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Polymorphisms in PI3K/AKT genes and gene‑smoking interaction are associated with susceptibility to tuberculosis
Chunli Wu1, Huixia Liu1, Ying Lin1
1Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Background:
Phosphatidylinositol 3-kinase (PI3K) and protein kinase B (AKT) are involved in the clearance of Mycobacterium tuberculosis (MTB) by macrophages.
Aim:
This study aimed to investigate the effects of polymorphisms in the PI3K/AKT genes and the gene-smoking interaction on susceptibility to TB.
Methods:
This case-control study used stratified sampling to randomly select 503 TB patients and 494 control subjects. Logistic regression analysis was used to determine the association between the polymorphisms and TB. Simultaneously, the marginal structure linear dominance model was used to estimate the gene-smoking interaction.
Results:
Genotypes GA (OR 1.562), AA (OR 2.282), and GA + AA (OR 1.650) at rs3730089 of the PI3KR1 gene were significantly associated with the risk to develop TB. Genotypes AG (OR 1.460), GG (OR 2.785), and AG + GG (OR 1.622) at rs1130233 of the AKT1 gene were significantly associated with the risk to develop TB. In addition, the relative excess risk of interaction (RERI) between rs3730089 and smoking was 0.9608 (95% CI: 0.5959, 1.3256, p < 0.05), which suggests a positive interaction.
Conclusion:
We conclude that rs3730089 and rs1130233 are associated with susceptibility to TB, and there was positive interaction between rs3730089 and smoking on susceptibility to TB.
Insights
Genetic variations in PI3K/AKT pathway genes, specifically PI3KR1 and AKT1, are linked to tuberculosis (TB) susceptibility. Smoking interacts with these genetic factors, increasing TB risk.
Area of Science:
- Genetics
- Immunology
- Molecular Biology
Background:
- The phosphatidylinositol 3-kinase (PI3K) and protein kinase B (AKT) signaling pathway plays a crucial role in macrophage-mediated clearance of Mycobacterium tuberculosis (MTB).
- Genetic variations within this pathway may influence an individual's susceptibility to developing tuberculosis (TB).
Purpose of the Study:
- To investigate the association between polymorphisms in PI3K/AKT pathway genes and the risk of developing TB.
- To examine the potential gene-smoking interaction influencing TB susceptibility.
Main Methods:
- A case-control study involving 503 TB patients and 494 healthy controls.
- Genotyping of specific polymorphisms in PI3KR1 (rs3730089) and AKT1 (rs1130233) genes.
- Logistic regression and marginal structure linear dominance models were employed to analyze genetic associations and gene-smoking interactions.
Main Results:
- Specific genotypes at rs3730089 in PI3KR1 (GA, AA) and rs1130233 in AKT1 (AG, GG) were significantly associated with an increased risk of TB.
- A positive interaction (RERI = 0.9608, p < 0.05) was observed between the rs3730089 polymorphism and smoking, indicating a heightened susceptibility to TB in individuals with this genotype who smoke.
Conclusions:
- Polymorphisms in PI3KR1 (rs3730089) and AKT1 (rs1130233) are significant genetic risk factors for TB susceptibility.
- A notable gene-smoking interaction exists, where smoking exacerbates the risk of TB in individuals carrying the rs3730089 variant.
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