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一种导致格雷夫斯病的 Il2ra/Cd25 基因变异与可溶性白细胞介素 2 受体水平升高有关。

A variant of the Il2ra / Cd25 gene predisposing to graves' disease is associated with increased levels of soluble interleukin-2 receptor.

机构信息

Department of Molecular Diagnostics, National Research Center GosNIIgenetika, Moscow, Russia.

出版信息

Scand J Immunol. 2011 Nov;74(5):496-501. doi: 10.1111/j.1365-3083.2011.02608.x.

Abstract

Alpha-subunit of the IL-2 receptor (IL-2Rα) encoded by the IL2RA/CD25 gene binds IL-2 that plays a pivotal role in the regulation of T cell function. Levels of a soluble form of IL-2Rα (sIL-2Rα) lacking the transmembrane and cytoplasmic domains were shown to be increased in several autoimmune diseases including Graves' disease (GD). Recent studies showed association between the IL2RA/CD25 gene variants and several autoimmune diseases including GD. In this study, we analyzed whether polymorphic markers rs2104286, rs41295061, and rs11594656 located at the IL2RA/CD25 locus confer susceptibility to GD and are related to increased concentrations of sIL-2Rα. A total of 1474 Russian GD patients and 1609 control subjects were genotyped for rs2104286, rs41295061, and rs11594656 using a Taqman assay. Concentrations of sIL-2Rα in sera of affected and non-affected individuals were measured using an ELISA test. A minor allele A of rs41295061 showed significant association with increased risk of GD [odds ratio (OR) = 1.43, P(c)  = 0.00102]. The allele A of rs41295061 and allele A of rs11594656 constitute a higher risk haplotype AA (OR = 1.47, P(c)  = 0.0477). Compared to carriers of the protective haplogenotype GT/GT, the carriage of two copies of the haplogenotype AA/AA was associated with elevated levels of sIL-2Rα in both GD patients (AA/AA versus GT/GT: 1.35 ± 0.47 ng/ml versus 1.12 ± 0.45 ng/ml, P = 0.0065) and healthy controls (AA/AA versus GT/GT: 0.67 ± 0.28 ng/ml versus 0.51 ± 0.33 ng/ml, P = 0.0098). This is the first report presenting correlation between the carriage of disease-associated variants of IL2RA/CD25 with increased levels of sIL-2Rα in GD.

摘要

白细胞介素-2 受体(IL-2Rα)的亚单位由 IL2RA/CD25 基因编码,该基因结合 IL-2,在调节 T 细胞功能方面发挥着关键作用。几项自身免疫性疾病,包括格雷夫斯病(GD),其可溶性 IL-2Rα(sIL-2Rα)形式的水平升高,该形式缺乏跨膜和细胞质结构域。最近的研究表明,IL2RA/CD25 基因变体与包括 GD 在内的几种自身免疫性疾病之间存在关联。在这项研究中,我们分析了位于 IL2RA/CD25 基因座的多态性标记 rs2104286、rs41295061 和 rs11594656 是否赋予 GD 的易感性,以及与 sIL-2Rα 浓度升高有关。使用 Taqman 分析对来自俄罗斯的 1474 名 GD 患者和 1609 名对照者进行 rs2104286、rs41295061 和 rs11594656 的基因分型。使用 ELISA 试验测量受影响和未受影响个体血清中的 sIL-2Rα 浓度。rs41295061 的次要等位基因 A 与 GD 风险增加显著相关[比值比(OR)=1.43,P(c)=0.00102]。rs41295061 的等位基因 A 和 rs11594656 的等位基因 A 构成了更高风险的 haplotype AA(OR=1.47,P(c)=0.0477)。与保护性 haplogenotype GT/GT 的携带者相比,AA/AA haplogenotype 的两个拷贝的携带者与 GD 患者和健康对照者的 sIL-2Rα 水平升高相关(AA/AA 与 GT/GT:1.35±0.47ng/ml 与 1.12±0.45ng/ml,P=0.0065)和健康对照者(AA/AA 与 GT/GT:0.67±0.28ng/ml 与 0.51±0.33ng/ml,P=0.0098)。这是第一个报告 IL2RA/CD25 疾病相关变体的携带与 GD 中 sIL-2Rα 水平升高相关的研究。

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