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IP-10 and MCP-1 gene polymorphisms in Chinese patients with chronic immune thrombocytopenia
Xian Zhang1, Donglei Zhang2,3, Huiyuan Li2
1The Hematology Department, Zhongnan Hospital of Wuhan University, Wuhan, China.
Insights
The IFN-γ-inducible protein of 10 kilodaltons (IP-10) gene polymorphism (-201 G/A) is linked to increased susceptibility to immune thrombocytopenia (ITP) in the Chinese population. ITP patients exhibited higher IP-10 levels, particularly those with specific genotypes.
Area of Science:
- Immunology
- Genetics
Background:
- Aberrant Th1/Th2 immune responses are implicated in primary immune thrombocytopenia (ITP).
- IFN-γ-inducible protein of 10 kilodaltons (IP-10) and Monocyte chemoattractant protein-1 (MCP-1) are key mediators of Th1 and Th2 immunity, respectively.
Purpose of the Study:
- To investigate the association between IP-10 (-201 G/A) and MCP-1 (-2518 A/G) gene polymorphisms and susceptibility to chronic ITP.
- To evaluate serum levels of IP-10 and MCP-1 in ITP patients and healthy controls.
Main Methods:
- Genotyping of IP-10 (-201 G/A) and MCP-1 (-2518 A/G) polymorphisms using polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP) in 323 ITP patients and 255 controls.
- Quantification of serum IP-10 and MCP-1 levels via ELISA in 79 adult ITP patients and 43 healthy controls.
Main Results:
- The AG + AA genotype of the IP-10 (-201 G/A) polymorphism was significantly more frequent in ITP patients, especially females and adults.
- ITP patients displayed elevated serum IP-10 levels compared to controls.
- Both heterozygote (GA) and minor allele homozygote (AA) genotypes of IP-10 were associated with higher IP-10 levels at diagnosis.
- No significant differences in MCP-1 gene polymorphisms or serum levels were observed between ITP patients and controls.
Conclusions:
- The IP-10 (-201 G/A) polymorphism may contribute to ITP susceptibility in the Chinese population.
- Elevated IP-10 levels are associated with ITP and specific IP-10 genotypes.
Abstract:
Aberrant Th1/Th2 polarization is considered to play a crucial role in the abnormal immune state of primary immune thrombocytopenia (ITP). IFN-γ-inducible protein of 10 kilodaltons (IP-10) and Monocyte chemoattractant protein-1 (MCP-1) gene are involved in enhancing the Th1 and Th2 immune response, respectively. In this study we investigated the distributions of IP-10 (-201 G/A) and MCP-1 (-2518 A/G) polymorphisms in 323 patients with chronic ITP and 255 healthy controls by polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP). The IP-10 and MCP-1 levels of blood serum from 79 adult ITP patients and 43 healthy controls were detected with ELISA. The frequency of AG + AA genotype in IP-10 (-201 G/A) was significantly higher in ITP patients than in controls, especially in female and adult patients. ITP patients showed higher IP-10 levels than normal controls. Moreover, both IP-10 (-201 G/A) heterozygote (GA) and homozygote minor allele (AA) patients had significantly increased IP-10 levels compared to homozygote genotype (GG) patients at diagnosis. No significant differences were revealed in genotypes and allele distributions of MCP-1 (-2518 A/G) between ITP patients and normal controls, as well as the MCP-1 levels. In conclusion, the -201 G/A polymorphism of IP-10 gene may be associated with the susceptibility of ITP in Chinese population.
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