Association of MICA and NKG2D genetic variants with disease susceptibility and outcome of anti-TNF therapy in patients with axial spondyloarthritis

The disruption of the NKG2D-MICA axis can induce an enhanced immune response and promote autoimmune processes during axial spondyloarthritis (axSpA) pathogenesis. We aimed to investigate potential relationships between selected single nucleotide polymorphisms within the MICA and NKG2D genes and dise...

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Veröffentlicht in:Clinical and experimental rheumatology 2024-07, Vol.42 (7), p.1359
Hauptverfasser: Wielińska, Joanna, Bugaj, Bartosz, Świerkot, Jerzy, Kolossa, Katarzyna, Iwaszko, Milena, Jeka, Sławomir, Bogunia-Kubik, Katarzyna
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container_issue 7
container_start_page 1359
container_title Clinical and experimental rheumatology
container_volume 42
creator Wielińska, Joanna
Bugaj, Bartosz
Świerkot, Jerzy
Kolossa, Katarzyna
Iwaszko, Milena
Jeka, Sławomir
Bogunia-Kubik, Katarzyna
description The disruption of the NKG2D-MICA axis can induce an enhanced immune response and promote autoimmune processes during axial spondyloarthritis (axSpA) pathogenesis. We aimed to investigate potential relationships between selected single nucleotide polymorphisms within the MICA and NKG2D genes and disease susceptibility and clinical parameters in axSpA patients treated with TNF inhibitors. Genotyping of MICA rs1051792 and NKG2D rs1154831, rs1049174, and rs2255336 was performed in 163 axSpA patients and 234 healthy controls using a real-time PCR method. MICA rs1051792 A allele was more common in patients than in controls (p
doi_str_mv 10.55563/clinexprheumatol/l5346i
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We aimed to investigate potential relationships between selected single nucleotide polymorphisms within the MICA and NKG2D genes and disease susceptibility and clinical parameters in axSpA patients treated with TNF inhibitors. Genotyping of MICA rs1051792 and NKG2D rs1154831, rs1049174, and rs2255336 was performed in 163 axSpA patients and 234 healthy controls using a real-time PCR method. MICA rs1051792 A allele was more common in patients than in controls (p&lt;0.0001). Patients with the AA genotype showed greater disease activity score (BASDAI) after three (p=4×10-4) and six (p=0.032) months of treatment compared to G carriers. After three months of therapy with anti-TNFs, the MICA AA homozygosity occurred more often in non-responsive or moderately responsive patients than good responders with the same genotype (p=1×10-4). Additionally, patients bearing the NKG2D rs1154831 CC genotype demonstrated lower BASDAI scores (p=0.035) and were significantly more common among subjects with a good outcome (p=0.004) after six months of treatment. 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Additionally, patients bearing the NKG2D rs1154831 CC genotype demonstrated lower BASDAI scores (p=0.035) and were significantly more common among subjects with a good outcome (p=0.004) after six months of treatment. 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inhibitors</topic><topic>Tumor Necrosis Factor-alpha - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wielińska, Joanna</creatorcontrib><creatorcontrib>Bugaj, Bartosz</creatorcontrib><creatorcontrib>Świerkot, Jerzy</creatorcontrib><creatorcontrib>Kolossa, Katarzyna</creatorcontrib><creatorcontrib>Iwaszko, Milena</creatorcontrib><creatorcontrib>Jeka, Sławomir</creatorcontrib><creatorcontrib>Bogunia-Kubik, Katarzyna</creatorcontrib><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><jtitle>Clinical and experimental rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wielińska, Joanna</au><au>Bugaj, Bartosz</au><au>Świerkot, Jerzy</au><au>Kolossa, Katarzyna</au><au>Iwaszko, Milena</au><au>Jeka, Sławomir</au><au>Bogunia-Kubik, Katarzyna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of MICA and NKG2D genetic variants with disease susceptibility and outcome of anti-TNF therapy in patients with axial spondyloarthritis</atitle><jtitle>Clinical and experimental rheumatology</jtitle><addtitle>Clin Exp Rheumatol</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>42</volume><issue>7</issue><spage>1359</spage><pages>1359-</pages><issn>0392-856X</issn><issn>1593-098X</issn><eissn>1593-098X</eissn><abstract>The disruption of the NKG2D-MICA axis can induce an enhanced immune response and promote autoimmune processes during axial spondyloarthritis (axSpA) pathogenesis. 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Additionally, patients bearing the NKG2D rs1154831 CC genotype demonstrated lower BASDAI scores (p=0.035) and were significantly more common among subjects with a good outcome (p=0.004) after six months of treatment. These results suggest that MICA and NKG2D gene polymorphisms may be biomarkers associated with disease susceptibility and clinical outcomes after anti-TNF therapy in axSpA patients and imply a rather less favourable effect of the MICA A and NKG2D G genetic variants.</abstract><cop>Italy</cop><pmid>38372728</pmid><doi>10.55563/clinexprheumatol/l5346i</doi></addata></record>
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source MEDLINE; Alma/SFX Local Collection
subjects Adult
Axial Spondyloarthritis - drug therapy
Axial Spondyloarthritis - genetics
Case-Control Studies
Female
Gene Frequency
Genetic Association Studies
Genetic Predisposition to Disease
Histocompatibility Antigens Class I - genetics
Humans
Male
Middle Aged
NK Cell Lectin-Like Receptor Subfamily K - genetics
Pharmacogenomic Variants
Phenotype
Polymorphism, Single Nucleotide
Treatment Outcome
Tumor Necrosis Factor Inhibitors - therapeutic use
Tumor Necrosis Factor-alpha - antagonists & inhibitors
Tumor Necrosis Factor-alpha - genetics
title Association of MICA and NKG2D genetic variants with disease susceptibility and outcome of anti-TNF therapy in patients with axial spondyloarthritis
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