4.4 Article

Significance of IL-1RA Polymorphism in Iranian Patients with Inflammatory Bowel Disease

Journal

DIGESTIVE DISEASES AND SCIENCES
Volume 60, Issue 5, Pages 1389-1395

Publisher

SPRINGER
DOI: 10.1007/s10620-014-3457-z

Keywords

Interleukin-1 alpha; Interleukin-1 beta; Single nucleotide polymorphism; Inflammatory bowel diseases; Crohn's disease; Ulcerative colitis

Funding

  1. Tehran University of Medical Sciences [18104]

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Background and Aim Interleukin (IL)-1 family members play an important role in the pathogenesis of inflammatory bowel disease (IBD). There are conflicting results regarding the association of IL-1 gene cluster single nucleotide polymorphisms (SNPs) with IBD and its clinical features. The aim of this study was to examine IL-1 alpha -889 C/T, IL-1 beta -511 C/T, IL-1 beta +3962 C/T, IL-1R Pst-I1970 C/T, and IL-1RA Mspa-I11100 C/T SNPs in Iranian patients. Methods In this study, SNPs of IL-1 family members were investigated in 75 patients with IBD (40 CD and 35 UC), using polymerase chain reaction with sequence-specific primers method. Results IL-1 beta -511 CC genotype was significantly less present in UC compared to controls, while IL-1RA Mspa-I11100 CC was significantly associated with both Crohn's disease (CD) and ulcerative colitis (UC). IL-1 alpha -889 TT genotype was more frequently associated with extraintestinal manifestations. A significant association was observed between IL-1 beta +3962 TT genotype and the disease activity in IBD. IL-1RA Mspa-I11100 CC was significantly less frequent in CD patients who need immunosuppressive therapy. IL-1RA Mspa-I11100 CT was associated with earlier age of onset in IBD, while TT genotype was associated with higher age of onset in IBD. Conclusions IL-1 SNPs seem to be associated with IBD and could affect the disease severity as well.

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