Kutluturk Faruk, Yarman Sema, Sarvan Fatma Oguz, Kekik Cigdem
Gaziosmanpasa University, Faculty of Medicine, Department of Endocrinology and Metabolism, 60100 Tokat, Turkey.
Endocr Metab Immune Disord Drug Targets. 2013 Jun;13(2):163-7. doi: 10.2174/18715303113139990001.
Cytokines play a crucial role in the pathogenesis of autoimmune thyroid disease, and recent studies have demonstrated an association between cytokine gene polymorphisms and Graves' Disease (GD) in different ethnic groups. The aim of the present study was to investigate the relationship of interleukin-6 (IL-6), IL-10, tumor necrosis factor-alpha (TNF-α), transforming growth factor-beta (TGF-β), and interferon-gamma (INF-γ) gene polymorphisms in the development of GD in Turkish population.
A total of 224 subjects were included in the study comprising of 100 patients with GD (70 female, 30 male; mean age, 43.9 ±13.8 years) and 124 healthy subjects (81 female, 43 male); mean age, 37.8 ±10.2 years) without antithyroid autoantibodies or family history of autoimmune disorders. Genotyping was conducted by using PCR and sequence-specific primers.
Statistical analysis showed a significant association between high TNF-α -308GA and IL-6 -174CC gene polymorphisms in patients with GD compared to control subjects (p=0.016, p=0.044, respectively). However, no significant differences were observed between GD and control subjects for IL-10, TGF-β, and INF-γ gene polymorphisms.
TNF-α-308GA and IL-6 -174CC gene polymorphisms are involved in susceptibility to GD in Turkish population. The polymorphism hypothesis in pro-inflammatory cytokines might be involved in predisposition to GD.
细胞因子在自身免疫性甲状腺疾病的发病机制中起关键作用,最近的研究表明细胞因子基因多态性与不同种族人群的格雷夫斯病(GD)之间存在关联。本研究的目的是调查土耳其人群中白细胞介素-6(IL-6)、IL-10、肿瘤坏死因子-α(TNF-α)、转化生长因子-β(TGF-β)和干扰素-γ(INF-γ)基因多态性与GD发病的关系。
本研究共纳入224名受试者,包括100例GD患者(70例女性,30例男性;平均年龄43.9±13.8岁)和124名健康受试者(81例女性,43例男性;平均年龄37.8±10.2岁),这些健康受试者无抗甲状腺自身抗体或自身免疫性疾病家族史。采用聚合酶链反应(PCR)和序列特异性引物进行基因分型。
统计分析显示,与对照组相比,GD患者中TNF-α -308GA和IL-6 -174CC基因多态性之间存在显著关联(分别为p = 0.016,p = 0.044)。然而,在IL-10、TGF-β和INF-γ基因多态性方面,GD患者与对照组之间未观察到显著差异。
TNF-α-308GA和IL-6 -174CC基因多态性与土耳其人群对GD的易感性有关。促炎细胞因子中的多态性假说可能与GD的易感性有关。