Differential DNA methylation patterns in whole blood from ACPA-positive patients with DMARD-naïve rheumatoid arthritis at clinical disease onset

ObjectiveEpigenetic DNA imprints are increasingly being recognized as co-drivers of disease in complex conditions. In this exploratory and hypothesis-generating epigenome-wide association study (EWAS), we investigated differential methylation patterns in peripheral blood leucocytes from patients wit...

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Main Authors: Anders Jørgen Svendsen, Jonas Mengel-From, Peter Junker, Christine Dalgård, George Davey Smith, Caroline L. Relton, Hannah R. Elliott, Kirsten Kyvik, Hanne Lindegaard, Anne Friesgaard Christensen, Qihua Tan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1488161/full
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author Anders Jørgen Svendsen
Anders Jørgen Svendsen
Jonas Mengel-From
Peter Junker
Christine Dalgård
George Davey Smith
George Davey Smith
Caroline L. Relton
Caroline L. Relton
Hannah R. Elliott
Hannah R. Elliott
Kirsten Kyvik
Hanne Lindegaard
Anne Friesgaard Christensen
Qihua Tan
Qihua Tan
author_facet Anders Jørgen Svendsen
Anders Jørgen Svendsen
Jonas Mengel-From
Peter Junker
Christine Dalgård
George Davey Smith
George Davey Smith
Caroline L. Relton
Caroline L. Relton
Hannah R. Elliott
Hannah R. Elliott
Kirsten Kyvik
Hanne Lindegaard
Anne Friesgaard Christensen
Qihua Tan
Qihua Tan
author_sort Anders Jørgen Svendsen
collection DOAJ
description ObjectiveEpigenetic DNA imprints are increasingly being recognized as co-drivers of disease in complex conditions. In this exploratory and hypothesis-generating epigenome-wide association study (EWAS), we investigated differential methylation patterns in peripheral blood leucocytes from patients with early untreated ACPA-positive rheumatoid arthritis (RA) versus controls.MethodsWhole blood DNA was isolated from 101 disease-modifying anti-rheumatic drug (DMARD)-naïve patients with recent clinical onset of ACPA-positive RA and 200 controls. DNA methylation was studied using the Illumina MethylationEPIC BeadChips (Illumina). We assessed our findings against previously reported differentially methylated DNA positions associated with RA including an EWAS on peripheral blood leucocytes from a similar Drop Nordic cohort.ResultsWe identified 16,583 CpG sites and 14 differentially methylated regions (DMRs) associated with RA. The most robust DMRs were in the gene body of LAMP1 and the TNSF14 GENE known as LIGHT. We identified three novel Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways, the taste transduction pathway, the olfactory pathway, and the viral carcinogenesis pathway, which have not previously been associated with RA. We replicated 2,248 CpG sites reported earlier in an EWAS on peripheral blood leukocytes from RA patients of Scandinavian ancestry with incipient untreated ACPA-positive disease.ConclusionWe have detected a considerable number of epigenetic marks with potential relevance to the pathogenesis of RA. These findings may pave the way for the development of narrowly targeted new drugs and possibly assist to retrieve persons at particular risk of acquiring RA.
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spelling doaj-art-8cefce4e163f452387ea96633a4b15bd2025-08-20T03:13:27ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.14881611488161Differential DNA methylation patterns in whole blood from ACPA-positive patients with DMARD-naïve rheumatoid arthritis at clinical disease onsetAnders Jørgen Svendsen0Anders Jørgen Svendsen1Jonas Mengel-From2Peter Junker3Christine Dalgård4George Davey Smith5George Davey Smith6Caroline L. Relton7Caroline L. Relton8Hannah R. Elliott9Hannah R. Elliott10Kirsten Kyvik11Hanne Lindegaard12Anne Friesgaard Christensen13Qihua Tan14Qihua Tan15Research Unit for Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, Odense, DenmarkDepartment of Internal Medicine & Emergency, Odense University Hospital, Svendborg, DenmarkUnit of Human Genetics, Department of Clinical Research, University of Southern Denmark, Odense, DenmarkDepartment of Rheumatology, Odense University Hospital, Odense, DenmarkClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, DenmarkMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, United KingdomPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United KingdomMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, United KingdomPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United KingdomMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Bristol, United KingdomPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United KingdomResearch Unit of Clinical Genetics, University of Southern Denmark, Odense, DenmarkDepartment of Rheumatology, Odense University Hospital, Odense, DenmarkDepartment of Internal Medicine, Lillebaelt Hospital, Kolding, DenmarkResearch Unit for Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, Odense, DenmarkUnit of Human Genetics, Department of Clinical Research, University of Southern Denmark, Odense, DenmarkObjectiveEpigenetic DNA imprints are increasingly being recognized as co-drivers of disease in complex conditions. In this exploratory and hypothesis-generating epigenome-wide association study (EWAS), we investigated differential methylation patterns in peripheral blood leucocytes from patients with early untreated ACPA-positive rheumatoid arthritis (RA) versus controls.MethodsWhole blood DNA was isolated from 101 disease-modifying anti-rheumatic drug (DMARD)-naïve patients with recent clinical onset of ACPA-positive RA and 200 controls. DNA methylation was studied using the Illumina MethylationEPIC BeadChips (Illumina). We assessed our findings against previously reported differentially methylated DNA positions associated with RA including an EWAS on peripheral blood leucocytes from a similar Drop Nordic cohort.ResultsWe identified 16,583 CpG sites and 14 differentially methylated regions (DMRs) associated with RA. The most robust DMRs were in the gene body of LAMP1 and the TNSF14 GENE known as LIGHT. We identified three novel Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways, the taste transduction pathway, the olfactory pathway, and the viral carcinogenesis pathway, which have not previously been associated with RA. We replicated 2,248 CpG sites reported earlier in an EWAS on peripheral blood leukocytes from RA patients of Scandinavian ancestry with incipient untreated ACPA-positive disease.ConclusionWe have detected a considerable number of epigenetic marks with potential relevance to the pathogenesis of RA. These findings may pave the way for the development of narrowly targeted new drugs and possibly assist to retrieve persons at particular risk of acquiring RA.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1488161/fullrheumatoid arthritisanti-CCP antibodiesepigeneticsDNA-methylationincidence
spellingShingle Anders Jørgen Svendsen
Anders Jørgen Svendsen
Jonas Mengel-From
Peter Junker
Christine Dalgård
George Davey Smith
George Davey Smith
Caroline L. Relton
Caroline L. Relton
Hannah R. Elliott
Hannah R. Elliott
Kirsten Kyvik
Hanne Lindegaard
Anne Friesgaard Christensen
Qihua Tan
Qihua Tan
Differential DNA methylation patterns in whole blood from ACPA-positive patients with DMARD-naïve rheumatoid arthritis at clinical disease onset
Frontiers in Immunology
rheumatoid arthritis
anti-CCP antibodies
epigenetics
DNA-methylation
incidence
title Differential DNA methylation patterns in whole blood from ACPA-positive patients with DMARD-naïve rheumatoid arthritis at clinical disease onset
title_full Differential DNA methylation patterns in whole blood from ACPA-positive patients with DMARD-naïve rheumatoid arthritis at clinical disease onset
title_fullStr Differential DNA methylation patterns in whole blood from ACPA-positive patients with DMARD-naïve rheumatoid arthritis at clinical disease onset
title_full_unstemmed Differential DNA methylation patterns in whole blood from ACPA-positive patients with DMARD-naïve rheumatoid arthritis at clinical disease onset
title_short Differential DNA methylation patterns in whole blood from ACPA-positive patients with DMARD-naïve rheumatoid arthritis at clinical disease onset
title_sort differential dna methylation patterns in whole blood from acpa positive patients with dmard naive rheumatoid arthritis at clinical disease onset
topic rheumatoid arthritis
anti-CCP antibodies
epigenetics
DNA-methylation
incidence
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1488161/full
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