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Inflammatory Cytokine Dysregulation and Interleukin Gene Polymorphisms in Iraqi Pediatric Sickle Cell Anemia:
Sundus K Hamzah1, Wisam H Hoidy1
1Department of Chemistry, College of Education, University of Al-Qadisiyah, Al-Diwanyah City, Iraq.
Insights
This study reveals significant inflammatory dysregulation and interleukin gene variations in Iraqi children with sickle cell anemia (SCA). These findings support cytokines as biomarkers and highlight potential for anti-inflammatory therapies in SCA management.
Area of Science:
- Immunology
- Genetics
- Pediatrics
Background:
- Sickle cell anemia (SCA) is characterized by inflammation, exacerbating symptoms and complications.
- Inflammatory profiles and genetic factors in pediatric SCA patients in Iraq are poorly understood.
- This study investigates cytokine dysregulation and interleukin gene polymorphism in Iraqi pediatric SCA patients.
Purpose of the Study:
- To analyze cytokine dysregulation in pediatric SCA patients in Iraq.
- To investigate interleukin gene polymorphism associated with SCA in the Iraqi pediatric population.
- To explore the diagnostic value of specific interleukins as biomarkers for SCA.
Main Methods:
- A case-control study involving 216 pediatric SCA patients and 330 healthy controls.
- Quantification of serum Interleukin (IL)-1β, IL-2, IL-4, IL-8, IL-10, and IL-17 levels using ELISA.
- Analysis of gene polymorphisms for IL-1β, IL-2, IL-4, IL-8, IL-10, and IL-17.
Main Results:
- Significant associations found between IL-10 -1082 G/A and IL-17 -197 G/A polymorphisms and SCA status.
- Increased frequency of IL-10 -1082 A allele and IL-17 -197 A allele carriers in SCA patients.
- High diagnostic value for IL-8 (AUC=0.958) and IL-17 (AUC=0.946); IL-17 levels correlated with vaso-occlusive crises (r=0.623).
Conclusions:
- Evidence of significant inflammatory dysregulation and genetic associations in pediatric SCA in Iraq.
- Cytokines show potential as reliable biomarkers for SCA.
- Supports the development of targeted anti-inflammatory therapies for pediatric SCA.
Background:
Sickle cell anemia (SCA) involves inflammation that worsens disease symptoms and complications. The inflammatory profiles and genetic determinants among the pediatric Iraqi population are not well described. The current study aimed to analyze pediatric SCA in Iraq for cytokine dysregulation and interleukin gene polymorphism.
Procedure:
A case-control study was performed involving 216 pediatric SCA patients and 330 healthy controls. Serum levels of six interleukins (IL-1β, IL-2, IL-4, IL-8, IL-10, and IL-17) were quantified using the ELISA technique; the gene polymorphisms for the interleukin (IL-1β -511 C/T, IL-2 -330 T/G, IL-4 -590 C/T, IL-8 -251 A/T, IL-10 -1082 G/A, IL-17 -197 G/A).
Results:
Both the IL-10 -1082 G/A and IL-17 -197 G/A polymorphisms were independently and significantly associated with SCA disease status. Carriers of the IL-10 -1082 A allele (AA genotype: OR = 2.11, 95% CI: 1.58-2.82, p<0.001) and the IL-17 -197 A allele (AA genotype: OR = 2.02, 95% CI: 1.49-2.74, p<0.001) were significantly more frequent among SCA patients compared to healthy controls. There was a marked increase in the gene-dose effect on the production of the described cytokines. There was a noteworthy association of IL-17 levels with the frequency of vaso-occlusive crises (r = 0.623, p <0.001). The diagnostic value of IL-8 (AUC = 0.958) and IL-17 (AUC = 0.946) was excellent according to the ROC curve.
Conclusions:
There is evidence of significant inflammatory dysregulation and genetic associations in pediatric patients with SCA in Iraq. There is a clear justification for developing anti-inflammatory therapies, and further evidence to support the role of cytokines as biomarkers of Sickle cell anemia (SCA).
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