheumatoid arthritis (RA). However, ∼20% of RA patients are negative for this anti-IgG antibody. To date, only variation at the HLA-DRB1 gene has been associated with the presence of RF. This study was undertaken to identify additional genetic variants associated with RF positivity. A genome-wide association study (GWAS) for RF positivity was performed using an Illumina Quad610 genotyping platform. A total of 937 RF-positive and 323 RF-negative RA patients were genotyped for >550,000 single-nucleotide polymorphisms (SNPs). Association testing was performed using an allelic chi-square test implemented in Plink software. An independent cohort of 472 RF-positive and 190 RF-negative RA patients was used to validate the most significant findings. In the discovery stage, a SNP in the IRX1 locus on chromosome 5p15.3 (SNP rs1502644) showed a genome-wide significant association with RF positivity (P = 4.13 × 10(-8) , odds ratio [OR] 0.37 [95% confidence interval (95% CI) 0.26-0.53]). In the validation stage, the association of IRX1 with RF was replicated in an independent group of RA patients (P = 0.034, OR 0.58 [95% CI 0.35-0.97] and combined P = 1.14 × 10(-8) , OR 0.43 [95% CI 0.32-0.58]). To our knowledge, this is the first GWAS of RF positivity in RA. Variation at the IRX1 locus on chromosome 5p15.3 is associated with the presence of RF. Our findings indicate that IRX1 and HLA-DRB1 are the strongest genetic factors for RF production in RA. PB Wiley YR 2016 FD 2016-05-26 LK http://hdl.handle.net/10668/9780 UL http://hdl.handle.net/10668/9780 LA en NO Julià A, Blanco F, Fernández-Gutierrez B, González A, Cañete JD, Maymó J, et al. Identification of IRX1 as a Risk Locus for Rheumatoid Factor Positivity in Rheumatoid Arthritis in a Genome-Wide Association Study. Arthritis Rheumatol. 2016 Jun;68(6):1384-91 DS RISalud RD Mar 14, 2025