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Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Interleukin 7 receptor polymorphisms and the risk of multiple sclerosis: A meta-analysis
1Iran University of Medical Sciences, Tehran, Iran; Neuroscience Research center, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran.
Background:
Multiple sclerosis (MS) is considered as the most common chronic inflammatory neurologic disorder diagnosed in young adults. Both environmental and genetic factors may influence risk of MS development. Interleukin 7 receptor (IL7R) is one of the most studied gene polymorphism on MS that may play a possible role in MS development. The most studied polymorphism of IL7R gene is "rs6897932" polymorphism on IL7Rα gene (IL7RA).
Methods:
PubMed, Scopus, and Google scholar databases were searched for all of related studies on the association of IL7RA polymorphism with single nucleotide polymorphism (SNP) ID of "rs6897932" and the risk of MS through August 07, 2015. After exclusion of irrelevant articles, 11 eligible studies were selected, which were analyzed to determine an association between the MS and IL7R T244I polymorphism (rs6897932). For identification of this association, odds ratios (ORs) and 95% confidence interval (95% CI) were calculated. Four models of allelic (T vs. C), co-dominant genotype (TT vs. CC), dominant (TT+CT vs. CC), and recessive genotypes (TT vs. CT+CC) were considered to check the possible role of rs6897932 polymorphism in MS. A sensitivity analysis was conducted to find the reliability of this study. Furthermore, funnel plots were used to evaluate publication bias.
Results:
A total of 11 case-control studies were identified through this meta-analysis, which containing 6752 cases and 7349 controls. In overall, the frequency of the C allele was found to be higher in patients with MS compared to healthy controls (75.66% vs. 72.19%). T allele was significantly associated with the decreased risk of MS in a random effect model (T vs. C: OR=0.84, 95% CI=0.77-0.92, P-value <0.001). In the co-dominant, dominant, and recessive genotypes models, a significant association between the IL7R T244I polymorphism and MS risk was demonstrated (TT vs. CC: OR=0.70, 95% CI=0.61-0.80, P-value <0.001; TT+CT vs. CC: OR=0.82, 95% CI=0.73-0.92, P-value <0.001; TT vs. CT+CC: OR=0.76, 95% CI=0.66-0.87, P-value <0.001). Sensitivity analysis revealed that this study is reliable. There was no evidence of publication bias.
Conclusion:
It was demonstrated that the IL7R T244I polymorphism was associated with susceptibility to MS. However, more well-designed studies with large sample size are needed to validate this association between this single nucleotide polymorphism and MS.
Insights
The Interleukin 7 receptor alpha (IL7RA) T244I polymorphism (rs6897932) is associated with a decreased risk of developing multiple sclerosis (MS). This finding suggests a genetic link to MS susceptibility, though further research is recommended.
Area of Science:
- Neuroimmunology
- Genetics
- Epidemiology
Background:
- Multiple sclerosis (MS) is a leading chronic inflammatory neurological disorder affecting young adults.
- Both genetic and environmental factors contribute to MS risk.
- The Interleukin 7 receptor alpha (IL7RA) gene, specifically the rs6897932 polymorphism, is investigated for its role in MS development.
Purpose of the Study:
- To conduct a meta-analysis assessing the association between the IL7RA T244I polymorphism (rs6897932) and the risk of multiple sclerosis (MS).
Main Methods:
- A systematic literature search was performed across PubMed, Scopus, and Google Scholar databases up to August 7, 2015.
- Eleven eligible case-control studies, comprising 6752 MS cases and 7349 controls, were included in the meta-analysis.
- Odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated using various genetic models (allelic, co-dominant, dominant, recessive) to evaluate the association.
Main Results:
- The T allele of the IL7RA rs6897932 polymorphism was significantly associated with a reduced risk of MS (T vs. C: OR=0.84, 95% CI=0.77-0.92, P<0.001).
- Significant associations were also found across co-dominant, dominant, and recessive genotype models, indicating a protective effect of the T allele.
- Sensitivity analysis confirmed the reliability of the findings, and no publication bias was detected.
Conclusions:
- The IL7RA T244I polymorphism (rs6897932) is associated with susceptibility to multiple sclerosis.
- Further large-scale, well-designed studies are necessary to confirm this association and its clinical implications.
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