TY - JOUR
T1 - MUC5B promoter variant rs35705950 and rheumatoid arthritis associated interstitial lung disease survival and progression
AU - Juge, Pierre Antoine
AU - Solomon, Joshua J.
AU - van Moorsel, Coline H.M.
AU - Garofoli, Romain
AU - Lee, Joyce S.
AU - Louis-Sydney, Fabienne
AU - Rojas-Serrano, Jorge
AU - González-Pérez, Montserrat I.
AU - Mejia, Mayra
AU - Buendia-Roldán, Ivette
AU - Falfán-Valencia, Ramcés
AU - Ambrocio-Ortiz, Enrique
AU - Manali, Effrosyni
AU - Papiris, Spyros A.
AU - Karageorgas, Theofanis
AU - Boumpas, Dimitrios
AU - Antoniou, Katarina M.
AU - Sidiropoulos, Prodromos
AU - Trachalaki, Athina
AU - van der Vis, Joanne J.
AU - Jamnitski, Anna
AU - Grutters, Jan C.
AU - Kannengiesser, Caroline
AU - Borie, Raphaël
AU - Kawano-Dourado, Leticia
AU - Wemeau-Stervinou, Lidwine
AU - Flipo, René Marc
AU - Nunes, Hilario
AU - Uzunhan, Yurdagul
AU - Valeyre, Dominique
AU - Saidenberg-Kermanac'h, Nathalie
AU - Boissier, Marie Christophe
AU - Richez, Christophe
AU - Schaeverbeke, Thierry
AU - Doyle, Tracy
AU - Wolters, Paul J.
AU - Debray, Marie Pierre
AU - Boileau, Catherine
AU - Porcher, Raphaël
AU - Schwartz, David A.
AU - Crestani, Bruno
AU - Dieudé, Philippe
N1 - Funding Information:
PAJ reports personal fees from BMS, outside the submitted work. JSL reports grants from NIH, personal fees from Genentech, personal fees from Celgene outside the submitted work. RB reports grants and personal fees from Roche, grants and personal fees from Boerhinger Ingelheim, outside the submitted work. LWS reports personal fees and non-financial support from Roche, personal fees and non-financial support from Boehringer-Ingelheim, personal fees from Janssen-Cilag, personal fees from Bristol-Myers-Squibb, outside the submitted work. RMF reports grants and personal fees from Roche Chugai, grants and personal fees from Abbvie, personal fees from Bristol-Meyers Squibb, grants and personal fees from Pfizer, outside the submitted work. YU reports personal fees from Roche, personal fees from Bohringer Ingelheim, non-financial support from Oxyvie, outside the submitted work. DV reports personal fees from Roche, personal fees from Bohringer Ingelheim, personal fees from Astra Zenecca, outside the submitted work. PJW reports grants from Genentech, grants from Medimmune, outside the submitted work. DAS reports grants from NIH-NHLBI, grants from NIH-NHLBI, grants from NIH-NHLBI, grants from NIH-NHLBI, grants from DOD Focused Program Grant, during the conduct of the study; other from Eleven P15, Inc., personal fees from NuMedii, Inc., outside the submitted work. In addition, DAS has a patent Compositions and Methods of Treating or Preventing Fibrotic Diseases pending, a patent Biomarkers for the diagnosis and treatment of fibrotic lung disease pending, and a patent Methods and Compositions for Risk Prediction, Diagnosis, Prognosis, and Treatment of Pulmonary Disorders issued. BC reports grants from Apellis, grants and personal fees from Boehringer Ingelheim, personal fees from Astra Zeneca, grants from MedImmune, grants and personal fees from Roche, personal fees from Sanofi, outside the submitted work. PD reports grants from PFIZER, grants and personal fees from ROCHE, grants and personal fees from CHUGAI, grants and personal fees from BMS, personal fees from ABBVIE, personal fees from MSD, outside the submitted work. JS, CvM, RG, FLS, JRS, MIGP, MM, IBR, RFV, EAO, EM, SAP, TK, DB, KMA, PS, AT, JJvdV, AJ, JG, CK, HN, NSK, MCB, CR, TS, TD, MPD, CB and RP have nothing to disclose.
Publisher Copyright:
© 2021
PY - 2021/10
Y1 - 2021/10
N2 - Background: The major risk factor for idiopathic pulmonary fibrosis (IPF), MUC5B rs35705950, was found to be associated with rheumatoid arthritis-associated interstitial lung disease (RA-ILD). Whilst the MUC5B rs35705950 T risk allele has been associated with better survival in IPF, its impact on RA-ILD prognosis remains to be determined. Our objective was to explore the influence of MUC5B rs35705950 on survival and progression in RA-ILD. Methods: Through an international retrospective observational study, patients with RA-ILD were genotyped for the MUC5B rs35705950 variant and consecutive pulmonary function tests (PFTs) findings were collected. Longitudinal data up to a 10-year follow-up were considered and analyzed using mixed regression models. Proportional hazards and joint proportional hazards models were used to analyze the association of baseline and longitudinal variables with lung transplant-free survival. Significant progression of RA-ILD was defined as at least an absolute or relative 10% decline of forced vital capacity at 2 years from baseline. Results: Out of 321 registered patients, 261 were included in the study: 139 women (53.3%), median age at RA-ILD diagnosis 65 years (interquartile range [IQR] 57 to 71), 151 ever smokers (59.2%). Median follow-up was 3.5 years (IQR 1.3 to 6.6). Mortality rate was 32% (95%CI 19 to 42) at 10 years. The MUC5B rs35705950 variant did not impact lung transplant-free survival (HR for the T risk allele carriers=1.26; 95%CI 0.61 to 2.62; P=0.53). Decline in pulmonary function at 2 years was not influenced by MUC5B rs35705950 (OR=0.95; 95%CI 0.44 to 2.05; P=0.89), irrespective of the HRCT pattern. Conclusion: In this study, the MUC5B rs35705950 promoter variant did not influence transplant- free survival or decline in pulmonary function in patients with RA-ILD.
AB - Background: The major risk factor for idiopathic pulmonary fibrosis (IPF), MUC5B rs35705950, was found to be associated with rheumatoid arthritis-associated interstitial lung disease (RA-ILD). Whilst the MUC5B rs35705950 T risk allele has been associated with better survival in IPF, its impact on RA-ILD prognosis remains to be determined. Our objective was to explore the influence of MUC5B rs35705950 on survival and progression in RA-ILD. Methods: Through an international retrospective observational study, patients with RA-ILD were genotyped for the MUC5B rs35705950 variant and consecutive pulmonary function tests (PFTs) findings were collected. Longitudinal data up to a 10-year follow-up were considered and analyzed using mixed regression models. Proportional hazards and joint proportional hazards models were used to analyze the association of baseline and longitudinal variables with lung transplant-free survival. Significant progression of RA-ILD was defined as at least an absolute or relative 10% decline of forced vital capacity at 2 years from baseline. Results: Out of 321 registered patients, 261 were included in the study: 139 women (53.3%), median age at RA-ILD diagnosis 65 years (interquartile range [IQR] 57 to 71), 151 ever smokers (59.2%). Median follow-up was 3.5 years (IQR 1.3 to 6.6). Mortality rate was 32% (95%CI 19 to 42) at 10 years. The MUC5B rs35705950 variant did not impact lung transplant-free survival (HR for the T risk allele carriers=1.26; 95%CI 0.61 to 2.62; P=0.53). Decline in pulmonary function at 2 years was not influenced by MUC5B rs35705950 (OR=0.95; 95%CI 0.44 to 2.05; P=0.89), irrespective of the HRCT pattern. Conclusion: In this study, the MUC5B rs35705950 promoter variant did not influence transplant- free survival or decline in pulmonary function in patients with RA-ILD.
KW - Genetics
KW - Interstitial Lung Disease
KW - MUC5B
KW - Rheumatoid Arthritis
UR - http://www.scopus.com/inward/record.url?scp=85112542342&partnerID=8YFLogxK
U2 - 10.1016/j.semarthrit.2021.07.002
DO - 10.1016/j.semarthrit.2021.07.002
M3 - Article
C2 - 34411838
AN - SCOPUS:85112542342
SN - 0049-0172
VL - 51
SP - 996
EP - 1004
JO - Seminars in Arthritis and Rheumatism
JF - Seminars in Arthritis and Rheumatism
IS - 5
ER -