Association of P2X7R gene polymorphisms with systemic lupus erythematosus in a Chinese population
Gui-Mei Chen1, Chen-Chen Feng, Qian-Ling Ye
1Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui 230032, People's Republic of China.
Abstract:
The P2X7 receptor is a ligand-gated cationic channel receptor that is actived by ATP and normally expressed by a variety of immune system cells, including macrophages and lymphocytes. Because it leads to release of IL-1β and cell death by apoptosis or necrosis, it is a potential therapeutic target for a variety of autoimmune inflammatory diseases, such as systemic lupus erythematosus (SLE). The P2X7R gene is highly polymorphic, and many single-nucleotide polymorphisms (SNPs) have been detected. A case-control study was performed to investigate the associations of SNPs in the P2X7R gene (rs1718119, rs2230911 and rs3751143) with susceptibility to SLE in 535 Chinese SLE patients and 532 controls. Results showed that rs1718119 was associated with SLE; in particular carriers of the A allele and AA/AG/(AG+AA) genotypes were at lower risk of the disease [A versus G, P < 0.001, odds ratio (OR) = 0.543, 95% CI: 0.424-0.697; AG versus GG, P = 0.018, OR = 0.659, 95% CI: 0.466-0.931; AA versus GG, P = 0.011, OR = 0.176, 95% CI: 0.046-0.668; AG+AA versus GG, P = 0.004, OR = 0.607, 95% CI: 0.433-0.850], but no significant differences in rs2230911 and rs3751143 were observed between SLE patients and controls. Stratification of cases for the presence of nephritis showed that rs2230911 G allele and CG/(CG+GG) genotypes were at a lower risk of SLE with nephritis (LN) (G versus C, P = 0.011, OR = 0.640, 95% CI: 0.454-0.903; CG versus CC, P = 0.035, OR = 0.645, 95% CI: 0.429-0.970; GG versus CC, P = 0.101, OR = 0.349, 95% CI: 0.099-1.228; CG+GG versus CC, P = 0.015 OR = 0.612, 95% CI: 0.411-0.910), but rs1718119 and rs3751143 were not associated with LN. Analysis of the haplotypes revealed one haplotype (ACA) that appeared to be a significantly 'protective' haplotype (P = 0.009, OR = 0.708, 95% CI: 0.546-0.918) with SLE. The findings suggest that the P2X7R gene might contribute to SLE susceptibility in the Chinese population.
Insights
Genetic variations in the P2X7 receptor gene (P2X7R) are linked to systemic lupus erythematosus (SLE) risk in the Chinese population. Specific single-nucleotide polymorphisms (SNPs) like rs1718119 show a protective effect against SLE development.
Area of Science:
- Immunogenetics
- Rheumatology
- Molecular Biology
Background:
- The P2X7 receptor (P2X7R) is an ATP-gated ion channel expressed on immune cells, crucial for inflammatory responses.
- Dysregulation of P2X7R signaling is implicated in autoimmune diseases like systemic lupus erythematosus (SLE).
- The P2X7R gene exhibits significant polymorphism, with single-nucleotide polymorphisms (SNPs) potentially influencing disease susceptibility.
Purpose of the Study:
- To investigate the association between P2X7R gene SNPs (rs1718119, rs2230911, rs3751143) and susceptibility to SLE in a Chinese cohort.
- To explore the potential role of these SNPs in SLE with nephritis (LN).
Main Methods:
- A case-control study involving 535 Chinese SLE patients and 532 healthy controls.
- Genotyping of P2X7R SNPs rs1718119, rs2230911, and rs3751143 using standard methods.
- Statistical analysis including odds ratios (OR) and confidence intervals (CI) to assess genetic associations and haplotype analysis.
Main Results:
- The rs1718119 SNP was significantly associated with reduced SLE risk (A allele carriers and specific genotypes showed lower risk).
- No significant association was found for rs2230911 and rs3751143 with overall SLE susceptibility.
- For SLE with nephritis, the rs2230911 G allele and related genotypes were associated with a lower risk of LN.
- The ACA haplotype of P2X7R was identified as a protective factor against SLE.
Conclusions:
- The P2X7R gene, particularly the rs1718119 polymorphism, may play a role in SLE susceptibility within the Chinese population.
- Specific P2X7R variants might influence the risk of developing lupus nephritis.
- Further research is warranted to elucidate the functional impact of these genetic variations on P2X7R activity and SLE pathogenesis.
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