Louahchi S, Allam I, Berkani L, Boucharef A, Abdesemed A, Khaldoun N, Nebbab A, Ladjouze A, Djidjik R
Acta Reumatol Port. 2016 Apr-Jun;41(2):151-7.
Previous studies implicated that IL17/IL23 pathway and TH17 cells play an important role in autoimmune inflammation. Genome wide association studies have identified multiple single nucleotide polymorphisms (SNPs) in the IL23R and IL17 genes region associated with rheumatoid arthritis (RA).
In this study, we investigated the association of IL23R, IL17A and IL17F genes SNPs with RA susceptibility in the Algerian population. 343 patients with RA and 323 healthy subjects were genotyped for IL23R (rs11209026, rs1343151, rs10489629), IL17F (rs763780, rs2397084) and IL17A (rs2275913) variants by TaqMan technology.
There was no evidence of a genetic association between IL23R, IL17F and IL17A SNPs and RA susceptibility in our population. However, IL23R rs1343151 variant enhanced the development of RF IgM and IgG positive (+) RA as compared with RF IgM and IgG negative (-) RA (OR 2.29, p = 0.004 and OR 0.64, p = 0.014 respectively). Also, IL23R rs10489629 was associated with all RF isotypes positive disease (IgM+: OR 2.16, p = 0,006; IgG+: OR 0.64, p = 0,004 and IgA+: OR 1.54, p = 0,013). A moderate association of IL17A rs2275913 with RF IgA- RA subgroup was shown (OR 1.95, p = 0,039). Moreover, our data showed a correlation between IL23R and IL17F variants and the parameters of disease activity such as HAQ score and disease duration.
The current study emphasizes the lack of association of IL23R and IL17 polymorphisms with RA susceptibility in the Algerian population. However, the data showed the relationship between IL23R and IL17A polymorphisms and the production of the different RF isotypes in RA patients.
既往研究表明,白细胞介素17(IL17)/白细胞介素23(IL23)通路及辅助性T细胞17(TH17)细胞在自身免疫性炎症中起重要作用。全基因组关联研究已在白细胞介素23受体(IL23R)基因和白细胞介素17(IL17)基因区域鉴定出多个与类风湿关节炎(RA)相关的单核苷酸多态性(SNP)。
在本研究中,我们调查了IL23R、IL17A和IL17F基因的单核苷酸多态性与阿尔及利亚人群类风湿关节炎易感性之间的关联。采用TaqMan技术对343例类风湿关节炎患者和323例健康对照者进行IL23R(rs11209026、rs1343151、rs10489629)、IL17F(rs763780、rs2397084)和IL17A(rs2275913)基因分型。
在我们的研究人群中,未发现IL23R、IL17F和IL17A基因单核苷酸多态性与类风湿关节炎易感性之间存在遗传关联。然而,与类风湿因子(RF)IgM和IgG阴性(-)的类风湿关节炎患者相比,IL23R rs1343151变异体促进了RF IgM和IgG阳性(+)类风湿关节炎的发生发展(比值比[OR]分别为2.29,p = 0.004和OR 0.64,p = 0.014)。此外,IL23R rs10489629与所有RF亚型阳性疾病相关(IgM+:OR 2.16,p = 0.006;IgG+:OR 0.64,p = 0.004;IgA+:OR 1.54,p = 0.013)。IL17A rs2275913与RF IgA阴性的类风湿关节炎亚组存在中度关联(OR 1.95,p = 0.039)。此外,我们的数据显示IL23R和IL17F变异体与疾病活动参数如健康评估问卷(HAQ)评分和病程之间存在相关性。
本研究强调在阿尔及利亚人群中,IL23R和IL17基因多态性与类风湿关节炎易感性缺乏关联。然而,数据显示IL23R和IL17A基因多态性与类风湿关节炎患者不同RF亚型的产生之间存在关联。