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Association Between 318C/T Polymorphism of the Ctla-4 Gene and Systemic Lupus Erythematosus in Iranian Patients Publisher Pubmed



Shojaa M1, 2 ; Aghaie M3 ; Amoli M4 ; Javid N1 ; Shakeri F1 ; Khashayar P2 ; Tabarraei A1 ; Keshtkar AA2 ; Joshaghani HR1 ; Kouroshnia A4 ; Qorbani M5, 6 ; Mahmoudi F7 ; Mohebbi R8 ; Ranjbarpour N7
Authors
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Authors Affiliations
  1. 1. Golestan University of Medical Sciences, Gorgan, Iran
  2. 2. Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Rheumatology, Faculty of Medicine, Bone Joint and Connective Tissue Research Center (BJCRC), Golestan University of Medical Sciences, Gorgan, Iran
  4. 4. Endocrinology & Metabolism Research Center (EMRC), Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Public Health, Alborz University of Medical Sciences, Karaj, Iran
  6. 6. Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Genetics Department, Islamic Azad University Tehran, Tehran Medical Branch, Tehran, Iran
  8. 8. Medical School, Shahed University of Medical Sciences, Tehran, Iran

Source: International Journal of Rheumatic Diseases Published:2017


Abstract

Background: Cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) is an important negative regulator of T-cell response. It is a functional candidate gene connected with susceptibility to systemic lupus erythematosus (SLE). We analyzed the role of −318C/T polymorphism in the promoter region of the CTLA-4 gene in Iranian patients suffering from SLE. Methods: A total of 180 SLE patients and 304 healthy ethnically matched controls were enrolled in the study. DNA was extracted from blood samples according to the standard procedure. Polymerase chain reaction restriction fragments length polymorphism (PCR-RFLP) was used to analyze the genotype and allele frequencies of these polymorphisms. Results: The CC genotype was observed in 170 (94.5%) of the SLE patients, which was significantly different compared to the controls (251 [82.4%]; P = 0.0001, OR = 3.51 95%CI = 1.77–7.53). T allele was significantly more common in the controls (9.2%) compared to SLE patients 2.8% (P = 0.0001, OR = 0.26, 95%CI = 0.13–0.53). There was no significant correlation between different genotypes and age, gender or family history of SLE in the studied population. Conclusion: It can be concluded that −318C/T polymorphism of CTLA-4 gene might play a significant role in the development of SLE in the Iranian patients. © 2014 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd