Xu Hui, Pan Yanxiang, Li Wei, Fu Haidong, Zhang Junfeng, Shen Hongqiang, Han Xiucui
Department of Clinical Laboratory, Children's Hospital of Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang, People's Republic of China.
Department of Nephrology, Children's Hospital of Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang, People's Republic of China.
Rheumatol Int. 2016 Jun;36(6):829-35. doi: 10.1007/s00296-016-3465-8. Epub 2016 Mar 28.
Previous studies suggested that interleukin-17 and Th17 cell play an important role in the pathogenesis of childhood Henoch-Schonlein purpura (HSP). The purpose of our study is to elucidate whether the IL17A and IL17F gene polymorphisms are susceptibility genes for the development of HSP in Chinese children. A total of 148 HSP patients and 202 controls were enrolled for analyzing the single nucleotide polymorphisms (SNP) of IL17A (rs2275913, rs8193037 and rs3819025) and IL17F (rs763780 and rs9463772). TaqMan Real-Time polymerase chain reaction method was used in SNP genotyping. Compared to the healthy controls, the IL17A rs2275913 variant allele A showed a significant association with HSP [odds ratio (OR) 0.70; 95 % CI 0.51-0.94, P = 0.018]. Genotyping analysis demonstrated rs2275913 was associated with a decreased HSP risk (G/A vs. G/G: OR 0.56; 95 % CI 0.33-0.95; A/A vs. G/G: OR 0.46; 95 % CI 0.24-0.86; P = 0.032). Also, our findings showed that the A allele of IL17A rs3819025 was associated with a higher risk of HSP nephritis (OR 1.61; 95 % CI 1.00-2.58; P = 0.047). In addition, a risk haplotype of IL17A (GGA) was found (OR 1.84; 95 % CI 1.17-2.88; P = 0.008). However, no significant differences between HSP patients and healthy controls were observed when comparing genotype, allele or haplotype frequencies of the IL17F rs763780 and rs9463772 polymorphisms. In this study, we confirmed that the rs2275913 polymorphism of the IL17A gene was associated with susceptibility to HSP in Chinese children. However, there was no relationship between IL17F rs763780 and rs9463772 polymorphisms and HSP susceptibility.
以往研究表明,白细胞介素 - 17和Th17细胞在儿童过敏性紫癜(HSP)的发病机制中起重要作用。我们研究的目的是阐明IL17A和IL17F基因多态性是否是中国儿童HSP发病的易感基因。共纳入148例HSP患者和202例对照,分析IL17A(rs2275913、rs8193037和rs3819025)和IL17F(rs763780和rs9463772)的单核苷酸多态性(SNP)。采用TaqMan实时聚合酶链反应方法进行SNP基因分型。与健康对照相比,IL17A rs2275913变异等位基因A与HSP显著相关[比值比(OR)0.70;95%可信区间(CI)0.51 - 0.94,P = 0.018]。基因分型分析表明rs2275913与HSP风险降低相关(G/A与G/G:OR 0.56;95%CI 0.33 - 0.95;A/A与G/G:OR 0.46;95%CI 0.24 - 0.86;P = 0.032)。此外,我们的研究结果显示,IL17A rs3819025的A等位基因与HSP肾炎的较高风险相关(OR 1.61;95%CI 1.00 - 2.58;P = 0.047)。另外,发现了一种IL17A的风险单倍型(GGA)(OR 1.84;95%CI 1.17 - 2.88;P = 0.008)。然而,比较IL17F rs763780和rs9463772多态性的基因型、等位基因或单倍型频率时,HSP患者与健康对照之间未观察到显著差异。在本研究中,我们证实IL17A基因的rs2275913多态性与中国儿童HSP易感性相关。然而,IL17F rs763780和rs9