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.

Autoimmunity
|September 19, 2019
PubMed

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.

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