Receptor for advanced glycation end products (RAGE) polymorphisms are associated with systemic lupus erythematosus and disease severity in lupus nephritis

Objective: Interaction of advanced glycation end products (AGEs) with their receptors (RAGE) plays an important role in inflammation in auto-immune diseases. Several functional polymorphisms of RAGE have been described. In this study we analysed the role of RAGE polymorphisms in disease susceptibili...

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Veröffentlicht in:Lupus 2012-08, Vol.21 (9), p.959-968
Hauptverfasser: Martens, HA, Nienhuis, HLA, Gross, S, der Steege, G van, Brouwer, E, Berden, JHM, Sévaux, RGL de, Derksen, RHWM, Voskuyl, AE, Berger, SP, Navis, GJ, Nolte, IM, Kallenberg, CGM, Bijl, M
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container_end_page 968
container_issue 9
container_start_page 959
container_title Lupus
container_volume 21
creator Martens, HA
Nienhuis, HLA
Gross, S
der Steege, G van
Brouwer, E
Berden, JHM
Sévaux, RGL de
Derksen, RHWM
Voskuyl, AE
Berger, SP
Navis, GJ
Nolte, IM
Kallenberg, CGM
Bijl, M
description Objective: Interaction of advanced glycation end products (AGEs) with their receptors (RAGE) plays an important role in inflammation in auto-immune diseases. Several functional polymorphisms of RAGE have been described. In this study we analysed the role of RAGE polymorphisms in disease susceptibility for systemic lupus erythematosus (SLE). In addition, we investigated whether these polymorphisms in SLE are associated with serum levels of soluble RAGE (sRAGE), renal involvement (lupus nephritis (LN)) and its outcome. Methods: For this cross-sectional study DNA samples of 97 SLE patients, 114 LN patients and 429 healthy controls (HC) were genotyped for four RAGE polymorphisms: −429 T/C, −374 T/A, 2184 A/G and Gly82Ser. Differences in genotype frequencies and allele frequencies were tested between patients and HCs. In SLE patients, sRAGE was measured by enzyme-linked immunosorbent assay (ELISA). In addition, association of genotypes with sRAGE and disease severity in LN was analysed. Results: The C allele of −429 T/C, the T allele of −374 T/A and the G allele of 2184 A/G were significantly more prevalent in SLE and LN compared with HC. In LN, the C allele of RAGE −429 T/C, the A allele of −374 T/A and the G allele of RAGE 2184 A/G polymorphism were significantly associated with more proteinuria and worse renal function during the first two years of treatment. No association of genotype with sRAGE was found. Conclusion: RAGE polymorphisms are associated with susceptibility to SLE and LN. In addition, some of these polymorphisms are likely to be associated with disease severity and initial response to treatment in LN.
doi_str_mv 10.1177/0961203312444495
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Several functional polymorphisms of RAGE have been described. In this study we analysed the role of RAGE polymorphisms in disease susceptibility for systemic lupus erythematosus (SLE). In addition, we investigated whether these polymorphisms in SLE are associated with serum levels of soluble RAGE (sRAGE), renal involvement (lupus nephritis (LN)) and its outcome. Methods: For this cross-sectional study DNA samples of 97 SLE patients, 114 LN patients and 429 healthy controls (HC) were genotyped for four RAGE polymorphisms: −429 T/C, −374 T/A, 2184 A/G and Gly82Ser. Differences in genotype frequencies and allele frequencies were tested between patients and HCs. In SLE patients, sRAGE was measured by enzyme-linked immunosorbent assay (ELISA). In addition, association of genotypes with sRAGE and disease severity in LN was analysed. Results: The C allele of −429 T/C, the T allele of −374 T/A and the G allele of 2184 A/G were significantly more prevalent in SLE and LN compared with HC. In LN, the C allele of RAGE −429 T/C, the A allele of −374 T/A and the G allele of RAGE 2184 A/G polymorphism were significantly associated with more proteinuria and worse renal function during the first two years of treatment. No association of genotype with sRAGE was found. Conclusion: RAGE polymorphisms are associated with susceptibility to SLE and LN. In addition, some of these polymorphisms are likely to be associated with disease severity and initial response to treatment in LN.</description><identifier>ISSN: 0961-2033</identifier><identifier>EISSN: 1477-0962</identifier><identifier>DOI: 10.1177/0961203312444495</identifier><identifier>PMID: 22513366</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Advanced glycosylation end products ; Aged ; Alzheimer's disease ; Atherosclerosis ; Cardiovascular disease ; Cross-Sectional Studies ; Enzyme-linked immunosorbent assay ; Female ; Gene frequency ; Gene polymorphism ; Genetic Predisposition to Disease ; Genotype ; Humans ; Immunology ; Inflammation ; Kidney diseases ; Linkage Disequilibrium ; Lupus ; Lupus Erythematosus, Systemic - genetics ; Lupus nephritis ; Lupus Nephritis - genetics ; Male ; Middle Aged ; Nephrology ; Polymorphism ; Polymorphism, Genetic ; Proteinuria ; Receptor for Advanced Glycation End Products ; Receptors, Immunologic - genetics ; Renal function ; Rheumatology ; Serum levels ; Systemic lupus erythematosus</subject><ispartof>Lupus, 2012-08, Vol.21 (9), p.959-968</ispartof><rights>The Author(s), 2012. 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Several functional polymorphisms of RAGE have been described. In this study we analysed the role of RAGE polymorphisms in disease susceptibility for systemic lupus erythematosus (SLE). In addition, we investigated whether these polymorphisms in SLE are associated with serum levels of soluble RAGE (sRAGE), renal involvement (lupus nephritis (LN)) and its outcome. Methods: For this cross-sectional study DNA samples of 97 SLE patients, 114 LN patients and 429 healthy controls (HC) were genotyped for four RAGE polymorphisms: −429 T/C, −374 T/A, 2184 A/G and Gly82Ser. Differences in genotype frequencies and allele frequencies were tested between patients and HCs. In SLE patients, sRAGE was measured by enzyme-linked immunosorbent assay (ELISA). In addition, association of genotypes with sRAGE and disease severity in LN was analysed. Results: The C allele of −429 T/C, the T allele of −374 T/A and the G allele of 2184 A/G were significantly more prevalent in SLE and LN compared with HC. In LN, the C allele of RAGE −429 T/C, the A allele of −374 T/A and the G allele of RAGE 2184 A/G polymorphism were significantly associated with more proteinuria and worse renal function during the first two years of treatment. No association of genotype with sRAGE was found. Conclusion: RAGE polymorphisms are associated with susceptibility to SLE and LN. 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Several functional polymorphisms of RAGE have been described. In this study we analysed the role of RAGE polymorphisms in disease susceptibility for systemic lupus erythematosus (SLE). In addition, we investigated whether these polymorphisms in SLE are associated with serum levels of soluble RAGE (sRAGE), renal involvement (lupus nephritis (LN)) and its outcome. Methods: For this cross-sectional study DNA samples of 97 SLE patients, 114 LN patients and 429 healthy controls (HC) were genotyped for four RAGE polymorphisms: −429 T/C, −374 T/A, 2184 A/G and Gly82Ser. Differences in genotype frequencies and allele frequencies were tested between patients and HCs. In SLE patients, sRAGE was measured by enzyme-linked immunosorbent assay (ELISA). In addition, association of genotypes with sRAGE and disease severity in LN was analysed. Results: The C allele of −429 T/C, the T allele of −374 T/A and the G allele of 2184 A/G were significantly more prevalent in SLE and LN compared with HC. In LN, the C allele of RAGE −429 T/C, the A allele of −374 T/A and the G allele of RAGE 2184 A/G polymorphism were significantly associated with more proteinuria and worse renal function during the first two years of treatment. No association of genotype with sRAGE was found. Conclusion: RAGE polymorphisms are associated with susceptibility to SLE and LN. In addition, some of these polymorphisms are likely to be associated with disease severity and initial response to treatment in LN.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>22513366</pmid><doi>10.1177/0961203312444495</doi><tpages>10</tpages></addata></record>
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subjects Adult
Advanced glycosylation end products
Aged
Alzheimer's disease
Atherosclerosis
Cardiovascular disease
Cross-Sectional Studies
Enzyme-linked immunosorbent assay
Female
Gene frequency
Gene polymorphism
Genetic Predisposition to Disease
Genotype
Humans
Immunology
Inflammation
Kidney diseases
Linkage Disequilibrium
Lupus
Lupus Erythematosus, Systemic - genetics
Lupus nephritis
Lupus Nephritis - genetics
Male
Middle Aged
Nephrology
Polymorphism
Polymorphism, Genetic
Proteinuria
Receptor for Advanced Glycation End Products
Receptors, Immunologic - genetics
Renal function
Rheumatology
Serum levels
Systemic lupus erythematosus
title Receptor for advanced glycation end products (RAGE) polymorphisms are associated with systemic lupus erythematosus and disease severity in lupus nephritis
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