Internal Medicine Department, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Acta Ophthalmol. 2013 Jun;91(4):e311-4. doi: 10.1111/aos.12046. Epub 2013 Jan 22.
Experimental data have demonstrated a relevant role for IL-6 in the modulation of acute ocular toxoplasmosis. Therefore, we aim to investigate the possible association between the IL-6 gene polymorphism at position -174 and toxoplasmic retinochoroiditis (TR) in humans.
Ninety-seven patients with diagnosed TR were recruited from the Uveitis Section, Federal University of Minas Gerais. For comparison, 83 healthy blood donors with positive serology for toxoplasmosis and without retinal signs of previous TR were included in the study. Genomic DNA was obtained from oral swabs of individuals and amplified using polymerase chain reaction (PCR) with specific primers flanking the locus -174 of IL-6 (-174G/C). PCR products were submitted to restriction endonuclease digestion and analysed by polyacrylamide gel electrophoresis to distinguish allele G and C of the IL-6 gene, allowing the detection of the polymorphism and determination of genotypes.
There was a significant difference in the genotype (χ(2) = 12.9, p = 0.001) and allele (χ(2) = 6.62, p = 0.01) distribution between TR patients and control subjects. In a subgroup analysis, there was no significant difference in genotypes and allele frequencies regarding TR recurrence.
This study suggests that the genotypes related with a lower production of IL-6 may be associated with the occurrence of TR.
实验数据表明,IL-6 在调节急性眼弓形虫病中具有重要作用。因此,我们旨在研究 IL-6 基因 -174 位置的多态性与人类弓形虫性视网膜炎(TR)之间的可能关联。
从米纳斯吉拉斯联邦大学葡萄膜炎科招募了 97 名确诊为 TR 的患者。为了进行比较,招募了 83 名具有阳性弓形虫血清学且无先前 TR 视网膜迹象的健康献血者作为对照组。从个体的口腔拭子中提取基因组 DNA,使用聚合酶链反应(PCR)用侧翼 IL-6(-174G/C)的特异性引物扩增。将 PCR 产物进行限制性内切酶消化,并通过聚丙烯酰胺凝胶电泳进行分析,以区分 IL-6 基因的等位基因 G 和 C,从而检测多态性并确定基因型。
TR 患者和对照组在基因型(χ(2) = 12.9,p = 0.001)和等位基因(χ(2) = 6.62,p = 0.01)分布上存在显著差异。在亚组分析中,基因型和等位基因频率与 TR 复发之间没有显著差异。
本研究表明,与 IL-6 产生减少相关的基因型可能与 TR 的发生有关。