A Frequent Toll-Like Receptor 1 Gene Polymorphism Affects NK- and T-cell IFN-γ Production and is Associated with Helicobacter pylori-induced Gastric Disease

Background Helicobacter pylori infects approximately 50% of the world population. Among the infected individuals, only 10–20% develop peptic ulcers and

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Veröffentlicht in:Helicobacter (Cambridge, Mass.) Mass.), 2013-02, Vol.18 (1), p.13-21
Hauptverfasser: Yang, Chin-An, Scheibenbogen, Carmen, Bauer, Sandra, Kleinle, Christoph, Wex, Thomas, Bornschein, Jan, Malfertheiner, Peter, Hellmig, Stephan, Schumann, Ralf R., Hamann, Lutz
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container_issue 1
container_start_page 13
container_title Helicobacter (Cambridge, Mass.)
container_volume 18
creator Yang, Chin-An
Scheibenbogen, Carmen
Bauer, Sandra
Kleinle, Christoph
Wex, Thomas
Bornschein, Jan
Malfertheiner, Peter
Hellmig, Stephan
Schumann, Ralf R.
Hamann, Lutz
description Background Helicobacter pylori infects approximately 50% of the world population. Among the infected individuals, only 10–20% develop peptic ulcers and
doi_str_mv 10.1111/hel.12001
format Article
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Among the infected individuals, only 10–20% develop peptic ulcers and &lt;3% progress to gastric cancer (GC). Th1‐predominant immune responses have been suggested to underlie H. pylori‐induced gastric diseases. However, the reason for a strong inter‐individual variation of susceptibility and course of the disease is currently far from being understood. It has been shown that H. pylori stimulates the host's Toll‐like receptor (TLR) 2/1 complex. Furthermore, the single nucleotide polymorphism (SNP) I602S of TLR1 alters the inflammatory cytokine response of monocytes. Therefore, we hypothesized an association of this TLR1 SNP with H. pylori‐mediated gastric pathologies. Materials and Methods Subjects with different TLR1 genotypes were analyzed for their IFN‐γ response of NK‐ and T‐cells. We further genotyped 548 patients with gastric diseases for this SNP and compared patients with gastritis with those having ulcer, and patients with high‐risk gastritis versus patients with GC. Results Homozygous 602S allele carriers exhibited impaired in vitro IFN‐γ responses to the TLR2/1 agonist Pam3CSK4. The TLR1 I602S SNP is significantly associated with GC (p = .002) and gastric ulcer (p = .051). Odds ratios showed significantly reduced risk regarding GC and peptic ulcer for the homozygous mutated genotype. The odds ratios were 0.4 (95% CI, 0.22–0.72) and 0.588 (95% CI, 0.35–1.00), respectively. Conclusion In conclusion, our results suggest that the nonfunctional TLR1 602S/S genotype is associated with a reduced risk of H. pylori‐induced gastric diseases, probably via diminished Th1 responses.</description><identifier>ISSN: 1083-4389</identifier><identifier>EISSN: 1523-5378</identifier><identifier>DOI: 10.1111/hel.12001</identifier><identifier>PMID: 23067142</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cytokines ; Female ; gamma -Interferon ; Gastric cancer ; Gastritis ; Gene polymorphism ; genetic susceptibility ; Genotype ; Guanylate cyclase ; Helicobacter Infections - immunology ; Helicobacter Infections - pathology ; Helicobacter pylori ; Helicobacter pylori - pathogenicity ; Helper cells ; Humans ; Immune response ; Inflammation ; Interferon-gamma - secretion ; Killer Cells, Natural - immunology ; Lymphocytes T ; Male ; Middle Aged ; Monocytes ; peptic ulcer ; peptic ulcers ; Polymorphism, Single Nucleotide ; Risk factors ; Risk groups ; Single-nucleotide polymorphism ; Stomach Diseases - immunology ; Stomach Diseases - pathology ; T-Lymphocytes - immunology ; TLR1 protein ; TLR2 protein ; Toll-Like Receptor 1 - genetics ; Toll-Like Receptor 1 - immunology ; Toll-like receptors ; Ulcers</subject><ispartof>Helicobacter (Cambridge, Mass.), 2013-02, Vol.18 (1), p.13-21</ispartof><rights>2012 Blackwell Publishing Ltd</rights><rights>2012 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3961-50cb5566ac089f52fbc9f9f980f066a9956ff985fff05d61dc36e6878c164ae73</citedby><cites>FETCH-LOGICAL-c3961-50cb5566ac089f52fbc9f9f980f066a9956ff985fff05d61dc36e6878c164ae73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fhel.12001$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhel.12001$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27911,27912,45561,45562</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23067142$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Chin-An</creatorcontrib><creatorcontrib>Scheibenbogen, Carmen</creatorcontrib><creatorcontrib>Bauer, Sandra</creatorcontrib><creatorcontrib>Kleinle, Christoph</creatorcontrib><creatorcontrib>Wex, Thomas</creatorcontrib><creatorcontrib>Bornschein, Jan</creatorcontrib><creatorcontrib>Malfertheiner, Peter</creatorcontrib><creatorcontrib>Hellmig, Stephan</creatorcontrib><creatorcontrib>Schumann, Ralf R.</creatorcontrib><creatorcontrib>Hamann, Lutz</creatorcontrib><title>A Frequent Toll-Like Receptor 1 Gene Polymorphism Affects NK- and T-cell IFN-γ Production and is Associated with Helicobacter pylori-induced Gastric Disease</title><title>Helicobacter (Cambridge, Mass.)</title><addtitle>Helicobacter</addtitle><description>Background Helicobacter pylori infects approximately 50% of the world population. Among the infected individuals, only 10–20% develop peptic ulcers and &lt;3% progress to gastric cancer (GC). Th1‐predominant immune responses have been suggested to underlie H. pylori‐induced gastric diseases. However, the reason for a strong inter‐individual variation of susceptibility and course of the disease is currently far from being understood. It has been shown that H. pylori stimulates the host's Toll‐like receptor (TLR) 2/1 complex. Furthermore, the single nucleotide polymorphism (SNP) I602S of TLR1 alters the inflammatory cytokine response of monocytes. Therefore, we hypothesized an association of this TLR1 SNP with H. pylori‐mediated gastric pathologies. Materials and Methods Subjects with different TLR1 genotypes were analyzed for their IFN‐γ response of NK‐ and T‐cells. We further genotyped 548 patients with gastric diseases for this SNP and compared patients with gastritis with those having ulcer, and patients with high‐risk gastritis versus patients with GC. Results Homozygous 602S allele carriers exhibited impaired in vitro IFN‐γ responses to the TLR2/1 agonist Pam3CSK4. The TLR1 I602S SNP is significantly associated with GC (p = .002) and gastric ulcer (p = .051). Odds ratios showed significantly reduced risk regarding GC and peptic ulcer for the homozygous mutated genotype. The odds ratios were 0.4 (95% CI, 0.22–0.72) and 0.588 (95% CI, 0.35–1.00), respectively. Conclusion In conclusion, our results suggest that the nonfunctional TLR1 602S/S genotype is associated with a reduced risk of H. pylori‐induced gastric diseases, probably via diminished Th1 responses.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cytokines</subject><subject>Female</subject><subject>gamma -Interferon</subject><subject>Gastric cancer</subject><subject>Gastritis</subject><subject>Gene polymorphism</subject><subject>genetic susceptibility</subject><subject>Genotype</subject><subject>Guanylate cyclase</subject><subject>Helicobacter Infections - immunology</subject><subject>Helicobacter Infections - pathology</subject><subject>Helicobacter pylori</subject><subject>Helicobacter pylori - pathogenicity</subject><subject>Helper cells</subject><subject>Humans</subject><subject>Immune response</subject><subject>Inflammation</subject><subject>Interferon-gamma - secretion</subject><subject>Killer Cells, Natural - immunology</subject><subject>Lymphocytes T</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monocytes</subject><subject>peptic ulcer</subject><subject>peptic ulcers</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Risk factors</subject><subject>Risk groups</subject><subject>Single-nucleotide polymorphism</subject><subject>Stomach Diseases - immunology</subject><subject>Stomach Diseases - pathology</subject><subject>T-Lymphocytes - immunology</subject><subject>TLR1 protein</subject><subject>TLR2 protein</subject><subject>Toll-Like Receptor 1 - genetics</subject><subject>Toll-Like Receptor 1 - immunology</subject><subject>Toll-like receptors</subject><subject>Ulcers</subject><issn>1083-4389</issn><issn>1523-5378</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1uGyEUhUdVq-anXfQFKpbtggQGw8wsHTe2o1huVLnJEmHmItMwwxSwUj9MnqLv0WcqiZPsKhUWXOA7R7r3FMUHSk5oXqcbcCe0JIS-Kg4pLxnmrKpf55rUDI9Y3RwURzH-IIRwNmreFgclI6Kio_KwuB-jaYCfW-gTWnnn8MLeAvoGGobkA6JoBj2gK-92nQ_DxsYOjY0BnSJaXmKk-hatsAbn0MV0if_8RlfBt1udrO8fP21E4xi9tipBi-5s2qA5OKv9WukEAQ0754PFts-iDMxUTMFq9MVGUBHeFW-MchHeP53Hxffp-Woyx4uvs4vJeIE1awTFnOg150IoTerG8NKsdWPyrokh-bVpuDD5xo0xhLeCtpoJEHVVaypGCip2XHza-w7B51nEJDsbH7pSPfhtlLSsOWnqpir_A60YJ6QuRUY_71EdfIwBjByC7VTYSUrkQ3AyBycfg8vsxyfb7bqD9oV8TioDp3vgzjrY_dtJzs8Xz5Z4r7Axwa8XhQq3UlSs4vJmOZNn19c37PKMyQn7CyvpsZQ</recordid><startdate>201302</startdate><enddate>201302</enddate><creator>Yang, Chin-An</creator><creator>Scheibenbogen, Carmen</creator><creator>Bauer, Sandra</creator><creator>Kleinle, Christoph</creator><creator>Wex, Thomas</creator><creator>Bornschein, Jan</creator><creator>Malfertheiner, Peter</creator><creator>Hellmig, Stephan</creator><creator>Schumann, Ralf R.</creator><creator>Hamann, Lutz</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>201302</creationdate><title>A Frequent Toll-Like Receptor 1 Gene Polymorphism Affects NK- and T-cell IFN-γ Production and is Associated with Helicobacter pylori-induced Gastric Disease</title><author>Yang, Chin-An ; Scheibenbogen, Carmen ; Bauer, Sandra ; Kleinle, Christoph ; Wex, Thomas ; Bornschein, Jan ; Malfertheiner, Peter ; Hellmig, Stephan ; Schumann, Ralf R. ; Hamann, Lutz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3961-50cb5566ac089f52fbc9f9f980f066a9956ff985fff05d61dc36e6878c164ae73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cytokines</topic><topic>Female</topic><topic>gamma -Interferon</topic><topic>Gastric cancer</topic><topic>Gastritis</topic><topic>Gene polymorphism</topic><topic>genetic susceptibility</topic><topic>Genotype</topic><topic>Guanylate cyclase</topic><topic>Helicobacter Infections - immunology</topic><topic>Helicobacter Infections - pathology</topic><topic>Helicobacter pylori</topic><topic>Helicobacter pylori - pathogenicity</topic><topic>Helper cells</topic><topic>Humans</topic><topic>Immune response</topic><topic>Inflammation</topic><topic>Interferon-gamma - secretion</topic><topic>Killer Cells, Natural - immunology</topic><topic>Lymphocytes T</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monocytes</topic><topic>peptic ulcer</topic><topic>peptic ulcers</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Risk factors</topic><topic>Risk groups</topic><topic>Single-nucleotide polymorphism</topic><topic>Stomach Diseases - immunology</topic><topic>Stomach Diseases - pathology</topic><topic>T-Lymphocytes - immunology</topic><topic>TLR1 protein</topic><topic>TLR2 protein</topic><topic>Toll-Like Receptor 1 - genetics</topic><topic>Toll-Like Receptor 1 - immunology</topic><topic>Toll-like receptors</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Chin-An</creatorcontrib><creatorcontrib>Scheibenbogen, Carmen</creatorcontrib><creatorcontrib>Bauer, Sandra</creatorcontrib><creatorcontrib>Kleinle, Christoph</creatorcontrib><creatorcontrib>Wex, Thomas</creatorcontrib><creatorcontrib>Bornschein, Jan</creatorcontrib><creatorcontrib>Malfertheiner, Peter</creatorcontrib><creatorcontrib>Hellmig, Stephan</creatorcontrib><creatorcontrib>Schumann, Ralf R.</creatorcontrib><creatorcontrib>Hamann, Lutz</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Helicobacter (Cambridge, Mass.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Chin-An</au><au>Scheibenbogen, Carmen</au><au>Bauer, Sandra</au><au>Kleinle, Christoph</au><au>Wex, Thomas</au><au>Bornschein, Jan</au><au>Malfertheiner, Peter</au><au>Hellmig, Stephan</au><au>Schumann, Ralf R.</au><au>Hamann, Lutz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Frequent Toll-Like Receptor 1 Gene Polymorphism Affects NK- and T-cell IFN-γ Production and is Associated with Helicobacter pylori-induced Gastric Disease</atitle><jtitle>Helicobacter (Cambridge, Mass.)</jtitle><addtitle>Helicobacter</addtitle><date>2013-02</date><risdate>2013</risdate><volume>18</volume><issue>1</issue><spage>13</spage><epage>21</epage><pages>13-21</pages><issn>1083-4389</issn><eissn>1523-5378</eissn><abstract>Background Helicobacter pylori infects approximately 50% of the world population. Among the infected individuals, only 10–20% develop peptic ulcers and &lt;3% progress to gastric cancer (GC). Th1‐predominant immune responses have been suggested to underlie H. pylori‐induced gastric diseases. However, the reason for a strong inter‐individual variation of susceptibility and course of the disease is currently far from being understood. It has been shown that H. pylori stimulates the host's Toll‐like receptor (TLR) 2/1 complex. Furthermore, the single nucleotide polymorphism (SNP) I602S of TLR1 alters the inflammatory cytokine response of monocytes. Therefore, we hypothesized an association of this TLR1 SNP with H. pylori‐mediated gastric pathologies. Materials and Methods Subjects with different TLR1 genotypes were analyzed for their IFN‐γ response of NK‐ and T‐cells. We further genotyped 548 patients with gastric diseases for this SNP and compared patients with gastritis with those having ulcer, and patients with high‐risk gastritis versus patients with GC. Results Homozygous 602S allele carriers exhibited impaired in vitro IFN‐γ responses to the TLR2/1 agonist Pam3CSK4. The TLR1 I602S SNP is significantly associated with GC (p = .002) and gastric ulcer (p = .051). Odds ratios showed significantly reduced risk regarding GC and peptic ulcer for the homozygous mutated genotype. The odds ratios were 0.4 (95% CI, 0.22–0.72) and 0.588 (95% CI, 0.35–1.00), respectively. Conclusion In conclusion, our results suggest that the nonfunctional TLR1 602S/S genotype is associated with a reduced risk of H. pylori‐induced gastric diseases, probably via diminished Th1 responses.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23067142</pmid><doi>10.1111/hel.12001</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Aged, 80 and over
Cytokines
Female
gamma -Interferon
Gastric cancer
Gastritis
Gene polymorphism
genetic susceptibility
Genotype
Guanylate cyclase
Helicobacter Infections - immunology
Helicobacter Infections - pathology
Helicobacter pylori
Helicobacter pylori - pathogenicity
Helper cells
Humans
Immune response
Inflammation
Interferon-gamma - secretion
Killer Cells, Natural - immunology
Lymphocytes T
Male
Middle Aged
Monocytes
peptic ulcer
peptic ulcers
Polymorphism, Single Nucleotide
Risk factors
Risk groups
Single-nucleotide polymorphism
Stomach Diseases - immunology
Stomach Diseases - pathology
T-Lymphocytes - immunology
TLR1 protein
TLR2 protein
Toll-Like Receptor 1 - genetics
Toll-Like Receptor 1 - immunology
Toll-like receptors
Ulcers
title A Frequent Toll-Like Receptor 1 Gene Polymorphism Affects NK- and T-cell IFN-γ Production and is Associated with Helicobacter pylori-induced Gastric Disease
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