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Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Genetic variants in immunoregulatory genes and risk for childhood lymphomas
Elisabeth Andrie1, Athanasios Michos, Vassiliki Kalampoki
1Department of Hygiene, Epidemiology and Medical Statistics, Athens University Medical School, 75 Mikras Asias Str., Goudi, Athens, Greece.
Insights
Genetic variations in CD14 may increase childhood Hodgkin's lymphoma risk. This study analyzed SNPs in immune genes for 37 HL and 48 NHL patients, finding a significant association with the CD14 -159 C>T polymorphism for HL risk.
Area of Science:
- Immunogenetics
- Pediatric Oncology
- Molecular Epidemiology
Background:
- Childhood lymphomas, including Hodgkin's lymphoma (HL) and non-Hodgkin's lymphoma (NHL), represent a significant health concern.
- The role of genetic predisposition, particularly involving immune system genes, in the etiology of childhood lymphomas is not fully understood.
Purpose of the Study:
- To investigate the association between single nucleotide polymorphisms (SNPs) in key cytokine and innate immunity genes and the risk of childhood lymphomas.
- To identify specific genetic variations that may predispose children to developing HL or NHL.
Main Methods:
- Genotyping of 10 SNPs from nine immunoregulatory genes (IL4, IL4R, IL6, IL10, IL12, IL18, TNFalpha, IFNgamma, CD14) in 37 children with HL and 48 with NHL.
- Comparison of genotype frequencies between pediatric lymphoma cases and 85 age- and gender-matched controls with mild medical conditions.
Main Results:
- The CD14 -159 C>T polymorphism showed a statistically significant association with an increased risk for HL (CC genotype: OR=5.36, P=0.02; CT genotype: OR=3.76, P=0.05).
- An indicative, but not statistically significant, association was observed between the IL18-137 G>C polymorphism (CC genotype) and NHL risk (OR=3.78, P=0.08).
Conclusions:
- Genetic variations in the CD14 gene, specifically at the -159 locus, may be associated with an increased risk of childhood Hodgkin's lymphoma.
- These preliminary findings warrant further investigation in larger, multi-center studies to confirm the association and explore the underlying biological mechanisms involving cytokine levels.
Abstract:
To investigate whether single nucleotide polymorphisms (SNPs) in key cytokine and innate immunity genes influence risk for childhood lymphomas, we genotyped 37 children with Hodgkin's (HL) and 48 with non-Hodgkin's lymphoma (NHL), aged (1 month-14 yr), along with their 85 age- and gender-matched controls suffering from mild medical conditions. Genotypic analysis was performed for 10 SNPs from nine genes with important role in immunoregulatory pathways (IL4, IL4R, IL6, IL10, IL12, IL18, TNFalpha, IFNgamma, CD14). Analysis of SNPs genotypes revealed that the CD14 -159 C>T polymorphism was associated with significantly increased risk for HL regarding both the CC and CT genotypes (OR(CC): 5.36; 95% CI, 1.30-22.14; P = 0.02, OR(CT): 3.76; 95% CI, 1.00-14.16; P = 0.05). An indicative association between IL18-137 G>C polymorphism with the CC genotype and NHL did not reach, however, statistical significance (OR(CC), 3.78; 95% CI, 0.87-16.38; P = 0.08). In conclusion, our findings suggest that genetic variation in the CD14-159 loci may be associated with childhood HL risk; these preliminary findings need to be further confirmed in sizeable multi-centre studies along with determination of cytokines, which could provide an insight on the biologic basis underlying these findings.
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