High C4 gene copy numbers protects against Vogt-Koyanagi-Harada syndrome in Chinese Han
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Published on: March 31, 2019
Shengping Hou1, Jian Qi1, Dan Liao1
1The First Affiliated Hospital of Chongqing Medical University, Chongqing, China Chongqing Key Laboratory of Ophthalmology, Chongqing, China Chongqing Eye Institute, Chongqing, China.
Insights
Vogt-Koyanagi-Harada (VKH) syndrome patients show lower serum C4 levels and fewer C4 gene copies. This suggests a link between complement C4 gene copy number variation and VKH disease risk.
Area of Science:
- Immunogenetics
- Autoimmune Diseases
- Complement System
Background:
- The complement system, particularly C4, plays a role in autoimmune diseases.
- Copy number variation (CNV) in C4 genes is associated with immune responses.
- Vogt-Koyanagi-Harada (VKH) syndrome is a rare autoimmune disorder affecting multiple organs.
Purpose of the Study:
- To investigate the association between C4 copy number variation (CNV) and Vogt-Koyanagi-Harada (VKH) syndrome.
- To determine if C4 gene dosage affects C4 expression levels in VKH patients.
Main Methods:
- Real-time PCR was used to analyze C4 CNVs in 1027 VKH patients and 2083 controls.
- Serum C4 levels were measured.
- Peripheral blood mononuclear cells (PBMCs) were cultured to assess cytokine production (Th1 and Th17).
Main Results:
- Serum C4 levels were significantly lower in VKH patients compared to controls.
- A strong positive correlation was observed between C4 gene copy number and serum C4 expression.
- VKH patients exhibited significantly lower frequencies of high C4A and total C4 gene copy numbers.
- C4 association with VKH was independent of HLA-DR4.
- No association was found between C4A copy number and Th1/Th17 cytokine production.
Conclusions:
- Decreased serum C4 expression and a reduced frequency of high C4 gene copy number are characteristic of VKH syndrome.
- These findings highlight the role of C4 gene dosage in the pathogenesis of VKH.
Aims:
Considering the phenotypical consequences and association of C4 copy number variation (CNV) with various autoimmune diseases, we aimed to examine C4 CNVs for 1027 patients with Vogt-Koyanagi-Harada (VKH) syndrome and 2083 controls.
Methods:
C4 CNVs were examined by real-time PCR for 1027 patients with VKH and 2083 controls. Peripheral blood mononuclear cells (PBMC) were prepared from venous blood by Ficoll-Hypaque density-gradient centrifugation for cell culture. Cytokine production was examined by ELISA.
Results:
The expression of total C4 in serum was significantly decreased in patients with VKH as compared with controls (p=0.0010). A significant positive association between C4 expression with C4 CNVs was found (p=0.0023, r(2)=0.92). CNV analysis identified significantly decreased frequencies of more than two copies of C4A or more than four copies of total C4 in patients with VKH (Pc=1.42×10(-3) to 3.56×10(-4), OR=0.67 to 0.70). Linkage analysis showed the independent association of C4 with VKH syndrome from human leucocyte antigen (HLA)-DR4. No significant association was observed concerning type 1 T helper cell (Th1) cytokines and Th17 cytokine production by stimulated PBMCs and C4A copy number.
Conclusions:
Our findings indicate a decreased expression of serum C4 and a decreased frequency of high C4 gene copy number in patients with VKH.
Trial Registration Number:
Chinese Clinical Trial Registration Number: ChiCTR-CCC-12002184.
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