PMID- 14510917 OWN - NLM STAT- MEDLINE DCOM- 20031120 LR - 20190813 IS - 0300-0664 (Print) IS - 0300-0664 (Linking) VI - 59 IP - 4 DP - 2003 Oct TI - Interleukin-13 gene polymorphisms in patients with Graves' disease. PG - 519-25 AB - OBJECTIVE: In patients with Graves' disease (GD), an elevation of serum immunoglobulin E (IgE) has been recently reported to be associated with the severity of hyperthyroidism and ophthalmopathy. Interleukin 13 (IL-13) is a major cytokine involved in IgE synthesis and therefore may be a potential candidate gene contributing to the development of GD or influencing the clinical course of the disease. DESIGN: In a case-control study, we examined IL-13 gene single-nucleotide polymorphisms in the 5' promoter region at position -1112 (C to T change, termed as C-1112T) and in exon 4 at position 2044 (G to A change, G2044A, which results in an amino acid exchange Arg130Gln) in 261 patients with GD. The control groups consisted of healthy young subjects (n=168) and subjects over 100 years old with no history of autoimmune or allergic diseases recruited from the Polish Centenarians Project (n=50). MEASUREMENTS: C-1112T and G2044A polymorphisms were defined by fluorescent single-strand conformational polymorphism and by restriction fragment length polymorphism analysis, respectively. RESULTS: In patients with GD, the distribution of IL-13 alleles (-1112T 31%; 2044A 25%) and genotypes (-1112T/T 10%; 2044A/A 7%) did not differ significantly compared to control groups. Subdividing GD patients according to clinically evident ophthalmopathy (NOSPECS class III or higher, n=93) revealed no significant differences in the frequencies of -1112T allele (33%vs. 29%; P=0.4), -1112T/T genotype (13%vs. 8%; P=0.3), 2044A allele (27%vs. 24%; P=0.5) and 2044A/A genotype (9%vs. 7%; P=0.7) between GD patients with and without eye involvement. In order to analyse the association with the severity of hyperthyroidism, we examined patients with a first onset of GD treated with antithyroid drugs (n=32). IL-13 genotypes were not associated with the laboratory findings at diagnosis (thyroid volume, serum levels of FT4, TRAb, TPOAb, TGAb) and with the outcome of antithyroid drug treatment. CONCLUSIONS: Our results suggest that IL-13 gene polymorphisms at positions -1112 (C-->T) and 2044 (G-->A): (1) do not confer genetic susceptibility to Graves' disease; (2) do not contribute to the development of clinically evident ophthalmopathy; (3) are not associated with severity of hyperthyroidism. FAU - Bednarczuk, Tomasz AU - Bednarczuk T AD - Department of Endocrinology, Medical Research Center, Polish Academy of Science, Medical University of Warsaw, Poland. bednar@amwaw.edu.pl FAU - Placha, Grzegorz AU - Placha G FAU - Jazdzewski, Krystian AU - Jazdzewski K FAU - Kurylowicz, Alina AU - Kurylowicz A FAU - Kloza, Marta AU - Kloza M FAU - Makowska, Urszula AU - Makowska U FAU - Hiromatsu, Yuji AU - Hiromatsu Y FAU - Nauman, Janusz AU - Nauman J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 RN - 0 (Interleukin-13) SB - IM EIN - Clin Endocrinol (Oxf). 2003 Nov;59(5):658 MH - Adolescent MH - Adult MH - Aged MH - Alleles MH - Case-Control Studies MH - Eye Diseases/complications/genetics MH - Female MH - Genotype MH - Graves Disease/complications/*genetics MH - Humans MH - Interleukin-13/*genetics MH - Male MH - Middle Aged MH - Polymorphism, Restriction Fragment Length MH - Polymorphism, Single Nucleotide/*genetics MH - Promoter Regions, Genetic/genetics MH - Severity of Illness Index EDAT- 2003/09/27 05:00 MHDA- 2003/12/03 05:00 CRDT- 2003/09/27 05:00 PHST- 2003/09/27 05:00 [pubmed] PHST- 2003/12/03 05:00 [medline] PHST- 2003/09/27 05:00 [entrez] AID - 1880 [pii] AID - 10.1046/j.1365-2265.2003.01880.x [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2003 Oct;59(4):519-25. doi: 10.1046/j.1365-2265.2003.01880.x.