Copy number variants and genetic polymorphisms in TBX21, GATA3, Rorc, Foxp3 and susceptibility to Behcet's disease and Vogt-Koyanagi-Harada syndrome

Dan Liao, Shengping Hou, Jun Zhang, Jing Fang, Yunjia Liu, Lin Bai, Qingfeng Cao, Aize Kijlstra, Peizeng Yang, Dan Liao, Shengping Hou, Jun Zhang, Jing Fang, Yunjia Liu, Lin Bai, Qingfeng Cao, Aize Kijlstra, Peizeng Yang

Abstract

This study aimed to investigate the role of genetic variants including single nucleotide polymorphisms (SNPs) and copy number variants (CNVs) of TBX21, GATA3, Rorc and Foxp3 genes in Behcet's disease (BD) and Vogt-Koyanagi-Harada (VKH) syndrome in a Chinese Han population. Genotyping of 25 SNPs was performed by iPLEX system (Sequenom) or polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). TaqMan real time PCR was used to assess CNVs. The expression of Rorc and Foxp3 were examined by real-time PCR and cytokine production was measured by ELISA. High Rorc CNV was associated with the susceptibility to BD (P = 8.99 × 10(-8), OR = 3.0), and low Foxp3 CNV predisposed to BD in female patients (P = 1.92 × 10(-5), OR = 3.1). CNVs for the investigated genes were not altered in VKH syndrome. Further functional studies demonstrated that the relative mRNA expression levels of Rorc were increased in individuals with high Rorc copy number, but not for Foxp3. Increased production of IL-1β and IL-6 was found in individuals carrying a high CNV of Rorc. Our study showed that high CNVs of Rorc and low CNVs of Foxp3 confer risk for BD but not for VKH syndrome. The tested 25 SNPs in TBX21, GATA3, Rorc and Foxp3 did not associate with BD and VKH syndrome.

Figures

Figure 1. The Influence of CNVs in…
Figure 1. The Influence of CNVs in Rorc/Foxp3 on the mRNA Levels.
(a) The mRNA expression of Rorc in PBMCs from controls carrying different copies of gene (Rorc ≤ PMN: n = 26, Rorc > PMN: n = 9). (b) The mRNA expression of Foxp3 in PBMCs from controls carrying different copies of gene (Foxp3 ≤ PMN: n = 30, Foxp3 > PMN: n = 19). Significance was examined using SPSS's two independent samples Nonparametric test. PMN represents the population specific median copy number.
Figure 2. The Influence of CNVs in…
Figure 2. The Influence of CNVs in Rorc on Cytokine Production.
The production of IL-1β(a), IL-6 (b), IL-17(c) and TNF-α(d) by stimulated PBMCs from healthy controls carrying different copy number of Rorc (Rorc ≤ 2: n = 88, Rorc > 2: n = 4). Significance was examined using SPSS's two independent samples Nonparametric test.

References

    1. Gritz D. C. & Wong I. G. Incidence and prevalence of uveitis in Northern California; the Northern California Epidemiology of Uveitis Study. Ophthalmology. 111, 491–500; discussion 500 (2004).
    1. Suttorp-Schulten M. S. & Rothova A. The possible impact of uveitis in blindness: a literature survey. Br. J. Ophthalmol. 80, 844–848 (1996).
    1. Ohguro N., Sonoda K. H., Takeuchi M., Matsumura M. & Mochizuki M. The 2009 prospective multi-center epidemiologic survey of uveitis in Japan. Jpn. J. Ophthalmol. 56, 432–435 (2012).
    1. Yang P. et al. Clinical patterns and characteristics of uveitis in a tertiary center for uveitis in China. Curr. Eye. Res. 30, 943–948 (2005).
    1. Chi W. et al. Upregulated IL-23 and IL-17 in Behcet patients with active uveitis. Invest. Ophthalmol. Vis. Sci. 49, 3058–3064 (2008).
    1. Yang P. et al. Clinical characteristics of Vogt-Koyanagi-Harada syndrome in Chinese patients. Ophthalmology. 114, 606–614 (2007).
    1. Mizuki N. et al. Genome-wide association studies identify IL23R-IL12RB2 and IL10 as Behcet's disease susceptibility loci. Nat. Genet. 42, 703–706 (2010).
    1. Meguro A. et al. Genetics of Behcet disease inside and outside the MHC. Ann. Rheum. Dis. 69, 747–754 (2010).
    1. Hirahara K. et al. Mechanisms underlying helper T-cell plasticity: implications for immune-mediated disease. J. Allergy Clin. Immunol. 131, 1276–1287 (2013).
    1. Talaat R. M., Elmaghraby A. M., Barakat S. S. & El-Shahat M. Alterations in immune cell subsets and their cytokine secretion profile in childhood idiopathic thrombocytopenic purpura (ITP). Clin. Exp. Immunol. 176, 291–300 (2014).
    1. Melikoglu M., Kural-Seyahi E., Tascilar K. & Yazici H. The unique features of vasculitis in Behcet's syndrome. Clin. Rev. Allerg Immu. 35, 40–46 (2008).
    1. Mantas C., Direskeneli H., Eksioglu-Demiralp E. & Akoglu T. Serum levels of Th2 cytokines IL-4 and IL-10 in Behcet's disease. J. Rheumatol. 26, 510–512 (1999).
    1. Li B. et al. Upregulation of T-bet expression in peripheral blood mononuclear cells during Vogt-Koyanagi-Harada disease. Br. J. Ophthalmol. 89, 1410–1412 (2005).
    1. Kim J. et al. Imbalance of Th17 to Th1 cells in Behcet's disease. Clin. Exp. Rheumatol. 28, S16–19 (2010).
    1. Chi W. et al. IL-23 promotes CD4+ T cells to produce IL-17 in Vogt-Koyanagi-Harada disease. J. Allergy Clin. Immunol. 119, 1218–1224 (2007).
    1. Chen W. et al. Discrepant expression of cytokines in inflammation- and age-related cataract patients. PLoS One. 9, e109647 (2014).
    1. Chen L. et al. Diminished frequency and function of CD4+CD25 high regulatory T cells associated with active uveitis in Vogt-Koyanagi-Harada syndrome. Invest. Ophthalmol. Vis. Sci. 49, 3475–3482 (2008).
    1. Amadi-Obi A. et al. TH17 cells contribute to uveitis and scleritis and are expanded by IL-2 and inhibited by IL-27/STAT1. Nat. Med. 13, 711–718 (2007).
    1. Raziuddin S., al-Dalaan A., Bahabri S., Siraj A. K. & al-Sedairy S. Divergent cytokine production profile in Behcet's disease. Altered Th1/Th2 cell cytokine pattern. J. Rheumatol. 25, 329–333 (1998).
    1. Hamzaoui K., Borhani Haghighi A., Ghorbel I. B. & Houman H. RORC and Foxp3 axis in cerebrospinal fluid of patients with neuro-Behcet's disease. J. Neuroimmunol. 233, 249–253 (2011).
    1. Noorafshan A. & Ashkani-Esfahani S. A Review of Therapeutic Effects of Curcumin. Curr. Pharm. Design. 19, 2032–2046 (2013).
    1. Bassuny W. M. et al. A functional polymorphism in the promoter/enhancer region of the FOXP3/Scurfin gene associated with type 1 diabetes. Immunogenetics. 55, 149–156 (2003).
    1. Inoue N. et al. Association of functional polymorphisms related to the transcriptional level of FOXP3 with prognosis of autoimmune thyroid diseases. Clin. Exp. Immunol. 162, 402–406 (2010).
    1. Shen Z., Chen L., Hao F., Wang G. & Liu Y. Intron-1 rs3761548 is related to the defective transcription of Foxp3 in psoriasis through abrogating E47/c-Myb binding. J. Cell Mol. Med. 14, 226–241 (2010).
    1. Zheng J. et al. Heterozygous genetic variations of FOXP3 in Xp11.23 elevate breast cancer risk in Chinese population via skewed X-chromosome inactivation. Hum. Mutat. 34, 619–628 (2013).
    1. Yu B. et al. Copy number variations of Interleukin-12B and T-bet are associated with systemic lupus erythematosus. Rheumatology (Oxford) 50, 1201–1205 (2011).
    1. Sasaki Y. et al. Identification of a novel type 1 diabetes susceptibility gene, T-bet. Hum. Genet. 115, 177–184 (2004).
    1. Gourh P. et al. Polymorphisms in TBX21 and STAT4 increase the risk of systemic sclerosis: evidence of possible gene-gene interaction and alterations in Th1/Th2 cytokines. Arthritis Rheum. 60, 3794–3806 (2009).
    1. Morita M. et al. Functional polymorphisms in TBX21 and HLX are associated with development and prognosis of Graves' disease. Autoimmunity. 45, 129–136 (2012).
    1. Liang L. et al. IL-1beta triggered by peptidoglycan and lipopolysaccharide through TLR2/4 and ROS-NLRP3 inflammasome-dependent pathways is involved in ocular Behcet's disease. Invest. Ophthalmol. Vis. Sci. 54, 402–414 (2013).
    1. Gul A. et al. Interleukin-1beta-regulating antibody XOMA 052 (gevokizumab) in the treatment of acute exacerbations of resistant uveitis of Behcet's disease: an open-label pilot study. Ann. Rheum. Dis. 71, 563–566 (2012).
    1. Sugita S. et al. Inhibition of Th17 differentiation by anti-TNF-alpha therapy in uveitis patients with Behcet's disease. Arthritis Res. Ther. 14, R99 (2012).
    1. Akman-Demir G. et al. Interleukin-6 in neuro-Behcet's disease: association with disease subsets and long-term outcome. Cytokine. 44, 373–376 (2008).
    1. Hamzaoui K. Th17 cells in Behcet's disease: a new immunoregulatory axis. Clin. Exp. Rheumatol. 29, S71–76 (2011).
    1. Cheng Y. L. et al. Effect of Enterohemorrhagic Escherichia coli O157:H7-Specific Enterohemolysin on Interleukin-1beta Production Differs between Human and Mouse Macrophages due to the Different Sensitivity of NLRP3 Activation. Immunology. 10.1111/imm.12442.(2015).
    1. Martinez-Micaelo N., Gonzalez-Abuin N., Pinent M., Ardevol A. & Blay M. Procyanidin B inhibits inflammasome-mediated IL-1beta production in lipopolysaccharide-stimulated macrophages. Mol. Nutr. Food Res. 59, 262–269 (2015).
    1. Ahn J. K., Cha H. S., Lee J., Jeon C. H. & Koh E. M. Correlation of DEFA1 gene copy number variation with intestinal involvement in Behcet's disease. J. Korean Med. Sci. 27, 107–109 (2012).
    1. Hou S. et al. Copy number variations of complement component C4 are associated with Behcet's disease but not with ankylosing spondylitis associated with acute anterior uveitis. Arthritis Rheum. 65, 2963–2970 (2013).
    1. Hou S. et al. Genetic Variations of IL17F and IL23A Show Associations with Behcet's Disease and Vogt-Koyanagi-Harada Syndrome. Ophthalmology. 10.1016/j.ophtha.2014.09.025(2014).
    1. Evereklioglu C. Current concepts in the etiology and treatment of Behcet disease. Surv. Ophthalmol. 50, 297–350 (2005).
    1. Rao N. A. Mechanisms of inflammatory response in sympathetic ophthalmia and VKH syndrome. Eye (Lond) 11 (Pt 2), 213–216 (1997).
    1. Moorthy R. S., Inomata H. & Rao N. A. Vogt-Koyanagi-Harada syndrome. Surv. Ophthalmol. 39, 265–292 (1995).
    1. Bettelli E., Oukka M. & Kuchroo V. K. T(H)-17 cells in the circle of immunity and autoimmunity. Nat. Immunol. 8, 345–350 (2007).
    1. Sakaguchi S. et al. Foxp3+ CD25+ CD4+ natural regulatory T cells in dominant self-tolerance and autoimmune disease. Immunol. Rev. 212, 8–27 (2006).
    1. Littman D. R. & Rudensky A. Y. Th17 and regulatory T cells in mediating and restraining inflammation. Cell. 140, 845–858 (2010).
    1. Tesmer L. A., Lundy S. K., Sarkar S. & Fox D. A. Th17 cells in human disease. Immunol. Rev. 223, 87–113 (2008).
    1. Wilson N. J. et al. Development, cytokine profile and function of human interleukin 17-producing helper T cells. Nat. Immunol. 8, 950–957 (2007).
    1. Hamzaoui K. et al. Cytokine profile in Behcet's disease patients. Relationship with disease activity. Scand. J. Rheumatol. 31, 205–210 (2002).
    1. Frazer K. A., Murray S. S., Schork N. J. & Topol E. J. Human genetic variation and its contribution to complex traits. Nat. Rev. Genet. 10, 241–251 (2009).
    1. Hou S. et al. Genome-wide association analysis of Vogt-Koyanagi-Harada syndrome identifies two new susceptibility loci at 1p31.2 and 10q21.3. Nat. Genet. 46, 1007–1011 (2014).
    1. Hou S. et al. Identification of a susceptibility locus in STAT4 for Behcet's disease in Han Chinese in a genome-wide association study. Arthritis Rheum. 64, 4104–4113 (2012).
    1. Criteria for diagnosis of Behcet's disease. . International Study Group for Behcet's Disease. Lancet. 335, 1078–1080 (1990).
    1. Read R. W. et al. Revised diagnostic criteria for Vogt-Koyanagi-Harada disease: report of an international committee on nomenclature. Am. J. Ophthalmol. 131, 647–652 (2001).

Source: PubMed

3
Iratkozz fel