This type of relationship of ATIC gene variants has also been demonstrated in other investigations with cancer therapeutic resistance such as in the treatment of breast cancer with tamoxifen [33], the use of pemetrexed for non-small cell lung cancer [34], as well as the use of methotrexate for rheumatoid arthritis [35], pediatric osteosarcoma [36], and acute lymphoblastic leukemia [37]. Here, ATIC is linked to rheumatoid arthritis.