Interferon-gamma and interleukin-4 gene polymorphisms in Caucasian idiopathic inflammatory myopathy patients in UK
- Hector Chinoy1,
- Fiona Salway2,
- Sally John2,
- Noreen Fertig3,
- Brian D Tait4,
- Chester V Oddis3,
- William E R Ollier2,
- Robert G Cooper1,
- The UK Adult Onset Myositis Immunogenetic Collaboration
- 1The University of Manchester Rheumatic Diseases Centre, Hope Hospital, Salford, UK
- 2Centre for Integrated Genomic Medical Research, University of Manchester, Manchester, UK
- 3Division of Rheumatology & Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
- 4Victorian Transplantation and Immunogenetic Service, Australian Red Cross Blood Transfusion Service, Melbourne, Victoria, Australia
- Correspondence to:
Dr R G Cooper
Rheumatic Diseases Centre, Hope Hospital, Salford M6 8HD,UK; robert.g.cooper{at}manchester.ac.uk
- Accepted 19 March 2007
- Published Online First 3 April 2007
Abstract
Objective: To determine whether interferon-gamma (IFN-γ) and interleukin-4 (IL-4) genes confer susceptibility for the idiopathic inflammatory myopathies (IIMs).
Methods: A large cross-sectional study of UK caucasian adults with polymyositis (PM, n = 101), dermatomyositis (DM, n = 94) and myositis overlapping with a connective tissue disease (myositis/CTD-overlap, n = 70) was completed. 177 ethnically matched controls were available for comparison. Single-nucleotide polymorphisms (SNPs) within intronic regions coding for IL-4, IFN-γ and a microsatellite marker within intron 1 of the IFN-γ gene were typed.
Results: Strong linkage disequilibrium was present between SNPs in each gene. In the IFN-γ gene, a weak allelic association was observed in PM versus controls at rs1861493 (odds ratio (OR) 1.6, 95% confidence interval (CI) 1.03 to 2.4). The microsatellite IFN-γ CA(14) allele was associated with risk for IIMs overall (OR 3.3, 95% CI 1.4 to 7.8), the strongest association being observed within the anti-U1-ribonucleoprotein (RNP) group (OR 6.0, 95% CI 1.5 to 23.1), and persisting after adjustment for known myositis human leucocyte antigen (HLA) class II associations.
Conclusions: Genetic markers in the IFN-γ gene demonstrate significant allelic associations with the IIMs in a UK Caucasian population. The SNPs tested in this study within the region coding for IL-4 fail to show significant associations with susceptibility to IIM disease.
- anti-U1-RNP, anti-U1-ribonucleoprotein
- CAM, cancer-associated myositis
- CTD, connective tissue disease
- DM, dermatomyositis
- HLA, human leucocyte antigen
- IFN-γ, interferon-gamma
- IIM, idiopathic inflammatory myopathy
- IL-4, interleukin-4
- LD, linkage disequilibrium
- MSA/MAA, myositis-specific/associated antibody
- myositis/CTD-overlap, myositis overlapping with other connective tissue diseases
- PM, polymyositis
- SNP, single-nucleotide polymorphism
- Th, T-helper
Footnotes
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Competing interests: None declared.
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Published Online First 3 April 2007








