Interleukin-1 receptor antagonist gene polymorphism in patients with multidrug-resistant Acinetobacter
Min-Jer Hsu1, Yun-Chieh Lu, Yu-Chang Hsu
1Department of Pulmonary, Antai Tian, Sheng Memorial Hospital, Taiwan.
Objective:
Multidrug-resistant Acinetobacter baumannii (MDRAB)-associated pneumonia has been a common disease and a therapeutic problem in hospitals. Interleukin-1 receptor antagonist (IL-1ra) has been considered a required role for host immune defense in pneumonia disease. The aim of this study was to investigate whether the variable nucleotide tandem repeat polymorphism of the IL-1ra gene was associated with MDRAB-related pneumonia.
Methods:
Sixty-six pneumonia patients were enrolled in the study: 36 subjects had MDRAB-related pneumonia and 30 controls had non-MDRAB pneumonia. Polymerase chain reaction, restriction fragment length polymorphism, and agarose gel electrophoresis techniques were used to determine the IL-1ra genotype.
Results:
The frequencies of the IL-1ra genotype in the MDRAB-related pneumonia cases were A1/A1, 0.889 and A1/A2, 0.111; the frequencies of the IL-1ra genotype in the controls were A1/A1, 0.333 and A1/A2, 0.667. A statistically significant difference was determined (P < 0.05). We also observed an increase in the frequency of IL-1ra A1 allele in the MDRAB-related pneumonia group. A statistically significant difference was determined (P<0.05).
Conclusions:
We suggested that IL-1ra polymorphism was associated with the risk of MDRAB-related pneumonia.
Insights
Interleukin-1 receptor antagonist (IL-1ra) gene polymorphism is linked to multidrug-resistant Acinetobacter baumannii pneumonia. This finding may help predict pneumonia risk in patients.
Area of Science:
- Medical Genetics
- Infectious Diseases
- Pulmonology
Background:
- Multidrug-resistant Acinetobacter baumannii (MDRAB) pneumonia presents significant therapeutic challenges in healthcare settings.
- Interleukin-1 receptor antagonist (IL-1ra) plays a crucial role in the host immune response during pneumonia.
Purpose of the Study:
- To investigate the association between variable nucleotide tandem repeat polymorphism in the IL-1ra gene and MDRAB-related pneumonia.
Main Methods:
- Genotyping of the IL-1ra gene using polymerase chain reaction, restriction fragment length polymorphism, and agarose gel electrophoresis.
- Comparison of IL-1ra genotypes between 36 MDRAB pneumonia patients and 30 non-MDRAB pneumonia controls.
Main Results:
- A statistically significant difference in IL-1ra genotype frequencies was observed between MDRAB pneumonia cases and controls (P < 0.05).
- The IL-1ra A1 allele frequency was significantly increased in patients with MDRAB-related pneumonia (P < 0.05).
Conclusions:
- IL-1ra gene polymorphism is associated with an increased risk of developing MDRAB-related pneumonia.
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