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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.
Abstract:
Preterm birth (PTB) is a significant neonatal health problem that is more common in African-Americans (AA) than in European-Americans (EA). Part of this disparity is likely to result from the differing genetic architectures of EA and AA. To begin assessing the role of these differences, patterns of genetic variation in two previously proposed candidate genes, encoding interleukin 6 (IL6) and its receptor (IL6R), were analyzed in mothers and fetuses from 496 EA birth-events (149 cases and 347 controls) and 397 birth-events in AA (76 cases and 321 controls). IL-6 levels in amniotic fluid (AF) samples were determined in a subset of these pregnancies. Case-control comparisons revealed a single SNP in IL6R associated with PTB (p=0.04 for allelic and p=0.05 for genotype association). In addition, all of the SNPs studied showed significant frequency differences between AA and EA in at least one comparison, significantly in excess of that expected from general population databases. Higher IL-6 concentrations were associated with the IL6 SNP -661 in EA preterm samples (p=0.0056), and this result seems to be driven by microbial invasion of the amniotic cavity, indicating a gene by infection interaction. These findings indicate that, as a function of IL6 genotype, EA and AA women respond differently to infection with respect to their expression of IL-6. Our data support differential genetic control of levels of IL-6 in amniotic fluid between EA and AA.
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