Taiwanese aborigines have a high prevalence of
hyperuricemia and
gout.
Uric acid levels and
urate excretion have correlated with
dopamine-induced glomerular filtration response. MAOs represent one of the major renal
dopamine metabolic pathways. We aimed to identify the
monoamine oxidase A (MAOA, Xp11.3) gene variants and
MAO-A enzyme activity associated with
gout risk. This study was to investigate the association between
gout and the MAOA single-nucleotide polymorphisms (SNPs) rs5953210, rs2283725, and rs1137070 as well as between
gout and the COMT SNPs rs4680 Val158Met for 374
gout cases and 604 controls.
MAO-A activity was also measured. All three MAOA SNPs were significantly associated with
gout. A synonymous MAOA SNP, rs1137070 Asp470Asp, located in exon 14, was associated with the risk of having
gout (P = 4.0 x 10(-5), adjusted odds ratio 1.46, 95% confidence intervals [CI]: 1.11-1.91). We also showed that, when compared to individuals with the MAOA
GAT haplotype, carriers of the AGC haplotype had a 1.67-fold (95% CI: 1.28-2.17) higher risk of
gout. Moreover, we found that MAOA
enzyme activity correlated positively with
hyperuricemia and
gout (P for trend = 2.00 x 10(-3) vs. normal control). We also found that MAOA
enzyme activity by rs1137070 allele was associated with
hyperuricemia and
gout (P for trend = 1.53 x 10(-6) vs. wild-type allele). Thus, our results show that some MAOA alleles, which have a higher
enzyme activity, predispose to the development of
gout.