Related Experiment Videos

Ethnic differences in interleukin 6 (IL-6) and IL6 receptor genes in spontaneous preterm birth and effects on

D R Velez1, R Menon, P Thorsen

  • 1Division of Cardiovascular Medicine, Department of Medicine and Center for Human Genetics Research, Vanderbilt University, Nashville, TN 37232, USA.

Insights

Genetic differences influence preterm birth (PTB) risk between European-Americans (EA) and African-Americans (AA). Variations in interleukin 6 (IL6) and IL6 receptor (IL6R) genes impact IL-6 levels and PTB susceptibility, particularly with infection.

Area of Science:

  • Genetics
  • Immunology
  • Perinatal Medicine

Background:

  • Preterm birth (PTB) disproportionately affects African-Americans (AA) compared to European-Americans (EA).
  • Genetic variations between EA and AA populations may contribute to this health disparity.
  • Interleukin 6 (IL6) and its receptor (IL6R) are implicated in inflammatory processes relevant to PTB.

Purpose of the Study:

  • To investigate genetic variations in IL6 and IL6R genes in relation to PTB risk in EA and AA populations.
  • To examine the association between IL6 gene polymorphisms and IL-6 levels in amniotic fluid.
  • To explore potential gene-environment interactions, specifically gene by infection, in PTB.

Main Methods:

  • Analyzed genetic variations (SNPs) in IL6 and IL6R genes in mothers and fetuses from EA and AA birth cohorts.
  • Conducted case-control association studies for PTB.
  • Measured IL-6 concentrations in amniotic fluid samples from a subset of pregnancies.

Main Results:

  • A single nucleotide polymorphism (SNP) in IL6R was significantly associated with PTB in European-Americans.
  • Significant frequency differences in studied SNPs were observed between AA and EA populations.
  • Higher IL-6 concentrations in amniotic fluid were linked to a specific IL6 SNP (-661) in EA preterm births, especially in cases of microbial invasion of the amniotic cavity.

Conclusions:

  • Genetic variations in IL6 and IL6R contribute to differential susceptibility to PTB between EA and AA women.
  • EA and AA women exhibit distinct responses to infection regarding IL-6 expression, influenced by IL6 genotype.
  • Findings support the role of differential genetic control in regulating IL-6 levels in amniotic fluid between ethnic groups.