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Methotrexate (MTX) is the first-line treatment option for newly diagnosed rheumatoid arthritis (RA) patients. However, 50-70% of the patients respond to treatment and 30% suffer toxicity.
: To identify pharmacogenetic markers of outcome in RA patients treated with MTX.
We analyzed 27 genetic variants in
,
,
,
and
genes.
We included 124 RA patients treated with MTX monotherapy. In multivariate analyses two variants in the
gene were associated with response, rs17421511 (p = 0.024) and rs1476413 (p = 0.0086), as well as one in the
gene, rs1643650 (p = 0.026). The
rs16853826 variant was associated with toxicity (p = 0.039).
,
and
genetic variants can be considered as pharmacogenetic markers of outcome in RA patients under MTX monotherapy.
Original submitted 10 January 2014; Revision submitted 28 March 2014