Genetic variation in PBMC-produced IFN-γ and TNF-α associations with relapse in multiple sclerosis

Yuan Zhou1, Bruce Taylor1, Ingrid van der Mei1

  • 1Menzies Institute for Medical Research, University of Tasmania, Australia.

Abstract

Insights

Genetic variations in cytokine genes influence multiple sclerosis (MS) relapse risk. Specific single nucleotide polymorphisms (SNPs) in IL2RB, TNFRSF1B, and IL3 genes modify the effects of TNF-α and IFN-γ on MS disease activity.

Area of Science:

  • Immunogenetics
  • Neuroimmunology
  • Genetics of Multiple Sclerosis

Background:

  • Peripheral blood mononuclear cell (PBMC) cytokine production differs in multiple sclerosis (MS) patients versus healthy controls.
  • Previously, elevated TNF-α was found to be protective against MS relapse, while elevated IFN-γ increased relapse risk.

Purpose of the Study:

  • To investigate if single nucleotide polymorphisms (SNPs) in cytokine and cytokine receptor genes modulate the association between TNF-α, IFN-γ, and MS relapse risk.
  • To gain further insight into the roles of these genes in MS pathogenesis.

Main Methods:

  • Analysis of 361 SNPs within 10 kb of 84 cytokine/cytokine receptor genes in 91 relapsing-remitting MS patients.
  • Multilevel mixed-effects linear regression used to identify predictors of PBMC cytokines.
  • Cox proportional hazards regression used to predict relapse risk, with Bonferroni correction for multiple testing (p<1.39 × 10(-4) considered significant).

Main Results:

  • The GG genotype of rs3218295 (IL2RB) showed a protective effect of TNF-α on relapse, while GA/AA genotypes showed a positive association (pinteraction=5.04 × 10(-5)).
  • CC genotype of rs522807 (TNFRSF1B) and AA genotype of rs25879 (IL3) were associated with increased IFN-γ and relapse risk (pinteraction=8.21 × 10(-5) and 1.70 × 10(-5), respectively).

Conclusions:

  • Novel modulation of TNF-α and IFN-γ associations with MS relapse by SNPs in key cytokine genes was identified.
  • These findings highlight the potential of these genes and their products as therapeutic targets for MS.

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