Complement C5 Gene Confers Risk for Acute Anterior Uveitis
Dengfeng Xu1, Shengping Hou1, Yanni Jiang1
1The First Affiliated Hospital of Chongqing Medical University Chongqing Key Laboratory of Ophthalmology and Chongqing Eye Institute, Chongqing, People's Republic of China.
Insights
The C5 rs2269067 GG genotype is linked to a higher risk of acute anterior uveitis (AAU). This genetic variation is associated with increased C5 levels and elevated interleukin-17 production.
Area of Science:
- Immunogenetics
- Ophthalmology
- Rheumatology
Background:
- Polymorphisms in complement components C3 and C5 are implicated in various immune-mediated diseases.
- The specific association between C3 and C5 single nucleotide polymorphisms (SNPs) and acute anterior uveitis (AAU) remains unexplored.
Purpose of the Study:
- To investigate the association between C3 and C5 gene polymorphisms and the risk of developing AAU.
- To explore the relationship between specific C5 genotypes and C5 serum concentrations, as well as interleukin-17 (IL-17) production.
Main Methods:
- Genotyping of six C3 SNPs and four C5 SNPs was conducted in 395 AAU patients with ankylosing spondylitis (AS), 397 AAU patients without AS, and 597 healthy controls using PCR-RFLP and TaqMan SNP assays.
- Messenger RNA (mRNA) expression levels were quantified via real-time PCR.
- Cytokine production and total C5 serum concentrations were measured using ELISA.
Main Results:
- The GG genotype of the C5 rs2269067 SNP showed a significantly increased frequency in AAU patients (with and without AS) compared to healthy controls.
- Individuals with the rs2269067 GG genotype exhibited higher C5 mRNA and serum concentrations.
- An elevated production of interleukin-17 was observed in individuals with the rs2269067 GG genotype.
Conclusions:
- The C5 rs2269067 GG genotype represents a risk factor for AAU in the studied Chinese population.
- This genotype is associated with elevated C5 serum levels and increased IL-17 production, suggesting a potential mechanism for AAU development.
Purpose:
Polymorphisms in the genes encoding C3 and C5 are associated with several immune-mediated diseases. However, the association of C3 and C5 SNPs with acute anterior uveitis (AAU) has not yet been investigated and was the purpose of the study described.
Methods:
Genotyping was performed for six SNPs in C3 and four SNPs in C5 in 395 AAU patients with ankylosing spondylitis (AS), 397 AAU patients without AS, and 597 healthy controls by PCR-restriction fragment length polymorphism (PCR-RFLP) or TaqMan SNP assay. The mRNA expression was detected by real-time PCR. Cytokine production and total C5 serum concentrations were measured by ELISA.
Results:
The frequency of the GG genotype of rs2269067 in C5 was increased in AAU patients with or without AS compared to controls (Pc = 4.0 × 10(-5), odds ratio [OR] = 1.94 and Pc = 9.4 × 10(-5), OR = 1.89, respectively). The mRNA and serum concentrations of C5 were significantly increased in rs2269067 GG cases as compared to that in CG or CC cases (P = 0.012, P = 0.002; P = 0.021, P = 0.006, respectively). An increased production of interleukin-17 was observed in rs2269067 GG cases compared to CG or CC cases (P = 5.1 × 10(-4), P = 1.4 × 10(-4), respectively).
Conclusions:
The C5 rs2269067 GG genotype confers risk for AAU in a Chinese population and is associated with an elevated C5 serum concentration and an increased IL-17 production.
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