All Conditions/Autoimmune & Inflammatory/Ankylosing Spondylitis

Is Ankylosing Spondylitis Genetic?

Ankylosing spondylitis is a form of arthritis that primarily affects the spine, causing inflammation of the spinal joints. Over time it can lead to some vertebrae fusing together.

Affects ~1 in 200 people.

Genetic Factors Behind Ankylosing Spondylitis

Research has identified multiple genetic variants that influence a person's susceptibility to Ankylosing Spondylitis. While no single gene determines whether someone will develop this condition, specific variants can increase or decrease risk. Key genes studied in relation to Ankylosing Spondylitis include:

HLA-B27
IL23R
ERAP1
RUNX3
HLA-B27

HLA-B27 has been associated with ankylosing spondylitis in genetic studies; as with most common variants, its individual effect is modest and works alongside many other genetic and non-genetic factors.

IL23R

IL23R has been associated with ankylosing spondylitis in genetic studies; as with most common variants, its individual effect is modest and works alongside many other genetic and non-genetic factors.

ERAP1

ERAP1 has been associated with ankylosing spondylitis in genetic studies; as with most common variants, its individual effect is modest and works alongside many other genetic and non-genetic factors.

RUNX3

RUNX3 has been associated with ankylosing spondylitis in genetic studies; as with most common variants, its individual effect is modest and works alongside many other genetic and non-genetic factors.

How GenomeInsight Analyzes Your Risk

GenomeInsight examines your raw DNA data from services like 23andMe, AncestryDNA, or whole-genome sequencing (VCF files) to identify genetic variants associated with Ankylosing Spondylitis. The analysis is performed entirely in your browser, meaning your genetic data never leaves your device.

For each relevant variant, GenomeInsight reports your genotype, the associated risk allele, the odds ratio from published research, and your overall risk profile compared to the general population. Results are presented with easy-to-understand risk visualizations and percentile rankings.

Genetic risk is only one piece of the puzzle. Lifestyle, diet, environment, and family history all contribute to overall risk. GenomeInsight's analysis is for informational and educational purposes and is not a medical diagnosis.

Understanding Your Ankylosing Spondylitis Results

After uploading your DNA file, you will receive a detailed health risk report covering 52 conditions, including Ankylosing Spondylitis. For each condition, GenomeInsight analyzes multiple SNPs (single nucleotide polymorphisms) and calculates a combined risk assessment.

Your results will show whether you carry risk-increasing or protective alleles in genes like HLA-B27, IL23R, ERAP1, and RUNX3. Risk levels range from "Below Average" to "Significantly Increased," with population percentile comparisons to contextualize your results.

Frequently Asked Questions About Ankylosing Spondylitis

Which genes are linked to Ankylosing Spondylitis?

The variants most consistently associated with Ankylosing Spondylitis lie in or near HLA-B27, IL23R, ERAP1, RUNX3. Each variant shifts risk modestly on its own; the report combines all of them into an overall genetic risk estimate compared with the reference population.

If I carry risk variants, will I develop Ankylosing Spondylitis?

Not necessarily. A genetic predisposition means your probability is higher than average — it is not a diagnosis. Lifestyle, environment, age and chance all contribute, and most people with elevated genetic risk never develop the condition. Conversely, low genetic risk is not a guarantee of protection.

What DNA data do I need for this analysis?

A raw-data file from 23andMe, AncestryDNA, MyHeritage or a whole-genome VCF covers the markers used in this analysis. Upload takes place entirely in your browser — your file is never transmitted to or stored on any server.

Related Conditions That Share These Genes

Variants in the same genes often influence more than one condition. These conditions overlap genetically with Ankylosing Spondylitis:

Sources & Further Reading

The risk associations described on this page come from published genome-wide association studies and curated public genomic databases. Explore the primary sources for each gene:

Explore Related Conditions

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Discover Your Ankylosing Spondylitis Risk Profile

Upload your 23andMe, AncestryDNA, or VCF file for a free, privacy-first genetic analysis covering Ankylosing Spondylitis and 51 other health conditions.

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