Evaluation of interleukin-23 receptor (IL-23R) gene polymorphisms and serum IL-23 levels in patients with psoriasis
Evaluation of interleukin-23 receptor (IL-23R) gene polymorphisms and serum IL-23 levels in patients with psoriasis
Background/aim: IL-23R gene polymorphisms and the association of these polymorphisms with serum IL-23 levels were investigated inpatients with psoriasis in the current study.Materials and methods: Sixty-seven patients with psoriasis who were admitted to our dermatology outpatient clinic and 67 healthycontrols were included in the study. Polymorphisms of the IL-23R gene were determined by KASP-PCR method, and serum IL-23 levelswere determined by ELISA method.Results: The distribution of IL-23R gene polymorphisms rs2201841, rs11209026, rs7530511, rs1343152, and rs11465804 was notsignificantly different in the patient and control groups. The AA genotype of the rs2201841 locus in males and the GA genotype infemales, as well as the AA genotype of the rs1343152 locus in males and the CA genotype in females, were statistically significant inpatients with psoriasis. The mean serum IL-23 level was significantly lower in the patient group (42.62 ± 5.96) compared to the controlgroups (75.76 ± 13.24).Conclusion: IL-23R gene polymorphisms including rs2201841, rs11209026, rs7530511, rs11465804, and rs1343152 were not found to besignificantly related to psoriasis. Different genetic polymorphisms may play a role in the development of psoriasis in female and malepopulations. Ethnic differences between different populations may have led to differences in the distribution of polymorphisms in thecurrent study with compared to other published studies. Additionally, many different genes, polymorphisms, and environmental factorsthat have an effect on the development of psoriasis may affect the disease process.
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- 1. Di Meglio P, Villanova F, Napolitano L, Tosi I, Terranova
Barberio M et al. The IL23R A/Gln381 allele promotes IL23 unresponsiveness in human memory T-helper 17 cells
and impairs Th17 responses in psoriasis patients. Journal of
Investigative Dermatology 2013; 133 (10): 2381-2389. doi:
10.170. 1038/jid.2013
- 2. Gudjonsson JE, Elder JT. Psoriasis. In: Wolff K, Goldsmith LA,
Katz SI, Gilchrest BA, Paller AS et al. (editors). Fitzpatrick’s
Dermatology in General Medicine. 7th ed. New York, NY,
USA: McGraw-Hill; 2008. pp. 169-215.
- 3. Krueger G, Ellis CN. Psoriasis-recent advances in
understanding its pathogenesis and treatment. Journal of the
American Academy of Dermatology 2005; 53 (1 Suppl.): S94-
100.
- 4. Kollipara R, Downing C, Gordon R, Tyring S. Interleukin-23
in the pathogenesis and treatment of psoriasis. Skin Therapy
Letter 2015; 20: 1-4.
- 5. Di Cesare A, Di Meglio P, Nestle FO. The IL-23/Th17 axis in
the immunopathogenesis of psoriasis. Journal of Investigative
Dermatology 2009; 129: 1339-1350. doi: 10.1038/jid.2009.59
- 6. Wu Y, Lu Z, Chen Y, Xue F, Chen X et al. Replication of
association between interleukin-23 receptor (IL-23R) and its
ligand (IL-12B) polymorphisms and psoriasis in the Chinese
Han population. Human Immunology 2010; 71: 1255-1258.
doi: 10.1016/j.humimm.2010.09.014
- 7. Indhumathi S, Rajappa M, Chandrashekar L, Ananthanarayanan
PH, Thappa DM et al. Investigation of association of the IL12B and IL-23R genetic variations with psoriatic risk in a South
Indian Tamil cohort. Human Immunology 2016; 77: 54-62.
doi: 10.1016/j.humimm.2015.10.006
- 8. Yaylı S, Baykal Selçuk L. Psöriyazis: epidemiyoloji. Turkiye
Klinikleri Dermatology-Special Topics. 2018; 11 (3): 1-5 (in
Turkish).
- 9. Bilgiç Ö, Sivrikaya A, Toker A, Ünlü A, Altınyazar C.
Serum levels of TWEAK in patients with psoriasis vulgaris.
Cytokine 2016; 77: 10-13. doi: 10.1016/j.cyto.2015.10.004
- 10. Fotiadou C, Lazaridou E, Sotiriou E, Gerou S, Kyrgidis
A et al. IL-17A, IL-22, and IL-23 as markers of psoriasis
activity: A cross-sectional, hospital-based study. Journal of
Cutaneous Medicine and Surgery 2015; 19: 555-560. doi:
10.1177/1203475415584503
- 11. Alobaidi AH, Mothana Z, Najem WS, Alsamarai AM.
Adiponectin, IL-10, IL-23 and trace elements serum levels
in patients with psoriasis. American Journal of Clinical
Dermatology 2012; 1 (2): 6-23. doi: 10.5923/j.ajdv.20120102.01
- 12. Bai F, Zheng W, Dong Y, Wang J, Garstka MA et al.
Serum levels of adipokines and cytokines in psoriasis patients:
a systematic review and meta-analysis. Oncotarget 2017; 9:
1266-1278. doi: 10.18632/oncotarget.22260
- 13. Michalak-Stoma A, Bartosińska J, Kowal M, JuszkiewiczBorowiec M, Gerkowicz A et al. Serum levels of selected Th17
and Th22 cytokines in psoriatic patients. Disease Markers 2013;
35: 625-631. doi: 10.1155/2013/856056
- 14. Sweeney CM, Tobin AM, Kirby B. Innate immunity in
the pathogenesis of psoriasis. Archives of Dermatological
Research 2011; 303: 691-705. doi: 10.1007/s00403-011-1169-1
- 15. Elder JT. Genome-wide association scan yields new insights
into the immunopathogenesis of psoriasis. Genes and
Immunity 2009; 10: 201-209. doi: 10.1038/gene.2009
- 16. Zhu KJ, Zhu CY, Shi G, Fan YM. Association of IL23R
polymorphisms with psoriasis and psoriatic arthritis: a metaanalysis. Inflammation Research 2012; 61: 1149-1154. doi:
10.1007/s00011-012-0509-8
- 17. Safrany E, Szell M, Csongei V, Jaromi L, Sipeky C et al.
Polymorphisms of the IL23R gene are associated with psoriasis
but not with immunoglobulin A nephropathy in a Hungarian
population. Inflammation 2011; 34: 603-608. doi: 10.1007/
s10753-010-9268-2
- 18. Popadic S, Ramic Z, Medenica L, Pravica V, Popadic D. IL23R
gene polymorphism rs2201841 is associated with psoriatic
arthritis. International Journal of Immunogenetics 2014; 41:
335-337. doi: 10.1111/iji.12127
- 19. Capon F, Di Meglio P, Szaub J, Prescott NJ, Dunster C et al.
Sequence variants in the genes for the interleukin-23 receptor
(IL23R) and its ligand (IL12B) confer protection against
psoriasis. Human Genetics 2007; 122 (2): 201-206. doi:
10.1007/s00439-007-0397-0
- 20. Smith RL, Warren RB, Eyre S, Ho P, Ke X et al. Polymorphisms
in the IL-12β and IL23R genes are associated with psoriasis of
early onset in a UK cohort. Journal of Investigative Dermatology
2008; 128: 1325-1327. doi: 10.1038/sj.jid.5701140
- 21. Bergboer JG, Oostveen AM, De Jager ME, Den Heijer
M, Joosten I et al. Paediatric-onset psoriasis is associated
with ERAP1 and IL23R loci, LCE3C_LCE3B deletion and
HLA-C*06. British Journal of Dermatology 2012; 167 (4): 922-
925. doi: 10.1111/j.1365-2133.2012.10992.x
- 22. Bojko A, Ostasz R, Białecka M, Klimowicz A, Malinowski
D et al. IL12B, IL23A, IL23R and HLA-C*06 genetic variants
in psoriasis susceptibility and response to treatment.
Human Immunology 2018; 79 (4): 213-217. doi: 10.1016/j.
humimm.2018.02.003
- 23. Oka A, Mabuchi T, Ikeda S, Terui T, Haida Y et al. IL12B and
IL23R gene SNPs in Japanese psoriasis. Immunogenetics 2013;
65: 823-828. doi: 10.1007/s00251-013-0721-x
- 24. Nair RP, Stuart PE, Kullavanijaya P, Kullavanijaya P, Tejasvi T
et al. Genetic evidence for involvement of the IL23 pathway in
Thai psoriatics. Archives of Dermatological Research 2010; 302
(2): 139-143. doi: 10.1007/s00403-009-0986-y
- 25. Wu Y, Lu Z, Chen Y, Xue F, Chen X et al.
Replication of association between interleukin-23 receptor
(IL-23R) and its ligand (IL-12B) polymorphisms and psoriasis
in the Chinese Han population. Human Immunology 2010; 71
(12): 1255-1258. doi: 10.1016/j.humimm.2010.09.014