RT Journal Article SR Electronic T1 Joint Effects of Alcohol Consumption and ABCG2 Q141K on Chronic Tophaceous Gout Risk JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP jrheum.130870 DO 10.3899/jrheum.130870 A1 Hung-Pin Tu A1 Albert Min-Shan Ko A1 Shang-Lun Chiang A1 Su-Shin Lee A1 Han-Ming Lai A1 Chia-Min Chung A1 Chung-Ming Huang A1 Chien-Hung Lee A1 Tzer-Min Kuo A1 Mei-Jung Hsieh A1 Ying-Chin Ko YR 2014 UL http://www.jrheum.org/content/early/2014/02/12/jrheum.130870.abstract AB Objective To investigate the joint effects of alcohol consumption and ABCG2 gene variants on tophaceous gout occurrence. Methods The V12M (rs2231137), Q126X (rs72552713), and Q141K (rs2231142) of the ABCG2 gene were genotyped among controls, nontophaceous, and tophaceous gout cases in Taiwanese Han (n = 446, 77, 177) and Taiwan Aborigines (n = 1105, 203, 330). Results The missense variations V12M (C) and Q141K (T) significantly associated with tophaceous gout (p trend = 4.08 × 10-2, 9.00 × 10-12 in Han; 1.81 × 10-3, 9.34 × 10-10 in Aborigines). The nonsense variation Q126X (T) exerted a significant effect only in Han (p = 1.10 × 10-2), but not in Aborigines. In the prediction of tophaceous gout, the Q141K (T) OR were 1.51 in Han, 1.50 in Aborigines, and 1.55 (p = 7.84 × 10-5) in pooled analysis when compared to nontophaceous gout. We found the joint effects of alcohol consumption and Q141K (T/T) highly associated with tophaceous gout (adjusted OR ≥ 5.11; p ≤ 7.78 × 10-4); specifically the ever drinkers carrying the Q141K (T/T; adjusted OR 25.05, p = 9.21 × 10-4 in Han; adjusted OR 14.87, p = 1.08 × 10-8 in Aborigines). Conclusion Our findings showed alcohol consumption and Q141K, independently and jointly, associated with the risk of chronic tophaceous gout.