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Role of IL-18 Gene Promoter Polymorphisms, Serum IL-18 Levels, and Risk of Hepatitis B Virus-related Liver Disease in the Guangxi Zhuang Population: a Retrospective Case-Control Study

  • Lu, Yu (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University) ;
  • Bao, Jin-Gui (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University) ;
  • Deng, Yan (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University) ;
  • Rong, Cheng-Zhi (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University) ;
  • Liu, Yan-Qiong (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University) ;
  • Huang, Xiu-Li (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University) ;
  • Song, Liu-Ying (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University) ;
  • Li, Shan (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University) ;
  • Qin, Xue (Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University)
  • Published : 2015.09.02

Abstract

Background: The aim of this study was to assess the relationship between IL-18 gene polymorphisms and HBV-related diseases and whether these polymorphisms influence its expression in the Guangxi Zhuang population. Materials and Methods: We enrolled 129 chronic HBV infected (CHB) patients, 86 HBV-related liver cirrhosis (LC) patients and 160 healthy controls in our study. Polymerase chain reaction-restriction fragment length polymorphism methods were used to detect IL-18 gene -607C/A, -137G/C polymorphisms, and an ELISA kit was employed to determine serum IL-18 levels. Results: No correlation was found between the -607C/A polymorphism and risk of HBV-related disease. For the -137G/C polymorphism, the GC genotype and C allele were associated with a significantly lower risk of CHB (95%CI: 0.32-0.95, p=0.034 and 95%CI: 0.35-0.91, p=0.018) and HBV-related LC (95%CI: 0.24-0.89, p=0.022 and 95%CI: 0.28-0.90, p=0.021). A similar decreased risk was also found with the A-607C-137 haplotype. With respect to IL-18 expression, it was significantly lower in both patient groups, but no association was noted between the two polymorphisms in the IL-18 gene and its expression. Conclusions: Our study indicated that the -137C allele in the IL-18 gene may be a protective factor for HBV-related disease, and serum IL-18 level may be inversely associated with CHB and HBV-related LC.

Keywords

References

  1. Akcam FZ, Tigli A, Kaya O, et al (2012). Cytokine levels and histopathology in chronic hepatitis B and chronic hepatitis C. J Interferon Cytokine Res, 32, 570-4. https://doi.org/10.1089/jir.2012.0048
  2. Cheong JY, Cho SW, Oh B, et al (2010). Association of interleukin-18 gene polymorphisms with hepatitis B virus clearance. Dig Dis Sci, 55, 1113-9. https://doi.org/10.1007/s10620-009-0819-z
  3. El-Serag HB, Rudolph KL (2007). Hepatocellular carcinoma: epidemiology and molecular carcinogenesis. Gastroenterology, 132, 2557-76. https://doi.org/10.1053/j.gastro.2007.04.061
  4. Giedraitis V, He B, Huang WX, et al (2001). Cloning and mutation analysis of the human IL-18 promoter: a possible role of polymorphisms in expression regulation. J Neuroimmunol, 112, 146-52. https://doi.org/10.1016/S0165-5728(00)00407-0
  5. Gracie JA, Koyama N, Murdoch J, et al (2005). Disease association of two distinct interleukin-18 promoter polymorphisms in Caucasian rheumatoid arthritis patients. Genes Immun, 6, 211-6. https://doi.org/10.1038/sj.gene.6364183
  6. Hirankarn N, Manonom C, Tangkijvanich P, et al (2007). Association of interleukin-18 gene polymorphism (-607A/A genotype) with susceptibility to chronic hepatitis B virus infection. Tissue Antigens, 70, 160-3. https://doi.org/10.1111/j.1399-0039.2007.00865.x
  7. Hoshino T, Wiltrout RH, Young HA (1999). IL-18 is a potent coinducer of IL-13 in NK and T cells: a new potential role for IL-18 in modulating the immune response. J Immunol, 162, 5070-7.
  8. Jiang H, Cao H, Liu G, et al (2014). IL-18 promoter -137G/C polymorphism correlates with chronic hepatitis B and affects the expression of interleukins. Acta Virol, 58, 28-33. https://doi.org/10.4149/av_2014_01_28
  9. Karra VK, Gumma PK, Chowdhury SJ, et al (2015). IL-18 polymorphisms in hepatitis B virus related liver disease. Cytokine, 73, 277-82. https://doi.org/10.1016/j.cyto.2015.02.015
  10. Kim YS, Cheong JY, Cho SW, et al (2009). A functional SNP of the Interleukin-18 gene is associated with the presence of hepatocellular carcinoma in hepatitis B virus-infected patients. Dig Dis Sci, 54, 2722-8. https://doi.org/10.1007/s10620-009-0970-6
  11. Kruse S, Kuehr J, Moseler M, et al (2003). Polymorphisms in the IL 18 gene are associated with specific sensitization to common allergens and allergic rhinitis. J Allergy Clin Immunol, 111, 117-22. https://doi.org/10.1067/mai.2003.43
  12. Lavanchy D (2004). Hepatitis B virus epidemiology, disease burden, treatment, and current and emerging prevention and control measures. J Viral Hepat, 11, 97-107. https://doi.org/10.1046/j.1365-2893.2003.00487.x
  13. Li N, Gao YF, Zhang TC, et al (2012a). Relationship between interleukin 18 polymorphisms and susceptibility to chronic hepatitis B virus infection. World J Hepatol, 4, 105-9. https://doi.org/10.4254/wjh.v4.i3.105
  14. Li Y, Shi Y, Chen J, et al (2012b). Association of polymorphisms in interleukin-18 and interleukin-28B with hepatitis B recurrence after liver transplantation in Chinese Han population. Int J Immunogenet, 39, 346-52. https://doi.org/10.1111/j.1744-313X.2012.01097.x
  15. Lin YJ, Wan L, Lee CC, et al (2007). Disease association of the interleukin-18 promoter polymorphisms in Taiwan Chinese systemic lupus erythematosus patients. Genes Immun, 8, 302-7. https://doi.org/10.1038/sj.gene.6364387
  16. McKillop IH, Moran DM, Jin X, et al (2006). Molecular pathogenesis of hepatocellular carcinoma. J Surg Res, 136, 125-35. https://doi.org/10.1016/j.jss.2006.04.013
  17. Migita K, Sawakami-Kobayashi K, Maeda Y, et al (2009). Interleukin-18 promoter polymorphisms and the disease progression of Hepatitis B virus-related liver disease. Transl Res, 153, 91-6. https://doi.org/10.1016/j.trsl.2008.11.008
  18. Mojtahedi Z, Naeimi S, Farjadian S, et al (2006). Association of IL-18 promoter polymorphisms with predisposition to Type 1 diabetes. Diabet Med, 23, 235-9. https://doi.org/10.1111/j.1464-5491.2006.01786.x
  19. Moradpour D, Blum HE (2005). Pathogenesis of hepatocellular carcinoma. Eur J Gastroenterol Hepatol, 17, 477-83. https://doi.org/10.1097/00042737-200505000-00002
  20. Motavaf M, Safari S, Alavian SM (2014). Interleukin 18 gene promoter polymorphisms and susceptibility to chronic hepatitis B infection: a review study. Hepat Mon, 14, 19879.
  21. Nakanishi K, Yoshimoto T, Tsutsui H, et al (2001). Interleukin-18 regulates both Th1 and Th2 responses. Annu Rev Immunol, 19, 423-74. https://doi.org/10.1146/annurev.immunol.19.1.423
  22. Okamura H, Tsutsi H, Komatsu T, et al (1995). Cloning of a new cytokine that induces IFN-gamma production by T cells. Nature, 378, 88-91. https://doi.org/10.1038/378088a0
  23. Okamura H, Tsutsui H, Kashiwamura S, et al (1998). Interleukin-18: a novel cytokine that augments both innate and acquired immunity. Adv Immunol, 70, 281-312. https://doi.org/10.1016/S0065-2776(08)60389-2
  24. Perrillo RP (2002). How will we use the new antiviral agents for hepatitis B? Curr Gastroenterol Rep, 4, 63-71. https://doi.org/10.1007/s11894-002-0039-6
  25. Pirhonen J, Sareneva T, Kurimoto M, et al (1999). Virus infection activates IL-1 beta and IL-18 production in human macrophages by a caspase-1-dependent pathway. J Immunol, 162, 7322-9.
  26. Qasem AA, Farag SE, Hamed E, et al (2014). Urinary biomarkers of acute kidney injury in patients with liver cirrhosis. ISRN Nephrol, 2014, 376795.
  27. Stephens M, Smith NJ, Donnelly P (2001). A new statistical method for haplotype reconstruction from population data. Am J Hum Genet, 68, 978-89. https://doi.org/10.1086/319501
  28. Taheri M, Hashemi M, Eskandari-Nasab E, et al (2012). Association of -607 C/A polymorphism of IL-18 gene (rs1946518) with breast cancer risk in Zahedan, Southeast Iran. Prague Med Rep, 113, 217-22.
  29. Tsai HT, Hsin CH, Hsieh YH, et al (2013). Impact of interleukin-18 polymorphisms -607A/C and -137G/C on oral cancer occurrence and clinical progression. PLoS One, 8, 83572. https://doi.org/10.1371/journal.pone.0083572
  30. Tuncbilek S (2014). Relationship between cytokine gene polymorphisms and chronic hepatitis B virus infection. World J Gastroenterol, 20, 6226-35. https://doi.org/10.3748/wjg.v20.i20.6226
  31. Wang KX, Peng JL, Wang XF, et al (2003). Detection of T lymphocyte subsets and mIL-2R on surface of PBMC in patients with hepatitis B. World J Gastroenterol, 9, 2017-20. https://doi.org/10.3748/wjg.v9.i9.2017
  32. Wen W, Zhang L, Xiao H (2001). [The transcription and expression of IL-18 gene in HBV infectors]. Zhonghua Yi Xue Za Zhi, 81, 655-8.
  33. World Health Organization. Hepatitis B. World Health Organization Fact Sheet 204 (Revised October 2000). WHO Web site. 2000. http://who.int/inf-fs/en/fact204.html.
  34. Wu DL, Xu GH, Lu SM, et al (2013). Correlation of AIM2 expression in peripheral blood mononuclear cells from humans with acute and chronic hepatitis B. Hum Immunol, 74, 514-21. https://doi.org/10.1016/j.humimm.2013.01.022
  35. Wu L, Chen L, Zhou L, et al (2011). Association of interleukin 18 gene promoter polymorphisms with HBV recurrence after liver transplantation in Han Chinese population. Hepat Mon, 11, 469-74.
  36. Xia P, Zhou M, Dong DS, et al (2014). Association of polymorphisms in interleukin-18 and interleukin-28B genes with outcomes of hepatitis B virus infections: a metaanalysis. Tumour Biol, 35, 1129-37. https://doi.org/10.1007/s13277-013-1151-y
  37. Xin-min GJ-mZY-lDHTHXYY (2010). Relationship between HBV infection and polymorphism of IL-18 promoter gene among three minority populations in Yunnan province. Chin J Clinicians ( Electronic Edition), 4, 1525-31.
  38. Yin J, Xie J, Liu S, et al (2011). Association between the various mutations in viral core promoter region to different stages of hepatitis B, ranging of asymptomatic carrier state to hepatocellular carcinoma. Am J Gastroenterol, 106, 81-92. https://doi.org/10.1038/ajg.2010.399
  39. Yu MW, Chen CJ (1994). Hepatitis B and C viruses in the development of hepatocellular carcinoma. Crit Rev Oncol Hematol, 17, 71-91. https://doi.org/10.1016/1040-8428(94)90020-5
  40. Zhang PA, Wu JM, Li Y, et al (2005). Association of polymorphisms of interleukin-18 gene promoter region with chronic hepatitis B in Chinese Han population. World J Gastroenterol, 11, 1594-8. https://doi.org/10.3748/wjg.v11.i11.1594
  41. Zhang Y, Li Y, Ma Y, et al (2011). Dual effects of interleukin-18: inhibiting hepatitis B virus replication in HepG2.2.15 cells and promoting hepatoma cells metastasis. Am J Physiol Gastrointest Liver Physiol, 301, G565-73. https://doi.org/10.1152/ajpgi.00058.2011
  42. Zhou Y, Yamaguchi E, Hizawa N, et al (2005). Roles of functional polymorphisms in the interleukin-18 gene promoter in sarcoidosis. Sarcoidosis Vasc Diffuse Lung Dis, 22, 105-13.