Polymorphisms in the mannose binding lectin (MBL) gene are not associated with radiographic erosions in rheumatoid or inflammatory polyarthritis.
OBJECTIVE
To investigate the association between the mannose binding lectin gene (MBL) promoter and structural single nucleotide polymorphisms (SNP) with development of erosions in a primary care inception cohort of patients with inflammatory polyarthritis (IP).


METHODS
DNA was available from 438 patients with IP and radiographic data were available for all patients at 5 years. Four SNP [MBL-550*C/G (H/L), MBL-221*G/C (Y/X), MBL codon 52*C/T, and MBL codon 54*G/A] mapping to the MBL gene were genotyped using primer extension techniques. Allele frequencies were compared between IP cases with erosions by 5 years and those without.


RESULTS
None of the SNP were associated with erosive outcomes by 5 years. Furthermore there was no association with Larsen score by 1 or 5 years or with the change in Larsen score between 1 and 5 years. Similarly, the genotype combinations known to encode for low MBL protein production were not associated with erosive outcome in the IP cohort as a whole or in those with rheumatoid arthritis (RA) by 5 years.


CONCLUSIONS
Polymorphism within the MBL gene is not associated with presence or extent of erosions by 5 years in patients with RA or IP.
Arthritis and Rheumatism Campaign Epidemiology Unit, University of Manchester, Manchester, UK. ABarton@fs 1.ser.man.ac.uk
Anne
A
Barton
Hazel
H
Platt
Fiona
F
Salway
Deborah
D
Symmons
Mark
M
Lunt
Jane
J
Worthington
Alan
A
Silman
D000328:Adult; D000368:Aged; D001168:Arthritis / Q000000981:diagnostic imaging / Q000235:genetics* / Q000503:physiopathology; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000235:genetics; D015331:Cohort Studies; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D037601:Mannose-Binding Lectin / Q000235:genetics*; D008875:Middle Aged; D011110:Polymorphism, Genetic / Q000235:genetics; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011859:Radiography
D037601:Mannose-Binding Lectin