Inflammasome Gene Polymorphisms (NLRP3 and NLRC4) and Vitamin D Status in Patients with Multiple Sclerosis

Concetta Scazzone1, Luisa Agnello1,2, Caterina Maria Gambino1,2

  • 1Department of Biomedicine, Neurosciences and Advanced Diagnostics, Institute of Clinical Biochemistry, Clinical Molecular Medicine, and Clinical Laboratory Medicine, University of Palermo, 90127 Palermo, Italy.

Insights

Genetic variants in the NLRP3 inflammasome pathway may influence multiple sclerosis (MS) risk. Specific NLRP3 gene variations are linked to lower vitamin D levels in MS patients, suggesting a connection to disease susceptibility.

Area of Science:

  • Neuroimmunology
  • Genetics
  • Immunometabolism

Background:

  • Multiple Sclerosis (MS) is a complex neuroinflammatory disease influenced by genetic and environmental factors.
  • The inflammasome pathway is implicated in MS pathophysiology, but its interaction with genetic variants and vitamin D is not well understood.
  • Vitamin D deficiency is common in MS patients and may play a role in disease modulation.

Purpose of the Study:

  • To investigate the association between inflammasome-related genetic variants (NLRP3, NLRC4) and multiple sclerosis (MS) susceptibility.
  • To examine the relationship between these genetic variants and serum 25-hydroxyvitamin D3 (25(OH)D3) levels in MS patients.
  • To explore correlations between genetic polymorphisms, vitamin D levels, and clinical MS disease parameters.

Main Methods:

  • Genotyping of NLRP3 (rs10754558, rs3806265) and NLRC4 (rs479333) polymorphisms in 105 MS patients and 109 healthy controls using real-time PCR.
  • Quantification of serum 25(OH)D3 levels via high-performance liquid chromatography.
  • Assessment of clinical MS severity using Expanded Disability Status Scale (EDSS), Multiple Sclerosis Severity Score (MSSS), annualized relapse rate (ARR), and age at onset.

Main Results:

  • MS patients exhibited significantly lower serum 25(OH)D3 levels compared to controls.
  • The NLRP3 rs10754558 GG genotype was more frequent in MS patients (recessive model) and associated with disease status.
  • Individuals with the NLRP3 rs10754558 GG genotype had lower serum 25(OH)D3 levels, independent of sex; no significant associations for other variants or clinical parameters were found.

Conclusions:

  • The NLRP3 rs10754558 polymorphism may contribute to MS susceptibility and is associated with reduced circulating vitamin D levels.
  • This finding suggests a potential link between inflammasome genetic variability and immunometabolic dysregulation in the context of MS.
  • Further research is warranted to elucidate the precise mechanisms underlying this association and its clinical implications.

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