Frontiers in Immunology (Dec 2022)

Circulating methylation level of HTR2A is associated with inflammation and disease activity in rheumatoid arthritis

  • Jianan Zhao,
  • Jianan Zhao,
  • Jianan Zhao,
  • Lingxia Xu,
  • Lingxia Xu,
  • Lingxia Xu,
  • Cen Chang,
  • Cen Chang,
  • Cen Chang,
  • Ping Jiang,
  • Ping Jiang,
  • Ping Jiang,
  • Kai Wei,
  • Kai Wei,
  • Kai Wei,
  • Yiming Shi,
  • Yiming Shi,
  • Yiming Shi,
  • Linshuai Xu,
  • Linshuai Xu,
  • Linshuai Xu,
  • Yixin Zheng,
  • Yixin Zheng,
  • Yixin Zheng,
  • Yu Shan,
  • Yu Shan,
  • Yu Shan,
  • Yanqin Bian,
  • Yanqin Bian,
  • Yanqin Bian,
  • Li Li,
  • Li Li,
  • Li Li,
  • Shicheng Guo,
  • Shicheng Guo,
  • Steven J. Schrodi,
  • Steven J. Schrodi,
  • Rongsheng Wang,
  • Rongsheng Wang,
  • Rongsheng Wang,
  • Dongyi He,
  • Dongyi He,
  • Dongyi He,
  • Dongyi He

DOI
https://doi.org/10.3389/fimmu.2022.1054451
Journal volume & issue
Vol. 13

Abstract

Read online

ObjectivesHTR2A is previously identified as a susceptibility gene for rheumatoid arthritis (RA). In this study, we performed the association analysis between DNA methylation of HTR2A with RA within peripheral blood samples.MethodsWe enrolled peripheral blood samples from 235 patients with RA, 30 osteoarthritis (OA) patients, and 30 healthy controls. The DNA methylation levels of about 218 bp from chr13: 46898190 to chr13: 46897973 (GRCh38/hg38) around HTR2A cg15692052 from patients were analyzed by targeted methylation sequencing.ResultsWe measured methylation status for 7 CpGs in the promoter region of HTR2A and obseved overall methylation status are signficantly increased in RA compared with normal inviduals (FDR= 9.05 x 10-5). The average cg15692052 methylation levels (methylation score) showed a positive correlation with CRP (r=0.15, P=0.023). Compared with the OA group or HC group, the proportion of haplotypes CCCCCCC (FDR=0.02 and 2.81 x 10-6) is signficantly increased while TTTTTCC (FDR =0.01) and TTTTTTT(FDR =6.92 x 10-3) are significantly decreased in RA. We find methylation haplotypes combining with RF and CCP could signficantly enhance the performance of the diagnosing RA and its comorbidities (hypertension, interstitial lung disease, and osteoporosis), especially in interstitial lung disease.ConclusionsIn our study, we found signficant hypermethylation of promoter region of HTR2A which indicates the potential clinical diagnostic role in rheumatoid arthritis.

Keywords