Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, PR China.
Genes Immun. 2022 Feb;23(1):33-41. doi: 10.1038/s41435-021-00160-6. Epub 2021 Dec 24.
IgA Nephropathy (IgAN) is one of the most common causes of chronic kidney damage worldwide. Identifying new genetic factors associated with IgAN risk is of invaluable importance. To explore the association between polymorphisms of IL-23R and IL-17A and the susceptibility of IgAN, 164 IgAN patients and 192 healthy controls were genotyped for five SNPs in a Chinese Han population. A comparative analysis between genotype distributions, clinical indexes and pathological grades in the IgAN patients was also performed. The GG genotype and a G allele of rs7517847 were associated with a decreased IgAN risk (OR: 0.545; 95% CI: 0.299-0.993; p = 0.046; OR: 0.730; 95% CI: 0.541-0.984; p = 0.039) compared to the TT genotype and T allele respectively. Furthermore, the AA genotype of rs2275913 appeared to reduce the IgAN risk (OR: 0.405; 95% CI: 0.209-0.786; p = 0.007) compared to the GG genotype. Consistently, individuals harboring an AA genotype had a lower IgAN risk (OR: 0.380; 95% CI: 0.211-0.686; p = 0.001) under the recessive model. Our study demonstrated for the first time the significant associations of rs7517847 in IL-23R and rs2275913 in IL-17A with the risk of IgAN in Chinese Han.
IgA 肾病 (IgAN) 是全球范围内导致慢性肾脏损害的最常见原因之一。确定与 IgAN 风险相关的新遗传因素具有非常重要的意义。为了探讨 IL-23R 和 IL-17A 多态性与 IgAN 易感性之间的关系,在中国汉族人群中对 164 例 IgAN 患者和 192 例健康对照者进行了五个 SNP 的基因分型。还对 IgAN 患者的基因型分布、临床指标和病理分级进行了比较分析。与 TT 基因型和 T 等位基因相比,rs7517847 的 GG 基因型和 G 等位基因与 IgAN 风险降低相关(OR:0.545;95%CI:0.299-0.993;p=0.046;OR:0.730;95%CI:0.541-0.984;p=0.039)。此外,与 GG 基因型相比,rs2275913 的 AA 基因型似乎降低了 IgAN 风险(OR:0.405;95%CI:0.209-0.786;p=0.007)。同样,在隐性模型下,携带 AA 基因型的个体患 IgAN 的风险较低(OR:0.380;95%CI:0.211-0.686;p=0.001)。本研究首次证明了 IL-23R 中的 rs7517847 和 IL-17A 中的 rs2275913 与中国汉族人群 IgAN 风险显著相关。