Elevated serum urate levels lead to gout and are associated with hypertension, metabolic syndrome, type 2 diabetes and cardiovascular diseases. The purpose of this study was to identify evidence for genetic linkage with serum urate and to determine whether variation within positional candidate genes is associated with serum urate levels in a non-European population. Genetic linkage analysis and single nucleotide polymorphism (SNP) genotyping was performed in a large family pedigree cohort from Mauritius. We assessed associations between serum urate levels and 97 SNPs in a positional candidate gene, SLC2A9. A genome-wide scan identified a new region with evidence for linkage for serum urate at 4p15.3. SNP genotyping identified significant association between six SNP variants in SLC2A9 and serum urate levels. Allelic and gender-based effects were noted for several SNPs. Significant correlations were also observed between serum urate levels and individual components of metabolic syndrome. Our study results implicate genetic variation in SLC2A9 in influencing levels of serum urate over a broad range of values in a large Mauritian family cohort.
INTRODUCTIONHyperuricemia is associated with, and often precedes, several cardiovascular disease (CVD) risk factors including hypertension, inflammation, dyslipidemia, kidney disease, obesity, insulin resistance and metabolic syndrome. 1 Furthermore, increased serum urate has been shown to be an independent risk factor for CVD in high-risk individuals. 2 Urate (uric acid) is the end product of purine metabolism in humans due to the evolutionary loss of hepatic urate oxidase (uricase) activity. This loss of enzymatic function has led to uniquely high serum urate levels compared with other mammals. 3 In humans, several factors can lead to increased levels of serum urate (hyperuricemia) as a result of elevated generation and decreased excretion. These include high dietary intake of purines, high fructose intake, alcohol consumption, impaired renal excretion of urate and defective purine metabolism due to genetic disorders, such as hypoxanthine guanine phosphoribosyltransferase deficiency. 4 Given the significant health consequences of variation in serum urate, we sought to understand the mechanisms controlling its levels. In this article, we present the results of our genetic linkage analysis that has identified a novel quantitative trait locus influencing serum urate levels at 4p15.3. Notably, recent genome-wide association studies have identified a strong positional candidate gene, SLC2A9, in this region. [5][6][7] In this study, we aim to characterize the genetic variation contributing to the linkage signal observed at 4p15.3 by single nucleotide polymorphism (SNP) genotyping the positional candidate SLC2A9 in the Mauritius Family Study population. The Mauritius Family Study focuses on large family pedigrees from a subset of the