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Toll-like receptor 4 gene polymorphism downregulates gene expression and involves in susceptibility to bladder cancer
Yizhen Shen1, Meimei Bu, Aimin Zhang
1Department of Urology, General Hospital of Jinan Military Command, 25 Shifan Road, Jinan, Shandong, 250031, People's of Republic of China, yizhenshen@126.com.
Abstract:
Bladder cancer is the ninth most frequent malignancy in China. Toll-like receptor 4 (TLR4) is expressed on various cells and greatly involves in immune responses. Genetic polymorphism may affect the pathogenesis of diseases through various pathways. In the current study, we evaluated the association between genetic polymorphisms in TLR4 and risk of bladder cancer. We also examined the effect of the polymorphisms on gene expression. The TLR4 -729G/C and -260G/C polymorphisms were genotyped in 282 bladder cancer patients and 298 healthy controls in the Chinese population. Results showed that subjects with -729GC genotype are at significantly higher risk of bladder cancer than those with GG genotype [odds ratio (OR) = 2.50, 95% confidence interval (CI) = 1.39-4.48, P = 0.002]. Similarly, TLR4 -729C allele revealed a positive association with the disease (OR = 2.39, P = 0.002). The other polymorphism, TLR4 -260G/C, did not present clear correlations with bladder cancer. To understand the function of the polymorphisms, we evaluated TLR4 messenger RNA (mRNA) and protein levels in CD4+ T cells, CD8+ T cells, and monocytes from subjects carrying different TLR4 genotypes. Results revealed that subjects carrying -729GC genotype had significantly downregulated mRNA and protein levels of TLR4 in CD4+ T cells, CD8+ T cells, and monocytes compared to those carrying GG genotype. However, subjects with -260G/C polymorphism did not show any differences in gene expression from immune cells These data suggest that TLR4 polymorphism is associated with increased susceptibility to bladder cancer possibly by downregulating gene expression in various immune cells.
Insights
Genetic variations in Toll-like receptor 4 (TLR4) are linked to bladder cancer risk. The TLR4 -729G/C polymorphism increases susceptibility by downregulating TLR4 gene expression in immune cells.
Area of Science:
- Immunology
- Genetics
- Oncology
Background:
- Bladder cancer is a significant health concern in China.
- Toll-like receptor 4 (TLR4) plays a crucial role in immune responses.
- Genetic polymorphisms can influence disease pathogenesis.
Purpose of the Study:
- To investigate the association between TLR4 gene polymorphisms and bladder cancer risk in the Chinese population.
- To examine the functional impact of these polymorphisms on TLR4 gene and protein expression in immune cells.
Main Methods:
- Genotyping of TLR4 -729G/C and -260G/C polymorphisms in 282 bladder cancer patients and 298 healthy controls.
- Quantification of TLR4 mRNA and protein levels in CD4+ T cells, CD8+ T cells, and monocytes from subjects with different genotypes.
Main Results:
- The TLR4 -729G/C polymorphism was significantly associated with an increased risk of bladder cancer (OR=2.50, P=0.002).
- Carriers of the -729GC genotype exhibited downregulated TLR4 mRNA and protein levels in CD4+ T cells, CD8+ T cells, and monocytes.
- No significant correlation was found between the TLR4 -260G/C polymorphism and bladder cancer risk or gene expression.
Conclusions:
- TLR4 genetic polymorphism, specifically the -729G/C variant, is associated with increased susceptibility to bladder cancer.
- This increased risk may be mediated by the downregulation of TLR4 expression in key immune cells, potentially impairing immune surveillance.
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