PMID- 18486766 OWN - NLM STAT- MEDLINE DCOM- 20080721 LR - 20221207 IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 69 IP - 4-5 DP - 2008 Apr-May TI - Interleukin-6 gene variation in Spanish patients with immunoglobulin-A deficiency. PG - 301-5 LID - 10.1016/j.humimm.2008.02.002 [doi] AB - Selective immunoglobulin-A deficiency (IgAD) is the most common immunodeficiency in Caucasian populations. Genetic factors are important in its etiology; however human leukocyte antigen (HLA) genes, which explain 40% of the genetic risk for IgAD, are the only susceptibility factors commonly agreed upon at this time. Because interleukin-6 (IL-6) plays an important role in B-lymphocyte differentiation from plasma cells, we aimed to address the IL-6 genetic influence on IgAD susceptibility. We performed a case-control study that included 305 Caucasian Spanish IgAD patients and 529 ethnically matched healthy control subjects, as well as a familial study with 128 IgAD trios. We genotyped the functional promoter polymorphism -174G>C and nine additional single nucleotide polymorphisms. For the case-control analyses the chi(2) test or Fisher's exact test were used, and for the family study the transmission disequilibrium test was used. We observed an increased frequency of the -174C allele in IgAD patients (p = 0.005, odds ratio [OR] = 1.51, 95% confidence interval [CI] = 1.12-2.04) and a protective effect of the rs2069849_C allele (p = 0.007, odds ratio = 0.29, 95% CI = 0.09-0.76). In conclusion, we described for the first time an association between IL6 polymorphisms and IgAD. Although it is not clear which genetic variants are causing susceptibility/protection, this intriguing finding is remarkable because of the role of IL-6 in antibody production. FAU - Lopez-Mejias, Raquel AU - Lopez-Mejias R AD - Department of Clinical Immunology, Hospital Clinico San Carlos, Madrid, Spain. FAU - Martinez, Alfonso AU - Martinez A FAU - Del Pozo, Nadia AU - Del Pozo N FAU - Fernandez-Arquero, Miguel AU - Fernandez-Arquero M FAU - Ferreira, Antonio AU - Ferreira A FAU - Urcelay, Elena AU - Urcelay E FAU - Fontan, Gumersindo AU - Fontan G FAU - de la Concha, Emilio G AU - de la Concha EG FAU - Nunez, Concepcion AU - Nunez C LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080325 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) SB - IM MH - Case-Control Studies MH - Confidence Intervals MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Haplotypes MH - Humans MH - IgA Deficiency/*genetics MH - Interleukin-6/*genetics MH - Odds Ratio MH - *Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic MH - Spain/epidemiology MH - White People EDAT- 2008/05/20 09:00 MHDA- 2008/07/22 09:00 CRDT- 2008/05/20 09:00 PHST- 2008/01/10 00:00 [received] PHST- 2008/02/12 00:00 [revised] PHST- 2008/02/21 00:00 [accepted] PHST- 2008/05/20 09:00 [pubmed] PHST- 2008/07/22 09:00 [medline] PHST- 2008/05/20 09:00 [entrez] AID - S0198-8859(08)00036-0 [pii] AID - 10.1016/j.humimm.2008.02.002 [doi] PST - ppublish SO - Hum Immunol. 2008 Apr-May;69(4-5):301-5. doi: 10.1016/j.humimm.2008.02.002. Epub 2008 Mar 25.