Volume 22, Issue 4 pp. 715-724
ORIGINAL ARTICLE

Susceptibility to ERAP1 gene single nucleotide polymorphism modulates the inflammatory cytokine setting in ankylosing spondylitis

Maryam Hemmatzadeh

Maryam Hemmatzadeh

Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

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Farhad Babaie

Farhad Babaie

Cellular and Molecular Research Center, Urmia University of Medical Sciences, Urmia, Iran

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Fatemeh Ezzatifar

Fatemeh Ezzatifar

Molecular and Cell Biology Research Center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran

Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran

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Fatemeh S. Mohammadi

Fatemeh S. Mohammadi

Immunology Research Center, Inflammation and Inflammatory Diseases Division, Medical School, Mashhad University of Medical Sciences, Mashhad, Iran

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Mehrdad Ebrazeh

Mehrdad Ebrazeh

Department of Biology, Bonab Branch, Islamic Azad University, Bonab, Iran

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Shirin Golabi Aghdam

Shirin Golabi Aghdam

Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

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Mehrzad Hajaliloo

Mehrzad Hajaliloo

Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

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Gholamreza Azizi

Gholamreza Azizi

Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran

Department of Immunology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran

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Arezoo Gowhari Shabgah

Arezoo Gowhari Shabgah

Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

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Najibeh Shekari

Najibeh Shekari

Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

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Nasrin Sehati

Nasrin Sehati

Department of Genetic, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran

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Ramin Hosseinzadeh

Ramin Hosseinzadeh

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

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Hamed Mohammadi

Corresponding Author

Hamed Mohammadi

Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

Correspondence

Zohreh Babaloo and Hamed Mohammadi, Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Email: [email protected]; [email protected]

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Zohreh Babaloo

Corresponding Author

Zohreh Babaloo

Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

Correspondence

Zohreh Babaloo and Hamed Mohammadi, Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Email: [email protected]; [email protected]

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First published: 10 February 2019
Citations: 13
Hemmatzadeh and Babaie contributed equally in this manuscript.

Abstract

Aim

To evaluate the association of ERAP1 gene single nucleotide polymorphisms (SNPs) with the risk of ankylosing spondylitis (AS) and their role in modulation of the inflammatory interleukin (IL)-17/IL-23 axis in the disease.

Methods

For genotyping, 190 AS cases and 190 healthy controls were enrolled. After DNA extraction, all the subjects were genotyped for rs17482078, rs469876, and rs27038 polymorphisms using single specific primer polymerase chain reaction (PCR) assay. After isolation of peripheral blood mononuclear cells, RNA extraction and complementary DNA synthesis, real-time PCR using SYBR Green master mix was employed to determine messenger RNA (mRNA) expression of IL-17A and IL-23 in PBMCs. Using enzyme-linked immunosorbent assay, the concentration of these cytokines was determined in serum samples.

Results

It was observed that the A allele of rs27038 polymorphism significantly increased AS risk (odds ratio [OR] = 1.53, 95% CI =1.11-2.12; P = 0.0096). Moreover, AA and AG genotypes of this SNP were associated with increased (OR = 2.89, 95% CI = 1.42-5.85; P = 0.0031) and decreased (OR = 0.57, 95% CI = 0.36-0.92; P = 0.021), respectively, risk of the disease. The rs27038 SNP was associated with C-reactive protein level. There were significantly increased mRNA and serum concentrations of both IL-17A and IL-23 in AS patients compared with controls. Furthermore, AS patients with the AA in comparison to other genotypes for rs27038 SNP indicated significantly increased mRNA and serum concentration levels for both cytokines.

Conclusions

This study demonstrated the association of ERAP1 gene rs27038 polymorphism with the risk of AS in an Iranian population. Additionally, it seems that rs27038 is involved in the modulation of the inflammatory IL-17/IL-23 axis in AS.

CONFLICT OF INTERESTS

None.

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