Susceptibility to ERAP1 gene single nucleotide polymorphism modulates the inflammatory cytokine setting in ankylosing spondylitis
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
Search for more papers by this authorFarhad Babaie
Cellular and Molecular Research Center, Urmia University of Medical Sciences, Urmia, Iran
Search for more papers by this authorFatemeh 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
Search for more papers by this authorFatemeh S. Mohammadi
Immunology Research Center, Inflammation and Inflammatory Diseases Division, Medical School, Mashhad University of Medical Sciences, Mashhad, Iran
Search for more papers by this authorMehrdad Ebrazeh
Department of Biology, Bonab Branch, Islamic Azad University, Bonab, Iran
Search for more papers by this authorShirin Golabi Aghdam
Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Search for more papers by this authorMehrzad Hajaliloo
Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Search for more papers by this authorGholamreza 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
Search for more papers by this authorArezoo Gowhari Shabgah
Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Search for more papers by this authorNajibeh Shekari
Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Search for more papers by this authorNasrin Sehati
Department of Genetic, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
Search for more papers by this authorRamin Hosseinzadeh
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorMaryam 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
Search for more papers by this authorFarhad Babaie
Cellular and Molecular Research Center, Urmia University of Medical Sciences, Urmia, Iran
Search for more papers by this authorFatemeh 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
Search for more papers by this authorFatemeh S. Mohammadi
Immunology Research Center, Inflammation and Inflammatory Diseases Division, Medical School, Mashhad University of Medical Sciences, Mashhad, Iran
Search for more papers by this authorMehrdad Ebrazeh
Department of Biology, Bonab Branch, Islamic Azad University, Bonab, Iran
Search for more papers by this authorShirin Golabi Aghdam
Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Search for more papers by this authorMehrzad Hajaliloo
Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Search for more papers by this authorGholamreza 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
Search for more papers by this authorArezoo Gowhari Shabgah
Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Search for more papers by this authorNajibeh Shekari
Department of Immunology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Search for more papers by this authorNasrin Sehati
Department of Genetic, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
Search for more papers by this authorRamin Hosseinzadeh
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorAbstract
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.
REFERENCES
- 1Davatchi F, Jamshidi A-R, Banihashemi AT, et al. WHO-ILAR COPCORD study (stage 1, urban study) in Iran. J Rheumatol. 2008; 35(7): 1384-1390.
- 2Brown M, Wordsworth B, Reveille J. Genetics of ankylosing spondylitis. Clin Exp Rheumatol. 2002; 20(6 suppl 28): S43-S49.
- 3Mahmoudi M, Aslani S, Nicknam MH, Karami J, Jamshidi AR. New insights toward the pathogenesis of ankylosing spondylitis; genetic variations and epigenetic modifications. Mod Rheumatol. 2017; 27(2): 198-209.
- 4Mohammadi H, Hemmatzadeh M, Babaie F, et al. MicroRNA implications in the etiopathogenesis of ankylosing spondylitis. J Cell Physiol. 2018; 233(8): 5564-5573.
- 5Mohammadi H, Sharafkandi N, Hemmatzadeh M, et al. The role of innate lymphoid cells in health and disease. J Cell Physiol. 2018; 233(6): 4512-4529.
- 6Aslani S, Mahmoudi M, Karami J, Jamshidi AR, Malekshahi Z, Nicknam MH. Epigenetic alterations underlying autoimmune diseases. Autoimmunity. 2016; 49(2): 69-83.
- 7Vanaki N, Aslani S, Jamshidi A, Mahmoudi M. Role of innate immune system in the pathogenesis of ankylosing spondylitis. Biomed Pharmacother. 2018; 105: 130-143.
- 8Brown MA. Genetics and the pathogenesis of ankylosing spondylitis. Curr Opin Rheumatol. 2009; 21(4): 318-323.
- 9Dashti N, Mahmoudi M, Aslani S, Jamshidi A. HLA-B*27 subtypes and their implications in the pathogenesis of ankylosing spondylitis. Gene. 2018; 670: 15-21.
- 10Brown MA, Kennedy LG, Darke C, et al. The effect of HLA-DR genes on susceptibility to and severity of ankylosing spondylitis. Arthritis Rheumatol. 1998; 41(3): 460-465.
- 11Meng Q, Zhang X, Liu X, et al. Association of PTPN22 polymorphsims and ankylosing spondylitis susceptibility. Int J Clin Exp Pathol. 2015; 8(1): 933.
- 12Reveille JD, Sims A-M, Danoy P, et al. Genome-wide association study of ankylosing spondylitis identifies non-MHC susceptibility loci. Nat Genet. 2010; 42(2): 123.
- 13Rahman P, Inman RD, Gladman DD, Reeve JP, Peddle L, Maksymowych WP. Association of interleukin-23 receptor variants with ankylosing spondylitis. Arthritis Rheumatol. 2008; 58(4): 1020-1025.
- 14Harvey D, Pointon JJ, Evans DM, et al. Investigating the genetic association between ERAP1 and ankylosing spondylitis. Hum Mol Genet. 2009; 18(21): 4204-4212.
- 15Jadon D, Tillett W, Wallis D, et al. Exploring ankylosing spondylitis-associated ERAP1, IL23R and IL12B gene polymorphisms in subphenotypes of psoriatic arthritis. Rheumatology. 2012; 52(2): 261-266.
- 16Burton PR, Clayton DG, Cardon LR, et al. Association scan of 14,500 nonsynonymous SNPs in four diseases identifies autoimmunity variants. Nat Genet. 2007; 39(11): 1329.
- 17Babaie F, Hasankhani M, Mohammadi H, et al. The role of gut microbiota and IL-23/IL-17 pathway in ankylosing spondylitis immunopathogenesis: new insights and updates. Immunol Lett. 2018; 196: 52-62.
- 18Haroon N, Inman RD. Endoplasmic reticulum aminopeptidases: biology and pathogenic potential. Nat Rev Rheumatol. 2010; 6(8): 461.
- 19Saric T, Chang S-C, Hattori A, et al. An IFN-γ-induced aminopeptidase in the ER, ERAP1, trims precursors to MHC class I–presented peptides. Nat Immunol. 2002; 3(12): 1169.
- 20Cui X, Hawari F, Alsaaty S, et al. Identification of ARTS-1 as a novel TNFR1-binding protein that promotes TNFR1 ectodomain shedding. J Clin Invest. 2002; 110(4): 515-526.
- 21Cui X, Rouhani FN, Hawari F, Levine SJ. Shedding of the type II IL-1 decoy receptor requires a multifunctional aminopeptidase, aminopeptidase regulator of TNF receptor type 1 shedding. J Immunol. 2003; 171(12): 6814-6819.
- 22Tang Y, Yang P, Wang F, Xu H, Zong SY. Association of polymorphisms in ERAP1 and risk of ankylosing spondylitis in a Chinese population. Gene. 2018; 646: 8-11.
- 23Chen R, Yao L, Meng T, Xu W. The association between seven ERAP1 polymorphisms and ankylosing spondylitis susceptibility: a meta-analysis involving 8,530 cases and 12,449 controls. Rheumatol Int. 2012; 32(4): 909-914.
- 24Cinar M, Akar H, Yilmaz S, et al. A polymorphism in ERAP1 is associated with susceptibility to ankylosing spondylitis in a Turkish population. Rheumatol Int. 2013; 33(11): 2851-2858.
- 25Jiang Y, Ren Y, Zhou D, Xu Y. Associations between ERAP1 polymorphisms and susceptibility to ankylosing spondylitis: a meta-analysis of East Asian Population. Medicine. 2018; 97(47): e13263.
- 26Rezaiemanesh A, Mahmoudi M, Amirzargar AA, Vojdanian M, Jamshidi AR, Nicknam MH. Ankylosing spondylitis M-CSF-derived macrophages are undergoing unfolded protein response (UPR) and express higher levels of interleukin-23. Mod Rheumatol. 2017; 27(5): 862-867.
- 27Simone D, Al Mossawi MH, Bowness P. Progress in our understanding of the pathogenesis of ankylosing spondylitis. Rheumatology. 2018; 57(suppl_6): vi4-vi9.
- 28Ranganathan V, Gracey E, Brown MA, Inman RD, Haroon N. Pathogenesis of ankylosing spondylitis—recent advances and future directions. Nat Rev Rheumatol. 2017; 13(6): 359.
- 29Mohammadi H, Babaie F, Hemmatzadeh M, et al. Evaluation of ERAP1 gene single nucleotide polymorphism in impressing the inflammatory cytokine profile of ankylosing spondylitis patients. Iran J Allergy Asthma Immunol. 2018; 17(5): 464-474.
- 30Babaie F, Ebrazeh M, Hemmatzadeh M, et al. Association analysis of ERAP1 gene single nucleotide polymorphism in susceptibility to ankylosing spondylitis in Iranian population. Immunol Lett. 2018; 201: 52-58.
- 31Mahmoudi M, Jamshidi AR, Amirzargar AA, et al. Association between endoplasmic reticulum aminopeptidase-1 (ERAP-1) and susceptibility to ankylosing spondylitis in Iran. Iran J Allergy Asthma Immunol. 2012; 11(4): 294-300.
- 32Schmittgen TD, Livak KJ. Analyzing real-time PCR data by the comparative CT method. Nat Protoc. 2008; 3(6): 1101-1108.
- 33Yong Y, Lin H. SHEsis, a powerful software platform for analyses of linkage disequilibrium, haplotype construction, and genetic association at polymorphism loci. Cell Res. 2005; 15(2): 97-98.
- 34Brown MA, Kenna T, Wordsworth BP. Genetics of ankylosing spondylitis—insights into pathogenesis. Nat Rev Rheumatol. 2016; 12(2): 81.
- 35Reeves E, Elliott T, James E, Edwards CJ. ERAP1 in the pathogenesis of ankylosing spondylitis. Immunol Res. 2014; 60(2–3): 257-269.
- 36Evans DM, Spencer CC, Pointon JJ, et al. Interaction between ERAP1 and HLA-B27 in ankylosing spondylitis implicates peptide handling in the mechanism for HLA-B27 in disease susceptibility. Nat Genet. 2011; 43(8): 761.
- 37Evnouchidou I, Momburg F, Papakyriakou A, et al. The internal sequence of the peptide-substrate determines its N-terminus trimming by ERAP1. PLoS ONE. 2008; 3(11): e3658.
- 38Ombrello MJ, Kastner DL, Remmers EF. Endoplasmic reticulum-associated amino-peptidase 1 and rheumatic disease: genetics. Curr Opin Rheumatol. 2015; 27(4): 349.
- 39Maksymowych W, Inman R, Gladman D, Reeve J, Pope A, Rahman P. Association of a specific ERAP1/ARTS1 haplotype with disease susceptibility in ankylosing spondylitis. Arthritis Rheumatol. 2009; 60(5): 1317-1323.
- 40Kadi A, Izac B, Said-Nahal R, et al. Investigating the genetic association between ERAP1 and spondyloarthritis. Ann Rheum Dis. 2013; 72: 608-613.
- 41Bettencourt BF, Rocha FL, Alves H, et al. Protective effect of an ERAP1 haplotype in ankylosing spondylitis: investigating non-MHC genes in HLA-B27-positive individuals. Rheumatology. 2013; 52(12): 2168-2176.