Carvalho Camila Nunes, do Carmo Rodrigo Feliciano, Duarte Angela Luzia Pinto, Carvalho Alessandra Albuquerque Tavares, Leão Jair Carneiro, Gueiros Luiz Alcino
Oral Medicine Unit, Department of Clinical and Preventive Dentistry, Federal University of Pernambuco, Recife, Brazil.
Immunology section, Federal University of Vale do São Francisco, Petrolina, Brazil.
Clin Oral Investig. 2016 Apr;20(3):495-502. doi: 10.1007/s00784-015-1540-2. Epub 2015 Aug 2.
The aim of this study was to evaluate the influence of Th17 polymorphisms on the susceptibility or severity of rheumatoid arthritis (RA) and Sjögren's syndrome (SS).
The study sample comprised 206 individuals of both genders divided into three groups: exclusive rheumatoid arthritis (RA-100 patients), rheumatoid arthritis and Sjögren's syndrome (RA/SS-31 patients), and healthy controls (C-75 individuals). All the individuals were submitted to clinical evaluation, unstimulated sialometry, and Schirmer test; some patients with RA were also submitted to minor salivary gland biopsy for definition of SS diagnosis. Saliva samples were collected for isolation of DNA and genotyping of Th17 genes; IL-17A (-197G/A) and IL-17F (7488T/C).
IL-17A (-197G/A) and IL-17F (7488T/C) SNPs were not associated with susceptibility to RA or secondary SS (sSS, p > 0.05 for both SNPs). In addition, they did not influence RA activity or clinical markers of SS.
IL-17A (-197G/A) and IL-17F (7488T/C) polymorphisms are not associated with the susceptibility nor to the severity of RA and sSS in the studied population.
A better understanding of the pathogenesis of SS is demanded to an adequate treatment as well as to the development of new management strategies.
本研究旨在评估Th17基因多态性对类风湿关节炎(RA)和干燥综合征(SS)易感性或严重程度的影响。
研究样本包括206名男女个体,分为三组:单纯类风湿关节炎(RA - 100例患者)、类风湿关节炎合并干燥综合征(RA/SS - 31例患者)和健康对照(C - 75名个体)。所有个体均接受临床评估、非刺激性唾液流量测定和施墨试验;部分RA患者还接受了小唾液腺活检以明确SS诊断。收集唾液样本用于DNA分离和Th17基因分型;白细胞介素-17A(-197G/A)和白细胞介素-17F(7488T/C)。
白细胞介素-17A(-197G/A)和白细胞介素-17F(7488T/C)单核苷酸多态性与RA或继发性SS(sSS)的易感性无关(两个单核苷酸多态性的p均>0.05)。此外,它们不影响RA的活动或SS的临床指标。
在研究人群中,白细胞介素-17A(-197G/A)和白细胞介素-17F(7488T/C)多态性与RA和sSS的易感性及严重程度均无关。
为了进行充分治疗以及制定新的管理策略,需要更好地了解SS的发病机制。