Intercellular adhesion molecule-1 K469E polymorphism: study of association with multiple sclerosis

Sergey Nejentsev1, Mikko Laaksonen, Pentti J Tienari

  • 1Department of Virology, University of Turku, Finland. serneje@gene.cimr.cam.ac.uk

Human Immunology
|February 20, 2003
PubMed

Insights

Genetic variations in the Intercellular Adhesion Molecule-1 (ICAM-1) gene are linked to multiple sclerosis (MS) susceptibility. The ICAM-1 Lys469 homozygote genotype increases MS risk, particularly in HLA-DQB1*0602-positive individuals.

Area of Science:

  • Genetics
  • Immunology
  • Neurology

Background:

  • Intercellular Adhesion Molecule-1 (ICAM-1) plays a role in the pathogenesis of multiple sclerosis (MS).
  • Genetic variations within the ICAM-1 gene may contribute to MS susceptibility.
  • Previous studies suggest a potential link between ICAM-1 and MS, but further investigation is warranted.

Purpose of the Study:

  • To investigate the association between the ICAM-1 13,848A>G (K469E) polymorphism and multiple sclerosis (MS) risk.
  • To examine the influence of this polymorphism in Finnish and Spanish populations.
  • To explore potential interactions with HLA-DQB1*0602 in MS genetic susceptibility.

Main Methods:

  • Case-control study design involving Finnish and Spanish populations.
  • Genotyping of the ICAM-1 13,848A>G (K469E) polymorphism.
  • Analysis of affected families.
  • Meta-analysis of published datasets.

Main Results:

  • An increased risk for the AA (Lys(469)/Lys(469)) genotype of ICAM-1 was observed in both Finnish and Spanish MS cases compared to controls.
  • This association was particularly pronounced in subjects positive for the HLA-DQB1*0602 allele.
  • Meta-analysis of all available data confirmed a significant increased risk of MS for ICAM-1 Lys(469) homozygotes (RR = 1.3, p = 0.002).

Conclusions:

  • The ICAM-1 Lys(469) homozygote genotype is associated with an increased risk of multiple sclerosis.
  • Genetic heterogeneity in MS may be influenced by interactions between ICAM-1 variants and HLA-DQB1*0602.
  • These findings contribute to understanding the genetic underpinnings of MS susceptibility.