Interleukin-6-174G > C (rs1800795) polymorphism distribution and its association with rheumatoid arthritis: A case-control study and meta-analysis

  • Sajad Ahmad Dar
  • , Shafiul Haque
  • , Raju Kumar Mandal
  • , Taru Singh
  • , Mohd Wahid
  • , Arshad Jawed
  • , Aditya K. Panda
  • , Naseem Akhter
  • , Mohtashim Lohani
  • , Mohammed Yahya Areeshi
  • , Gargi Rai
  • , Shyama Datt
  • , Sambit Nath Bhattacharya
  • , Vishnampettai Ganapathysubramanian Ramachandran
  • , Shukla Das

Research output: Contribution to journalArticlepeer-review

33 Scopus citations

Abstract

The association of interleukin-6 (IL-6)-174G > C (rs1800795) single nucleotide polymorphism (SNP) with the risk of acquiring rheumatoid arthritis (RA) is a relevant issue because of conflicting and consensus lacking reports published in literature. We investigated IL-6-174G > C promoter polymorphism in 34 RA patients, attending a tertiary care hospital in north India. We also performed a meta-analysis, of the previously published studies reporting this genetic relationship, in overall population, and independently in Asian and Caucasian ethnicities to further elucidate this association. A total of 13 studies, including the current one, involving 3291 RA cases and 3812 controls were analyzed. Out of the 13 studies, 6 were from Asian, 6 from Caucasian and 1 from a mixed population. Our case-control study showed significant association of IL-6-174G > C SNP with increased RA risk: allelic (OR = 3.750, 95% CI = 1.800–7.813, p <0.001); dominant (OR = 2.800, 95% CI = 1.167–6.721, p =0.021); and recessive (OR = 36.72, 95% CI = 2.004–672.7, p =0.015). The meta-analysis revealed the increased RA risk associated with IL-6-174G > C SNP in overall population: allelic (OR = 1.650, 95% CI = 1.169–2.329, p =0.004); homozygous (OR = 1.380, 95% CI = 0.906–2.101, p = 0.133); heterozygous (OR = 1.559, 95% CI = 1.001–2.428, p =0.049); dominant (OR = 1.663, 95% CI = 1.078–2.567, p =0.022); and recessive (OR = 1.366, 95% CI = 0.964–1.935, p =0.079). Subgroup analysis also showed this polymorphism to be associated with increased RA risk in Asian population: allelic (OR = 3.724, 95% CI = 1.361–10.190, p =0.010); dominant (OR = 3.823, 95% CI = 1.320–11.074, p =0.013); and recessive (OR = 4.357, 95% CI = 1.634–11.623, p =0.003), but not in Caucasian population. This meta-analysis shows that IL-6-174G > C SNP is significantly associated with increased RA risk in overall, and specifically in Asian population.

Original languageEnglish
Pages (from-to)158-169
Number of pages12
JournalAutoimmunity
Volume50
Issue number3
DOIs
StatePublished - 3 Apr 2017
Externally publishedYes

Keywords

  • Interleukin-6
  • meta-analysis
  • rheumatoid arthritis
  • single nucleotide polymorphism
  • susceptibility

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