de la Fontaine L, Schwarz M, Plischke H, Kleindienst N, Gruber R
Department of Rheumatology, University of Munich, Germany.
Scand J Rheumatol. 2006 Jan-Feb;35(1):20-2. doi: 10.1080/03009740500395260.
CD14, the monocyte receptor for lipopolysaccharides (LPS), is an important mediator of inflammatory processes. As the T-159C exchange in the promotor of the CD14 gene was reported to lead to enhanced CD14 expression, this could be a new susceptibility gene for rheumatoid arthritis (RA). We investigated whether this single nucleotide polymorphism (SNP) serves as a risk factor for disease development or has any influence on serological activity parameters of RA or soluble CD14 (sCD14) levels.
A total of 130 patients with RA, diagnosed according to the revised American College of Rheumatology (ACR) criteria, and 130 healthy subjects, all Caucasians, were genotyped using polymerase chain reaction (PCR). Genotype frequencies were compared by chi2 analysis.
Forty (31%) patients vs. 39 (30%) controls were genotyped CC; 71 (55%) vs. 67 (52%) were heterozygous, and 19 (15%) vs. 24 (19%) showed the TT genotype (p = 0.7). Accordingly, the allele frequency was equally distributed (p = 0.8). There was also no significant difference in genotype distribution between subgroups of patients categorized according to serological activity parameters and sCD14 levels.
We found no association between the CD14/C-159T polymorphism and increased risk for the development of RA or serological disease activity parameters or sCD14 levels.
CD14是脂多糖(LPS)的单核细胞受体,是炎症过程的重要介质。由于据报道CD14基因启动子中的T-159C交换会导致CD14表达增强,这可能是类风湿关节炎(RA)的一个新的易感基因。我们研究了这种单核苷酸多态性(SNP)是否是疾病发展的危险因素,或对RA的血清学活性参数或可溶性CD14(sCD14)水平有任何影响。
根据美国风湿病学会(ACR)修订标准诊断的130例RA患者和130名健康受试者(均为白种人),采用聚合酶链反应(PCR)进行基因分型。通过卡方分析比较基因型频率。
40例(31%)患者与39例(30%)对照的基因型为CC;71例(55%)与67例(52%)为杂合子,19例(15%)与24例(19%)表现为TT基因型(p = 0.7)。因此,等位基因频率分布均匀(p = 0.8)。根据血清学活性参数和sCD14水平分类的患者亚组之间的基因型分布也没有显著差异。
我们发现CD14/C-159T多态性与RA发生风险增加、血清学疾病活性参数或sCD14水平之间无关联。