Two single-nucleotide polymorphisms in the 5′ and 3′ ends of the osteopontin gene contribute to susceptibility to systemic lupus erythematosus

  • S. D'Alfonso
  • , N. Barizzone
  • , M. Giordano
  • , A. Chiocchetti
  • , C. Magnani
  • , L. Castelli
  • , M. Indelicato
  • , F. Giacopelli
  • , M. Marchini
  • , R. Scorza
  • , M. G. Danieli
  • , M. Cappelli
  • , S. Migliaresi
  • , B. Bigliardo
  • , M. G. Sabbadini
  • , E. Baldissera
  • , M. Galeazzi
  • , G. D. Sebastiani
  • , G. Minisola
  • , R. Ravazzolo
  • U. Dianzani, P. Momigliano-Richiardi

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

OBJECTIVE: To test the association of osteopontin (OPN) polymorphisms with systemic lupus erythematosus (SLE). METHODS: The coding 5' and 3' flanking regions of the OPN gene were scanned for polymorphisms by denaturing high-performance liquid chromatography. A case-control association study was performed in 394 Italian SLE patients and 479 matched controls. OPN serum levels were determined by enzyme-linked immunosorbent assay in 40 patients and 124 controls, and the mean levels were compared between the different OPN genotypes. RESULTS: Among the 13 detected single-nucleotide polymorphisms (SNPs), alleles -156G (frequency 0.714 versus 0.651; P = 0.006, corrected P [P(corr)] = 0.036) and +1239C (0.377 versus 0.297; P = 0.00094, P(corr) = 0.0056) were significantly increased in the SLE patients compared with the controls. The presence of the associated allele in single or double dose conferred an odds ratio (OR) of 2.35 (95% confidence interval [95% CI] 1.38-4.02) for SNP -156 and an OR of 1.57 (95% CI 1.16-2.13) for SNP +1239. These effects were independent of each other, i.e., not a consequence of linkage disequilibrium between the 2 alleles. The risk associated with a double dose of susceptibility alleles at both SNPs was 3.8-fold higher (95% CI 2.0-7.4) relative to the complete absence of susceptibility alleles. With regard to individual clinical and immunologic features, a significant association was seen between lymphadenopathy and -156 genotypes (overall P = 0.0011, P(corr) = 0.046). A significantly increased OPN serum level was detected in healthy individuals carrying +1239C (P = 0.002), which is indicative of an association between the SLE susceptibility allele and OPN levels. CONCLUSION: These data suggest the independent effect of a promoter (-156) and a 3'-untranslated region (+1239) SNP in SLE susceptibility. We can speculate that these sequence variants (or others in perfect linkage disequilibrium) create a predisposition to high production of OPN, and that this in turn may confer susceptibility to SLE.
Lingua originaleInglese
pagine (da-a)539-547
Numero di pagine9
RivistaArthritis and Rheumatism
Volume52
Numero di pubblicazione2
DOI
Stato di pubblicazionePubblicato - feb 2005

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