Influence of IL-1 gene cluster polymorphisms on the development of H. pylori associated gastric ulcer

Chronic H. pylori infection is the main cause of ulcer disease which depicts a major burden of our healthy care systems. The individual host immune response plays a pivotal role in the outcome of the infection but genetic susceptibility to develop gastric ulcer is unknown. IL-1β and its natural rece...

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Veröffentlicht in:Immunology Letters 2005-09, Vol.100 (2), p.107-112
Hauptverfasser: Hellmig, Stephan, Titz, Andrea, Steinel, Stefanie, Ott, Stephan, Fölsch, Ulrich Robert, Hampe, Jochen, Schreiber, Stefan
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container_end_page 112
container_issue 2
container_start_page 107
container_title Immunology Letters
container_volume 100
creator Hellmig, Stephan
Titz, Andrea
Steinel, Stefanie
Ott, Stephan
Fölsch, Ulrich Robert
Hampe, Jochen
Schreiber, Stefan
description Chronic H. pylori infection is the main cause of ulcer disease which depicts a major burden of our healthy care systems. The individual host immune response plays a pivotal role in the outcome of the infection but genetic susceptibility to develop gastric ulcer is unknown. IL-1β and its natural receptor antagonist IL-1ra are involved in the inflammatory response to H. pylori infection. Thus, we investigated the influence of functional genetic variants in the IL-1 gene cluster on the development of gastric ulcer disease. 390 H. pylori infected patients were genotyped for IL-1B −31 and +3954 by TaqMan technology. Alleles of IL-1RN 86VNTR were determined by gel electrophoresis after amplification. Three hundred and sixty healthy blood donors were included as healthy controls. Carriage of the IL-1B −31 C allele conferred a increased but not significant risk for H. pylori infection (OR: 1.3, Wald 95% CI: 0.8 < OR < 2.1). Patients carrying short allele 2 of IL-1RN had a 1.6-fold significantly increased risk for the development of gastric ulcer (Pearson's = 4.0, p = 0.044, OR: 1.6, Wald 95% CI: 1.0 < OR < 2.4). Our results underline the crucial role of the host immune response to H. pylori infection and confirm the importance of polymorphisms in the IL-1 cluster as a factor to give rise to different clinical outcomes. Further studies are needed to fully understand the pathophysiological effect of polymorphisms in the IL-1 cluster in H. pylori associated ulcer disease and susceptibility to infection itself.
doi_str_mv 10.1016/j.imlet.2005.04.001
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The individual host immune response plays a pivotal role in the outcome of the infection but genetic susceptibility to develop gastric ulcer is unknown. IL-1β and its natural receptor antagonist IL-1ra are involved in the inflammatory response to H. pylori infection. Thus, we investigated the influence of functional genetic variants in the IL-1 gene cluster on the development of gastric ulcer disease. 390 H. pylori infected patients were genotyped for IL-1B −31 and +3954 by TaqMan technology. Alleles of IL-1RN 86VNTR were determined by gel electrophoresis after amplification. Three hundred and sixty healthy blood donors were included as healthy controls. Carriage of the IL-1B −31 C allele conferred a increased but not significant risk for H. pylori infection (OR: 1.3, Wald 95% CI: 0.8 &lt; OR &lt; 2.1). 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Patients carrying short allele 2 of IL-1RN had a 1.6-fold significantly increased risk for the development of gastric ulcer (Pearson's = 4.0, p = 0.044, OR: 1.6, Wald 95% CI: 1.0 &lt; OR &lt; 2.4). Our results underline the crucial role of the host immune response to H. pylori infection and confirm the importance of polymorphisms in the IL-1 cluster as a factor to give rise to different clinical outcomes. 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subjects Adult
Aged
Aged, 80 and over
Female
Gastric ulcer
Gene Frequency
Genetic Predisposition to Disease
Genotype
H. pylori
Helicobacter Infections - genetics
Helicobacter Infections - immunology
Helicobacter pylori
Humans
IL-1 gene cluster
Interleukin-1 - genetics
Male
Middle Aged
Multigene Family
Polymorphism, Genetic
Stomach Ulcer - genetics
Stomach Ulcer - immunology
title Influence of IL-1 gene cluster polymorphisms on the development of H. pylori associated gastric ulcer
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