Genetics of rheumatoid arthritis

Best Pract Res Clin Rheumatol. 2024 Dec;38(4):101968. doi: 10.1016/j.berh.2024.101968. Epub 2024 Jul 2.

Abstract

In the past four decades, a plethora of genetic association studies have been carried out in cohorts of patients with rheumatoid arthritis. These studies have highlighted key aspects of disease pathogenesis and suggested causal mechanisms. In this review, we discuss major advances in our understanding of the genetic architecture of rheumatoid arthritis susceptibility, severity and treatment response and explain how genetics supports current models of disease pathogenesis and outcome. We outline future research directions, like Mendelian randomisation, and present a number of potential avenues for clinical translation, including risk and outcome prediction, patient stratification into treatment response groups and pharmacological applications.

Keywords: Clinical translation; Genetics; Outcome research; Rheumatoid arthritis; Susceptibility.

Publication types

  • Review

MeSH terms

  • Antirheumatic Agents / therapeutic use
  • Arthritis, Rheumatoid* / genetics
  • Genetic Predisposition to Disease*
  • Genome-Wide Association Study
  • Humans
  • Mendelian Randomization Analysis
  • Severity of Illness Index

Substances

  • Antirheumatic Agents