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Updated: Jun 14, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
IL-23R gene confers susceptibility to Behcet's disease in a Chinese Han population
Zhengxuan Jiang1, Peizeng Yang, Shengping Hou
1The First Affiliated Hospital, Chongqing Medical University, Chongqing Key Laboratory of Ophthalmology, and Chongqing Eye Institute, Chongqing 400016, PR China.
Insights
Interleukin-23 receptor (IL-23R) gene variations, specifically rs17375018 and rs11209032, are linked to Behcet's disease (BD) susceptibility in Chinese Han individuals. The AGCG haplotype may offer protection against BD.
Area of Science:
- Genetics and immunology research.
- Focus on autoimmune disease pathogenesis.
Background:
- Interleukin-23 (IL-23) plays a role in Behcet's disease (BD) pathogenesis by increasing IL-17 production.
- Investigating genetic factors influencing BD susceptibility is crucial.
Purpose of the Study:
- To investigate the association between Interleukin-23 receptor (IL-23R) gene polymorphisms and susceptibility to Behcet's disease (BD) in a Chinese Han population.
- To identify specific single-nucleotide polymorphisms (SNPs) and haplotypes of IL-23R associated with BD risk.
Main Methods:
- Genotyping of four single-nucleotide polymorphisms (SNPs): rs7517847, rs11209032, rs1343151, and rs17375018.
- Utilized PCR restriction fragment length polymorphism assay.
- Compared genotypes and allele frequencies between 338 BD patients and 407 healthy controls.
Main Results:
- Significantly higher prevalence of homozygous rs17375018 GG genotype and G allele in BD patients (p(c)<0.001).
- Increased frequencies of rs11209032 AA genotype and A allele observed in BD patients (p(c)≤0.024).
- Significantly decreased frequency of the AGCG haplotype found in BD patients (p(c)=0.0016).
Conclusions:
- The study identifies a strong association between IL-23R SNP rs17375018 and Behcet's disease (BD).
- rs11209032 AA and rs17375018 GG genotypes of IL-23R are suggested as predisposing factors for BD.
- The AGCG haplotype may confer a protective effect against Behcet's disease.
Purpose:
IL-23 has been shown to be involved in the pathogenesis of Behcet's disease (BD) through promoting IL-17 production. This study examined whether IL-23R polymorphisms were associated with susceptibility to this disease in a Chinese Han population.
Methods:
Four single-nucleotide polymorphisms (SNP), rs7517847, rs11209032, rs 1343151 and rs17375018 were genotyped in 338 BD patients and 407 age, sex and ethnically matched healthy controls using a PCR restriction fragment length polymorphism assay.
Results:
A significantly increased prevalence of the homozygous rs17375018 GG genotype and G allele was found in BD patients compared with controls (corrected p (p(c))<0.001,odds ratio (OR) 1.86, 95% CI 1.39 to 2.49; p(c)<0.001, OR 1.57, 95% CI 1.25 to 1.98, respectively). The frequencies of the AA genotype and A allele of the SNP rs11209032 were significantly higher in BD patients compared with controls (p(c)=0.024, OR 1.69, 95% CI 1.21 to 2.35; p(c)<0.001, OR 1.48, 95% CI 1.21 to 1.82, respectively). In addition, the results showed a significantly decreased frequency of the AGCG haplotype in BD patients compared with controls (p(c)=0.0016, OR 0.59, 95% CI 0.45 to 0.77).
Conclusions:
This study, for the first time, identified a strong association of an SNP of IL-23R, rs17375018, with BD. The results also suggested that both rs11209032 AA and rs17375018 GG of IL-23R are predisposing genotypes for BD and that the AGCG haplotype may provide protection against BD.
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