Cytokine Gene Polymorphism Profiles in Kidney Transplant Patients - Association of +1188A/C RS3212227 SNP in the IL12B Gene Prevents Delayed Graft Function.

Abstract

BACKGROUND AND AIMS:

Transplantation is the best treatment option for end stage kidney disease. The most common early complications in post-transplant period are acute rejection (AR) of the graft and delayed graft function (DGF). The underlying mechanisms in these events are heterogeneous and at least in part involve cytokine genes which regulate immune response to allograft. We have investigated whether functional single nucleotide polymorphisms (SNP) in the genes encoding IFN-γ (IFNG), TNF (TNFA), IL-10 (IL10) and p40 subunit of IL-12/IL-23 (IL12B) could predict risk of AR and DGF in kidney allograft recipients.

METHODS:

Our study involved 152 kidney transplant recipients on standard immunosuppressive regimen which included calcineurin inhibitors, mycophenolic acid derivatives and corticosteroids. Genotyping of IFNG, TNFA, IL10 and IL12B was performed using commercial TaqMan assays.

RESULTS:

We found association between the carriers of AA genotype of IL12B +1188A/C polymorphism (rs3212227) and a lower rate of DGF (p = 0.037, OR = 0.45, 95% CI = 0.21-0.96), implying protective role of A allele in the pathogenesis of DGF in kidney transplant recipients, whereas no such association was observed with AR. None of the analyzed SNPs in TNFA (-308G/A), IFNG (+874T/A), IL10 (-1082G/A, -819T/C, -592C/A) were associated with AR or DGF in our patients.

CONCLUSIONS:

Our study shows a preliminary evidence that the AA genotype of rs3212227 SNP in the IL12B gene might be associated with a lower risk for DGF after kidney transplantation. In the future, additional well-designed large studies are required for the validation of our results.

• Authors: Vladimir Perovic, Milos Markovic, Milica Kravljaca, Emina Milosevic, Milica Djoric, Vera Pravica, Radomir Naumovic
• Journal: Archives of medical research (Arch Med Res) Vol. 49 Issue 2 Pg. 101-108 (02 2018) ISSN: 1873-5487 [Electronic] United States
• PMID: 29754746 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2018 IMSS. Published by Elsevier Inc. All rights reserved.

Chemical References

• IFNG protein, human
• IL10 protein, human
• IL12B protein, human
• Interleukin-12 Subunit p40
• TNF protein, human
• Tumor Necrosis Factor-alpha
• Interleukin-10
• Interferon-gamma

Topics

• Adult
• Alleles
• Delayed Graft Function (genetics)
• Female
• Genetic Association Studies
• Genotyping Techniques
• Graft Rejection (genetics)
• Humans
• Interferon-gamma (genetics)
• Interleukin-10 (genetics)
• Interleukin-12 Subunit p40 (genetics)
• Kidney Failure, Chronic (genetics, surgery)
• Kidney Transplantation
• Male
• Middle Aged
• Polymorphism, Single Nucleotide (genetics)
• Tumor Necrosis Factor-alpha (genetics)