Shehjar Faheem, Afroze Dil, Misgar Raiz A, Malik Sajad A, Laway Bashir A
Department of Endocrinology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India.
Immunology and Molecular Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu & Kashmir, India.
Hum Immunol. 2018 Apr;79(4):228-232. doi: 10.1016/j.humimm.2018.02.006. Epub 2018 Feb 14.
Graves' disease (GD) is a multigenic, organ specific autoimmune disorder with a strong genetic predisposition and IL-1β has been shown to be involved in its pathogenesis. The present study was aimed to determine the genetic associations between polymorphisms of IL-1β gene promoter region (-511 T>C) (rs16944), exon 5 (+3954 C>T) (rs1143634) and IL-1RN gene VNTR (rs2234663) polymorphism in patients with GD in ethnic Kashmiri population.
A total of 135 Graves' disease patients and 150 healthy individuals were included in the study. PCR and PCR-based restriction analysis methods were done for IL-1RN and IL-1β gene polymorphisms respectively.
We found statistically significant increased frequencies of the C/C + CT genotype (P = 0.001; odds ratio (OR) = 5.04, 95% confidence interval (CI) = 3.02-8.42) and the C allele (P = 0.001; OR = 3.10, 95% CI = 2.14-4.50) in IL-1β gene promoter polymorphism (rs16944) with GD patients compared to normal controls. Also in the exon 5 (rs1143634), a significant increase in frequency of the C/C homozygous genotype (P = 0.001; OR = 0.18, 95% CI = 0.11-0.30) and C allele (P = 0.001; OR = 0.31, 95% CI = 0.20-0.48) was observed in GD cases as against controls. For IL-1RN (rs2234663), we didn't observe any significant difference in the allelic and genotypic frequencies between cases and controls.
Our findings suggest that both promoter and exon polymorphisms of IL-1β gene have a significant role in the risk of developing GD, whereas IL-1RN has no association with GD.
格雷夫斯病(GD)是一种多基因的器官特异性自身免疫性疾病,具有很强的遗传易感性,且白细胞介素-1β(IL-1β)已被证明参与其发病机制。本研究旨在确定克什米尔族GD患者中IL-1β基因启动子区域多态性(-511T>C)(rs16944)、外显子5(+3954C>T)(rs1143634)以及IL-1RN基因可变数目串联重复序列(VNTR)多态性(rs2234663)之间的遗传关联。
本研究共纳入135例格雷夫斯病患者和150名健康个体。分别采用聚合酶链反应(PCR)和基于PCR的限制性分析方法检测IL-1RN和IL-1β基因多态性。
我们发现,与正常对照组相比,GD患者中IL-1β基因启动子多态性(rs16944)的C/C + CT基因型频率(P = 0.001;比值比(OR)= 5.04,95%置信区间(CI)= 3.02 - 8.42)和C等位基因频率(P = 0.001;OR = 3.10,95% CI = 2.14 - 4.50)在统计学上显著增加。同样,在外显子5(rs1143634)中,与对照组相比,GD患者中C/C纯合基因型频率(P = 0.001;OR = 0.18,95% CI = 0.11 - 0.30)和C等位基因频率(P = 0.001;OR = 0.31,95% CI = 0.20 - 0.48)显著增加。对于IL-1RN(rs2234663),我们未观察到病例组和对照组之间等位基因和基因型频率有任何显著差异。
我们的研究结果表明,IL-1β基因的启动子和外显子多态性在GD发病风险中均起重要作用,而IL-1RN与GD无关。