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Clinical outcome in anti-neutrophil cytoplasmic antibody–associated vasculitis and gene variants of 11β-hydroxysteroid dehydrogenase type 1 and the glucocorticoid receptor

Rheumatology Nov 19, 2018

Hessels AC, et al. - Authors gauged if 5 potential functional haplotypes of the glucocorticoid receptor (GR) gene and a single-nucleotide polymorphism of 11β-hydroxysteroid dehydrogenase type 1 (HSD11B1) are related to clinical outcome in anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis. They compared the relapse-free survival, mortality, renal survival, metabolic adverse events and infections between carriers and non-carriers of GR haplotypes and the HSD11B1 genotype. Findings suggested a correlation of haplotypes 1 and 4 of GR and a polymorphism of the HSD11B1 gene with clinically relevant inflammatory and metabolic outcomes in ANCA-associated vasculitis. They did not note any difference in the occurrence of infections between GR haplotypes and HSD11B1 genotypes.
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