Gerenova J, Stanilova S
Department of Endocrinology, University Hospital, Trakia University, Stara Zagora, Bulgaria.
Department of Molecular Biology, Immunology and Medical Genetics, Medical Faculty, Trakia University, Stara Zagora, Bulgaria.
Int J Immunogenet. 2016 Dec;43(6):397-403. doi: 10.1111/iji.12293. Epub 2016 Oct 24.
Functional genetic polymorphisms that altered gene expression of cytokines are candidate genetic factors that could modulate the development and progression of Hashimoto's thyroiditis (HT). IL-12B gene encoded the IL-12p40 subunit, which is included in the pro-inflammatory heterodimeric cytokines IL-12p70 and IL-23. IL-10 is an important Treg cytokine suppressing inflammatory cytokine production and autoimmunity. This study was designed to compare -1082A/GIL-10 and +1188A/C3'UTRIL-12B genotype distribution in 130 patients with HT to a group of 157 healthy controls in attempts to determine an association with HT development. Genotyping for the 3'UTRA/C IL-12B polymorphism was performed using RFLP-PCR and genotyping for -1082A/G IL-10 by ARMS-PCR assay. Patients with HT were divided into euthyroid and hypothyroid stages. There were no significant differences in the genotype and allele frequencies of the IL-12B polymorphism between patients with HT and controls. We observed higher euthyroid HT risk for individuals with CC genotype, unlike to develop hypothyroidism with OR = 1.68. Regarding the polymorphism rs1800896, it was shown the significantly higher frequency of homozygous genotype GG in cases vs controls (OR = 2.19; P = 0.024). Moreover, the combination of genotype AA of 3'UTRIL-12B with GG of -1082IL-10 was associated with a threefold increasing risk (OR = 3.188; P = 0.022) of developing HT compared to individuals with the presence of 3'UTR allele C (AC+CC) simultaneously with AA genotype of -1082IL-10. Our data raise the possibility that the combined effect of polymorphisms from proinflammatory and anti-inflammatory cytokines may be more decisive to HT development.
改变细胞因子基因表达的功能性基因多态性是可能调节桥本甲状腺炎(HT)发生和发展的候选遗传因素。白细胞介素12B(IL-12B)基因编码IL-12p40亚基,其包含在促炎性异二聚体细胞因子IL-12p70和IL-23中。白细胞介素10(IL-10)是一种重要的调节性T细胞(Treg)细胞因子,可抑制炎性细胞因子的产生和自身免疫。本研究旨在比较130例HT患者与157例健康对照者中-1082A/G IL-10和+1188A/C 3'UTR IL-12B的基因型分布,以确定其与HT发生的相关性。采用限制性片段长度多态性聚合酶链反应(RFLP-PCR)对3'UTR A/C IL-12B多态性进行基因分型,采用扩增阻滞突变系统聚合酶链反应(ARMS-PCR)法对-1082A/G IL-10进行基因分型。HT患者分为甲状腺功能正常和甲状腺功能减退阶段。HT患者和对照者之间IL-12B多态性的基因型和等位基因频率没有显著差异。我们观察到,与CC基因型个体相比,甲状腺功能正常的HT风险更高,而发展为甲状腺功能减退的风险不同,比值比(OR)=1.68。关于多态性rs1800896,病例组中纯合子基因型GG的频率显著高于对照组(OR=2.19;P=0.024)。此外,与3'UTR等位基因C(AC+CC)和-1082IL-10的AA基因型同时存在的个体相比,3'UTR IL-12B的AA基因型与-1082IL-10的GG基因型组合与发生HT的风险增加三倍相关(OR=3.188;P=0.022)。我们的数据提出了一种可能性,即促炎和抗炎细胞因子多态性的联合作用可能对HT的发生更具决定性。