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Histamine H4 receptor gene polymorphisms: a potential contributor to Meniere disease
Danxia Qin1, Han Zhang2, Jiehua Wang1
1Inpatient Department 7th floor District 6, Dongjie Branch of Quanzhou 1st Hospital, Quanzhou 1st Hospital Affiliated to Fujian Medical University, Quanzhou, 362000, Fujian, China.
Background:
The immune system is likely involved in the pathophysiology of Meniere's disease (MD). However, its role of patients with MD has not been well studied. Given that histamine H4 receptors are highly expressed in immune system, we tested the hypothesis that histamine H4 receptor gene polymorphisms are a potential contributor to the risk of MD.
Methods:
A group of patients was enrolled with a diagnosis of definite MD based on the American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing and Equilibrium guidelines and a control group of patients without any vestibular disease. We selected one SNP, rs77485247 in HRH4 and conducted an exploratory investigation of its correlations with the symptoms of vertigo and proinflammatory cytokines levels in MD patients.
Results:
HRH4 rs77485247 polymorphism may be associated with the risk of MD. Furthermore, basal levels of proinflammatory cytokines, such as IL-1β and TNF-α, in PBMCs are increased in patients with MD compared to control patients. This increased basal level of proinflammatory cytokines is prominent in MD patients with the A allele.
Conclusions:
These suggested that HRH4 rs77485247 polymorphism may be an important mediator in regulating proinflammatory cytokines, which are involved in the pathogenesis of MD.
Insights
Histamine H4 receptor gene variations may increase Meniere
Area of Science:
- Immunology
- Genetics
- Otolaryngology
Background:
- The immune system's role in Meniere's disease (MD) pathophysiology is suspected but not well-understood.
- Histamine H4 receptors are highly expressed in immune cells, suggesting a potential link to MD.
- Investigating histamine H4 receptor gene polymorphisms could reveal contributions to MD risk.
Purpose of the Study:
- To test the hypothesis that histamine H4 receptor gene polymorphisms contribute to Meniere's disease risk.
- To explore the association between a specific HRH4 gene polymorphism (rs77485247) and MD.
- To investigate correlations between this polymorphism, vertigo symptoms, and proinflammatory cytokine levels in MD patients.
Main Methods:
- Enrolled patients with definite Meniere's disease (MD) and a control group without vestibular disorders.
- Selected a single nucleotide polymorphism (SNP), rs77485247, in the histamine H4 receptor (HRH4) gene.
- Conducted exploratory analysis of correlations between the rs77485247 polymorphism, vertigo, and cytokine levels (IL-1β, TNF-α) in peripheral blood mononuclear cells (PBMCs).
Main Results:
- The HRH4 rs77485247 polymorphism showed a potential association with Meniere's disease risk.
- Patients with MD exhibited increased basal levels of proinflammatory cytokines (IL-1β, TNF-α) in PBMCs compared to controls.
- Elevated cytokine levels were more pronounced in MD patients carrying the 'A' allele of the rs77485247 polymorphism.
Conclusions:
- The HRH4 rs77485247 polymorphism may play a role in Meniere's disease pathogenesis.
- This polymorphism might mediate the regulation of proinflammatory cytokines implicated in MD.
- Further research is warranted to elucidate the specific mechanisms linking HRH4 genetics to MD.
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