PMID- 24205307 OWN - NLM STAT- MEDLINE DCOM- 20140807 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 10 DP - 2013 TI - Influence of Atg5 mutation in SLE depends on functional IL-10 genotype. PG - e78756 LID - 10.1371/journal.pone.0078756 [doi] LID - e78756 AB - Increasing evidence supports the involvement of autophagy in the etiopathology of autoimmune diseases. Despite the identification of autophagy-related protein (Atg)-5 as one of the susceptibility loci in systemic Lupus erythematosus (SLE), the consequences of the carriage of these mutations for patients remain unclear. The present work analyzed the association of Atg5 rs573775 single nucleotide polymorphism (SNP) with SLE susceptibility, IFNalpha, TNFalpha and IL-10 serum levels, and clinical features, in 115 patients and 170 healthy individuals. Patients who where carriers of the rs573775 T* minor allele presented lower IFNalpha levels than those with the wild genotype, whereas the opposite result was detected for IL-10. Thus, since IL-10 production was regulated by rs1800896 polymorphisms, we evaluated the effect of this Atg5 mutation in genetically high and low IL-10 producers. Interestingly, we found that the rs573775 T* allele was a risk factor for SLE in carriers of the high IL-10 producer genotype, but not among genetically low producers. Moreover, IL-10 genotype influences SLE features in patients presenting the Atg5 mutated allele. Specifically, carriage of the rs573775 T* allele led to IL-10 upregulation, reduced IFNalpha and TNFalpha production and a low frequency of cytopenia in patients with the high IL-10 producer genotype, whereas patients with the same Atg5 allele that were low IL-10 producers presented reduced amounts of all these cytokines, had a lower prevalence of anti-dsDNA antibodies and the latest onset age. In conclusion, the Atg5 rs573775 T* allele seems to influence SLE susceptibility, cytokine production and disease features depending on other factors such as functional IL-10 genotype. FAU - Lopez, Patricia AU - Lopez P AD - Department of Functional Biology, Immunology Area, Faculty of Medicine, University of Oviedo, Oviedo, Spain. FAU - Alonso-Perez, Elisa AU - Alonso-Perez E FAU - Rodriguez-Carrio, Javier AU - Rodriguez-Carrio J FAU - Suarez, Ana AU - Suarez A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131018 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (ATG5 protein, human) RN - 0 (Autophagy-Related Protein 5) RN - 0 (Interferon-alpha) RN - 0 (Microtubule-Associated Proteins) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Adult MH - Alleles MH - Autophagy-Related Protein 5 MH - Cohort Studies MH - Female MH - Genetic Predisposition to Disease MH - *Genotype MH - Humans MH - Interferon-alpha/blood MH - Interleukin-10/*genetics MH - Lupus Erythematosus, Systemic/blood/*genetics MH - Male MH - Microtubule-Associated Proteins/*genetics MH - *Mutation MH - Polymorphism, Single Nucleotide PMC - PMC3799636 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/11/10 06:00 MHDA- 2014/08/08 06:00 PMCR- 2013/10/18 CRDT- 2013/11/09 06:00 PHST- 2013/07/03 00:00 [received] PHST- 2013/09/23 00:00 [accepted] PHST- 2013/11/09 06:00 [entrez] PHST- 2013/11/10 06:00 [pubmed] PHST- 2014/08/08 06:00 [medline] PHST- 2013/10/18 00:00 [pmc-release] AID - PONE-D-13-27458 [pii] AID - 10.1371/journal.pone.0078756 [doi] PST - epublish SO - PLoS One. 2013 Oct 18;8(10):e78756. doi: 10.1371/journal.pone.0078756. eCollection 2013.