IL1RN VNTR and IL2-330 polymorphic genes are independently associated with chronic immune thrombocytopenia

Chronic Immune Thrombocytopenia (cITP) is an acquired immune-mediated disease associated with a T-helper cell type 1 (Th1) immune polarization, whose genetic risk factors, however, are largely unknown. We investigated polymorphisms in promoter regions of genes that code molecules involved in proinfl...

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Veröffentlicht in:British journal of haematology 2010-09, Vol.150 (6), p.679-684
Hauptverfasser: CAMARGOS ROCHA, Andreia Maria, DE SOUZA, Cláudia, AGUIAR ROCHA, Gifone, FREIRE DE MELO, Fabricio, BORGES SARAIVA, Isadora Sofia, DIOGO CLEMENTINO, Nelma Cristina, ABREU MARINO, Marília Campos, MAGALHAES QUEIROZ, Dulciene Maria
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container_title British journal of haematology
container_volume 150
creator CAMARGOS ROCHA, Andreia Maria
DE SOUZA, Cláudia
AGUIAR ROCHA, Gifone
FREIRE DE MELO, Fabricio
BORGES SARAIVA, Isadora Sofia
DIOGO CLEMENTINO, Nelma Cristina
ABREU MARINO, Marília Campos
MAGALHAES QUEIROZ, Dulciene Maria
description Chronic Immune Thrombocytopenia (cITP) is an acquired immune-mediated disease associated with a T-helper cell type 1 (Th1) immune polarization, whose genetic risk factors, however, are largely unknown. We investigated polymorphisms in promoter regions of genes that code molecules involved in proinflammatory immune response [IL1B-31T/C, IL1RN variable number tandem repeats (VNTR), IL2-330T/G, and TNF-307G/A] as well as in genes that code Toll like receptors (TLR) (TLR2 Arg753Gln, TLR4 Asp299Gly and TLR5 Arg(392stop)) in 122 patients with cITP and 541 blood donors. The frequencies of the IL1RN polymorphic allele 2 (P = 0·001) and of the IL2-330 polymorphic allele G (P =0·004) were significantly higher in cITP patients than in blood donors. In logistic analysis adjusting for age and gender, the polymorphisms remained independently associated with cITP. Enhanced serum concentrations of interleukin (IL)-1α and IL-1β were observed in cITP (P < 10(-3) ) and blood donor (P = 0·04) carriers of the IL1RN*2. Also, the serum levels of IL-2 and γ-interferon (IFN-γ) were increased in cITP patients (P < 10(-3) and P = 0·04 respectively) and blood donors (P < 10(-3) and P = 0·03 respectively) harbouring the IL2-330G allele. Here we demonstrated that IL2-330G and IL1RN*2 are independently associated with cITP and are functional in vivo, which strongly suggests that they contribute to the pathogenesis of cITP.
doi_str_mv 10.1111/j.1365-2141.2010.08318.x
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We investigated polymorphisms in promoter regions of genes that code molecules involved in proinflammatory immune response [IL1B-31T/C, IL1RN variable number tandem repeats (VNTR), IL2-330T/G, and TNF-307G/A] as well as in genes that code Toll like receptors (TLR) (TLR2 Arg753Gln, TLR4 Asp299Gly and TLR5 Arg(392stop)) in 122 patients with cITP and 541 blood donors. The frequencies of the IL1RN polymorphic allele 2 (P = 0·001) and of the IL2-330 polymorphic allele G (P =0·004) were significantly higher in cITP patients than in blood donors. In logistic analysis adjusting for age and gender, the polymorphisms remained independently associated with cITP. Enhanced serum concentrations of interleukin (IL)-1α and IL-1β were observed in cITP (P &lt; 10(-3) ) and blood donor (P = 0·04) carriers of the IL1RN*2. Also, the serum levels of IL-2 and γ-interferon (IFN-γ) were increased in cITP patients (P &lt; 10(-3) and P = 0·04 respectively) and blood donors (P &lt; 10(-3) and P = 0·03 respectively) harbouring the IL2-330G allele. 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We investigated polymorphisms in promoter regions of genes that code molecules involved in proinflammatory immune response [IL1B-31T/C, IL1RN variable number tandem repeats (VNTR), IL2-330T/G, and TNF-307G/A] as well as in genes that code Toll like receptors (TLR) (TLR2 Arg753Gln, TLR4 Asp299Gly and TLR5 Arg(392stop)) in 122 patients with cITP and 541 blood donors. The frequencies of the IL1RN polymorphic allele 2 (P = 0·001) and of the IL2-330 polymorphic allele G (P =0·004) were significantly higher in cITP patients than in blood donors. In logistic analysis adjusting for age and gender, the polymorphisms remained independently associated with cITP. Enhanced serum concentrations of interleukin (IL)-1α and IL-1β were observed in cITP (P &lt; 10(-3) ) and blood donor (P = 0·04) carriers of the IL1RN*2. Also, the serum levels of IL-2 and γ-interferon (IFN-γ) were increased in cITP patients (P &lt; 10(-3) and P = 0·04 respectively) and blood donors (P &lt; 10(-3) and P = 0·03 respectively) harbouring the IL2-330G allele. 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We investigated polymorphisms in promoter regions of genes that code molecules involved in proinflammatory immune response [IL1B-31T/C, IL1RN variable number tandem repeats (VNTR), IL2-330T/G, and TNF-307G/A] as well as in genes that code Toll like receptors (TLR) (TLR2 Arg753Gln, TLR4 Asp299Gly and TLR5 Arg(392stop)) in 122 patients with cITP and 541 blood donors. The frequencies of the IL1RN polymorphic allele 2 (P = 0·001) and of the IL2-330 polymorphic allele G (P =0·004) were significantly higher in cITP patients than in blood donors. In logistic analysis adjusting for age and gender, the polymorphisms remained independently associated with cITP. Enhanced serum concentrations of interleukin (IL)-1α and IL-1β were observed in cITP (P &lt; 10(-3) ) and blood donor (P = 0·04) carriers of the IL1RN*2. Also, the serum levels of IL-2 and γ-interferon (IFN-γ) were increased in cITP patients (P &lt; 10(-3) and P = 0·04 respectively) and blood donors (P &lt; 10(-3) and P = 0·03 respectively) harbouring the IL2-330G allele. Here we demonstrated that IL2-330G and IL1RN*2 are independently associated with cITP and are functional in vivo, which strongly suggests that they contribute to the pathogenesis of cITP.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>20626741</pmid><doi>10.1111/j.1365-2141.2010.08318.x</doi><tpages>6</tpages></addata></record>
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source Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Adult
Age
Aged
Aged, 80 and over
Biological and medical sciences
Blood donors
Chronic Disease
Cytokines - blood
Female
g-Interferon
gamma -Interferon
Gene Frequency
Gene polymorphism
Genetic Predisposition to Disease
Helper cells
Hematologic and hematopoietic diseases
Humans
Immune response
Inflammation
Interleukin 1
Interleukin 1 Receptor Antagonist Protein - genetics
Interleukin 2
Interleukin-2 - genetics
Lymphocytes T
Male
Medical sciences
Middle Aged
Minisatellite Repeats
Platelet diseases and coagulopathies
Polarization
Polymorphism, Genetic
Promoters
Prospective Studies
Purpura, Thrombocytopenic, Idiopathic - genetics
Purpura, Thrombocytopenic, Idiopathic - immunology
Risk factors
Serum levels
Thrombocytopenia
TLR2 protein
TLR4 protein
TLR5 protein
Toll-like receptors
Young Adult
title IL1RN VNTR and IL2-330 polymorphic genes are independently associated with chronic immune thrombocytopenia
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