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Association between 22 cytokine gene polymorphisms and dilated cardiomyopathy in Macedonian patients
Vera Spiroska1, Sashko Kedev, Slobodan Antov
1Cardiology Clinic, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of Macedonia.
Insights
Cytokine gene variations influence susceptibility to dilated cardiomyopathy (DCM) in Macedonians. Specific interleukin-4 (IL-4) gene polymorphisms are linked to increased DCM risk, while others may offer protection.
Area of Science:
- Cardiovascular Genetics
- Immunogenetics
- Molecular Cardiology
Background:
- Inflammation plays a key role in cardiovascular disease pathogenesis, particularly in cardiomyopathy.
- Previous studies on cytokine gene polymorphisms and dilated cardiomyopathy (DCM) have yielded conflicting results.
Purpose of the Study:
- To investigate the association between 22 cytokine gene polymorphisms and susceptibility or resistance to DCM in a Macedonian population.
- To clarify the role of specific cytokine gene variations in the development of DCM.
Main Methods:
- Genotyping of 22 cytokine genes using Polymerase Chain Reaction with Sequence-Specific Priming (PCR-SSP).
- Study included 301 healthy controls and 52 patients diagnosed with DCM.
- Statistical analysis performed with Bonferroni correction for multiple comparisons.
Main Results:
- Positive associations with DCM were found for IL-4 -1098/T, IL-4 -1098/T:T, IL-4/TCC, and IL-4/TCC:TTC genotypes.
- Negative associations (protective effect) were observed for IL-4 -1098/G, IL-4 -1098/G:T, IL-1B +3962/C:C, IL-4/GCC, and IL-4/GCC:TTC genotypes.
Conclusions:
- Specific cytokine gene polymorphisms are significantly associated with host susceptibility and resistance to DCM in Macedonians.
- Findings contribute to understanding the genetic underpinnings of DCM and the role of inflammation.
Background:
Inflammation is an important component in the pathogenesis of many cardiovascular diseases and one of the commonest mechanisms in cardiomyopathy. There have been several studies on the cytokine polymorphism and dilated cardiomyopathy (DCM), but the results obtained were contradictory.
Aim:
To examine a possible role of 22 cytokine gene polymorphisms in host susceptibility to or protection against DCM in Macedonians.
Methods:
In this study 301 healthy unrelated individuals and 52 patients with DCM were studied. Cytokine genotyping was performed by PCR with sequence-specific priming (PCR-SSP) (Heidelberg kit).
Results:
After the Bonferroni adjustment, the IL-4 -1098/T, IL-4 -1098/T:T, IL-4/TCC, and IL-4/TCC:TTC cytokine genes were positively associated with DCM, while a negative association was identified for IL-4 -1098/G, IL-4 -1098/G:T, IL-1B +3962/C:C, IL-4/GCC, and IL-4/GCC:TTC.
Conclusions:
These results suggest that some cytokine gene polymorphisms are significantly associated and affect host susceptibility/resistance to DCM in Macedonians.
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