Department of General Pediatrics, Neonatology and Pediatric Cardiology, University Children's Hospital, Medical Faculty, Duesseldorf, Germany.
German Center for Diabetes Research (DZD), Munich-Neuherberg, Germany.
Pediatr Diabetes. 2018 Aug;19(5):955-962. doi: 10.1111/pedi.12665. Epub 2018 Mar 13.
Interleukin-7 receptor α-chain (IL7RA) haplotypes are associated with susceptibility for development of autoimmune diseases, including type 1 diabetes (T1D). A protective IL7RA haplotype which causes lower soluble IL-7R (sIL-7R) serum levels is hypothesized to restrict IL-7-availability for self-reactive T cells. Functional mechanisms affected by a risk-associated IL7RA haplotype are unknown.
We investigated the influence of IL7RA haplotypes (tagged by rs6897932T for the protective or by rs1494555G for the risk haplotype) on sIL-7R and IL-7 serum concentrations as well as disease manifestation of children with T1D (n = 259). Possible effects of differential IL-7 serum concentrations on IL-7-mediated in vitro T cell functions (i.e. IL-7R regulation and cytokine expression) were measured in a second study group of children with T1D (n = 42).
We detected lower sIL-7R serum concentrations in children with T1D carrying protective or risk haplotypes as compared to reference haplotypes. sIL-7R levels were lowest in T1D children with the protective haplotype and lower IL-7 serum levels were exclusively detected in this study group. We found no evidence for dependency between IL-7 and sIL-7R serum concentrations and no association with T1D manifestation. Neither IL-7 nor sIL-7R serum levels were associated with mIL-7R regulation or IL-7-promoted T cell cytokine expression.
Children with T1D carrying autoimmunity risk- or protection-associated IL7RA haplotypes had both lower sIL-7R serum concentrations as compared to the reference haplotype, but only T1D children with the protective haplotype had lower IL-7 serum levels. Our results suggest additional functional mechanisms of autoimmunity-associated IL7RA variants independent from sIL-7R mediated regulation of IL-7 availability for T cells.
白细胞介素-7 受体 α 链(IL7RA)单倍型与自身免疫性疾病(包括 1 型糖尿病(T1D))的易感性相关。假设保护性 IL7RA 单倍型会导致可溶性 IL-7R(sIL-7R)血清水平降低,从而限制自身反应性 T 细胞对 IL-7 的利用。受风险相关 IL7RA 单倍型影响的功能机制尚不清楚。
我们研究了 IL7RA 单倍型(rs6897932T 标记为保护性,rs1494555G 标记为风险单倍型)对 sIL-7R 和 IL-7 血清浓度以及 T1D 患儿疾病表现(n=259)的影响。在 T1D 患儿的第二个研究组(n=42)中,测量了差异 IL-7 血清浓度对 IL-7 介导的体外 T 细胞功能(即 IL-7R 调节和细胞因子表达)的可能影响。
与参考单倍型相比,携带保护性或风险单倍型的 T1D 患儿的 sIL-7R 血清浓度较低。T1D 患儿携带保护性单倍型时 sIL-7R 水平最低,且仅在该研究组中检测到较低的 IL-7 血清水平。我们没有发现 IL-7 和 sIL-7R 血清浓度之间存在依赖性,也没有发现与 T1D 表现相关。IL-7 或 sIL-7R 血清水平与 mIL-7R 调节或 IL-7 促进的 T 细胞细胞因子表达无关。
携带自身免疫性疾病风险或保护相关 IL7RA 单倍型的 T1D 患儿的 sIL-7R 血清浓度均低于参考单倍型,但仅携带保护性单倍型的 T1D 患儿的 IL-7 血清水平较低。我们的结果表明,与 sIL-7R 介导的 IL-7 对 T 细胞的利用调节无关的自身免疫相关 IL7RA 变异的其他功能机制。