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Published on: May 22, 2014
MICA and NLRP3 gene polymorphisms interact synergistically affecting the risk of ankylosing spondylitis
Javier Fernández-Torres1,2, Yessica Zamudio-Cuevas3, Xiadani Ruiz-Dávila4
1Laboratorio de Líquido Sinovial, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Calzada México-Xochimilco 289, C.P. 14389, Alcaldía Tlalpan, Mexico City, Mexico. javierastrofan1971@gmail.com.
Abstract:
Ankylosing spondylitis (AS) is an autoinflammatory disease that affects the sacroiliac joints, causing stiffness and pain in the back. MICA is a ligand of the NKG2D receptor, and an increase in its expression affects the immune response in various diseases. NLRP3 is a multiprotein complex that promotes the release of IL-1β, but its role in AS has been minimally explored. The objective of this study was to analyze the association and interaction of polymorphic variants of the MICA and NLRP3 genes in patients with AS. In this case-control study, patients with AS were included and compared with healthy controls of Mexican origin. The polymorphisms rs4349859 and rs116488202 of MICA and rs3806268 and rs10754558 of NLRP3 were genotyped using TaqMan probes. Associations were determined using logistic regression models, while interactions were analyzed by the multifactorial dimensionality reduction (MDR) method. A P value < 0.05 was considered statistically significant. The minor allele of rs4349859 (A) and rs116488202 (T) of MICA polymorphisms showed risk associations with AS (OR = 9.22, 95% CI = 4.26-20.0, P < 0.001; OR = 9.36, 95% CI = 4.17-21.0, P < 0.001), while the minor allele of the rs3806268 (A) polymorphism of NLRP3 was associated with protection (OR = 0.55, 95% CI = 0.33-0.91, P = 0.019). MDR analysis revealed synergistic interactions between the MICA and NLRP3 polymorphisms (P = 0.012). In addition, high- and low-risk genotypes were identified among these variants. The study findings suggest that the MICA rs4349859 A allele and rs116488202 T allele are associated with AS risk. An interaction between MICA and NLRP3 was observed which could increase the genetic risk in AS.
Insights
Genetic variants in MICA and NLRP3 genes are associated with ankylosing spondylitis (AS). Specific MICA alleles increase AS risk, while an NLRP3 variant offers protection, with gene interactions identified.
Area of Science:
- Immunogenetics
- Rheumatology
- Molecular Biology
Background:
- Ankylosing spondylitis (AS) is an autoinflammatory condition impacting the sacroiliac joints, leading to back stiffness and pain.
- MICA, a ligand for the NKG2D receptor, influences immune responses in various diseases.
- The role of the NLRP3 inflammasome in AS pathogenesis remains largely unexplored.
Purpose of the Study:
- To investigate the association and interaction of polymorphic variants in the MICA and NLRP3 genes within a Mexican cohort of AS patients.
- To identify specific genetic markers contributing to AS susceptibility or protection.
Main Methods:
- A case-control study design was employed, comparing AS patients with healthy controls of Mexican origin.
- Genotyping of MICA polymorphisms (rs4349859, rs116488202) and NLRP3 polymorphisms (rs3806268, rs10754558) was performed using TaqMan probes.
- Statistical analyses included logistic regression for associations and multifactorial dimensionality reduction (MDR) for interaction analysis.
Main Results:
- The minor alleles of MICA polymorphisms rs4349859 (A) and rs116488202 (T) were significantly associated with an increased risk of AS.
- The minor allele of the NLRP3 polymorphism rs3806268 (A) demonstrated a protective association against AS.
- MDR analysis revealed significant synergistic interactions between MICA and NLRP3 polymorphisms, indicating a combined effect on AS risk.
Conclusions:
- Specific MICA gene variants (rs4349859 A allele, rs116488202 T allele) are risk factors for developing ankylosing spondylitis.
- An interaction between MICA and NLRP3 genetic variants contributes to the overall genetic susceptibility to AS.
- These findings highlight the potential role of MICA and NLRP3 in AS pathogenesis and suggest novel therapeutic targets.
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