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Functional correlates of the interleukin-1 receptor antagonist gene polymorphism in the colonic mucosa in ulcerative colitis

Abstract

Association studies have identified the interleukin-1 receptor antagonist gene allele 2(IL-1RN*2) as a marker of susceptibility in ulcerative colitis (UC). This study investigated the significance of the IL-1RN genotype with respect to protein and mRNA expression in the colonic mucosa. Homogenates of rectal biopsies from 99 UC and 54 controls were assayed for cytokines IL-1ra, IL-1a and IL-1b using ELISA. IL1RN, IL1A and IL1B genotypes were determined using restriction-enzyme analysis. The ability of the two IL1RN alleles to generate steady-state mRNA accumulation was assessed in the colonic mucosa of seven heterozygous patients. Stepwise linear regression demonstrated that IL-1RN genotype (P=0.001), diagnosis (P<0.0001) and treatment (P<0.03) were independent factors associated with the IL-1ra protein level whilst IL1RN genotype (P=0.005) and macroscopic inflammatory grade (P<0.0001) were associated with the IL-1ra/ total IL-1 ratio. The IL1RN*2 correlated with reduced IL-1ra and IL-1ra/IL-1 ratio with a gene dosage effect. In heterozygous UC patients the ratio of allele 1 mRNA / allele 2 steady state mRNA was always greater than 1 (range: 1.2–3.1) (P=0.018). The IL-1RN*2 is associated with reduced levels of IL-1ra protein and IL-1RN mRNA in the colonic mucosa, providing a biologically plausible explanation for the observed association of the allele with the disease.

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References

  1. Satsangi J, Jewell DP . The genetics of inflammatory bowel disease. Gut 1997; 40: 572–574.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Orholm M, Munkholm P, Langholz E, Nieleson OH, Sorensen TIA, Binder V . Familial occurrence of inflammatory bowel disease. N Engl J Med 1991; 324: 84–88.

    Article  CAS  PubMed  Google Scholar 

  3. Tysk C, Lindberg E, Jarnerot G, Floderus-Myrhed B . Ulcerative colitis and Crohn's disease in an unselected population of monozygotic and dizygotic twins. A study of heritability and the influence of smoking. Gut 1988; 29: 990–996.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Yang H, McElree C, Roth M-P, Shanahan F, Targan SR, Rotter JI . Familial empiric risks for inflammatory bowel disease: differences between Jews and non-Jews. Gut 1993; 34: 517–524.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Hayward PAR, Satsangi J, Jewell DP . Inflammatory bowel disease and the X chromosome. Q J Med 1996; 89: 713–718.

    Article  CAS  Google Scholar 

  6. Hugot J-P, Laurent-Puig P, Gower-Rousseau C et al. Mapping of a susceptibility locus for Crohn's disease on chromosome 16. Nature 1996; 379: 821–823.

    Article  CAS  PubMed  Google Scholar 

  7. Satsangi J, Parkes M, Louis E et al. Two-stage genome-wide search in inflammatory bowel disease provides evidence for susceptibility loci on chromosomes 3, 7 and 12. Nat Genet 1996; 14: 199–202.

    Article  CAS  PubMed  Google Scholar 

  8. Hampe J, Schreiber S, Shaw SH et al. A genome-wide analysis provides evidence for novel linkages in inflammatory bowel disease in a large European cohort. Am J Hum Genet 1999; 64: 808–816.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Cho JH, Nicolae DL, Gold LH et al. Identification of novel susceptibility loci for inflammatory bowel disease on chromosomes 1p, 3q and 4q: evidence for epistasis between 1p and IBD1. Proc Natl Acad Sci 1998; 95: 7502–7507.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Cho JH, Brant SR . Genetics and genetic markers in inflammatory bowel disease. Curr Opin Gastroenterol 1998; 14: 283–288.

    Article  Google Scholar 

  11. Sartor RB . Cytokines in intestinal inflammation: pathophysiological and clinical considerations. Gastroenterology 1994; 106: 533–539.

    Article  CAS  PubMed  Google Scholar 

  12. Arend WP . Interleukin-1 receptor antagonist. Adv Immunol 1993; 54: 167–227.

    Article  CAS  PubMed  Google Scholar 

  13. Nicklin M, Weith A, Duff GW . A physical map of the region encompassing the human interleukin-1 alpha, interleukin-1 beta and interleukin-1 receptor antagonist genes. Genomics 1994; 19: 382–384.

    Article  CAS  PubMed  Google Scholar 

  14. Cominelli F, Nast CC, Clark BD et al. Interleukin-1 (IL-1) gene expression, synthesis and effect of specific IL-1 receptor blockade in rabbit immune complex colitis. J Clin Invest 1990; 86: 972–980.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. McCall RD, Haskill S, Zimmerman EM, Lund PK, Thompson RC, Sartor RB . Tissue interleukin-1 and interleukin-1 receptor antagonist expression in enterocolitis in resistant and susceptible rats. Gastroenterology 1994; 106: 960–972.

    Article  CAS  PubMed  Google Scholar 

  16. Ligumsky M, Simon PL, Karmeli F, Rachmilewitz D . Role of interleukin-1 in inflammatory bowel disease—enhanced production during active disease. Gut 1990; 31: 686–689.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Mahida YR, Wu K, Jewell DP . Enhanced production of interleukin-1 beta by mononuclear cells isolated from the mucosa with active ulcerative colitis or Crohn's Disease. Gut 1989; 30: 835–838.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Casini-Raggi V, Kam L, Chong YJT, Fiocchi C, Pizarro TT, Cominelli F . Mucosal imbalance of IL-1 and IL-1 receptor antagonist in inflammatory bowel disease: a novel mechanism of chronic intestinal inflammation. J Immunol 1995; 154: 2434–2440.

    CAS  PubMed  Google Scholar 

  19. Cominelli F, Nast CC, Duchini A, Lee M . Recombinant interleukin-1 receptor antagonist blocks the proinflammatory activity of endogenous interleukin-1 in rabbit immune colitis. Gastroenterology 1992; 103: 65–71.

    Article  CAS  PubMed  Google Scholar 

  20. Melani L, Hirsch E, Guanzon M, Pizarro TT, Hirsch D, Cominelli F . Deletion of the IL-1 receptor antagonist gene increases the susceptibility to experimental colitis in mice (abstract). Gastroenterology 1997; 112: A1040.

    Article  Google Scholar 

  21. Ferretti M, Casini-Raggi V, Pizarro TT, Eisenberg SP, Nast CC, Cominelli F . Neutralization of endogenous IL-1 receptor antagonist exacerbates and prolongs inflammation in rabbit immune colitis. J Clin Invest 1994; 94: 449–453.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Westendorp RGJ, Langermans JAM, Huizinga TWJ et al. Genetic influence on cytokine production and fatal meningococcal disease. Lancet 1997; 349: 170–173.

    Article  CAS  PubMed  Google Scholar 

  23. Tarlow JK, Blakemore AIF, Lennard A et al. Polymorphism in human IL-1 receptor antagonist gene intron 2 is caused by variable numbers of an 86-bp tandem repeat. Hum Genet 1993; 91: 403–404.

    Article  CAS  PubMed  Google Scholar 

  24. Clay FE, Tarlow JK, Cork MJ, Cox A, Nicklin MJH, Duff GW . Novel interleukin-1 receptor antagonist exon polymorphisms and their use in allele-specific mRNA assessment. Hum Genet 1996; 97: 723–726.

    Article  CAS  PubMed  Google Scholar 

  25. Carter MJ, di Giovine FS, Jones S et al. Association of the interleukin-1 receptor antagonist gene with ulcerative colitis in Northern European Caucasians. Gut 2001; 48: 461–467.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. di Giovine FS, Camp NJ, Cox A et al. Detection and population analysis of IL-1 and TNF gene polymorphisms. In: Balkwill F (ed). Cytokine Molecular Biology. Oxford University Press: Oxford, 2000, pp 21–46.

    Google Scholar 

  27. Cox A, Camp NJ, Nicklin MJH, di Giovine FS, Duff GW . An analysis of linkage disequilibrium in the IL-1 gene cluster using a novel grouping method for multiallelic markers. Am J Hum Genet 1998; 62: 1180–1188.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Mansfield JC, Holden H, Tarlow JK et al. Novel genetic association between ulcerative colitis and the anti-inflammatory cytokine interleukin-1 receptor antagonist. Gastroenterology 1994; 106: 637–642.

    Article  CAS  PubMed  Google Scholar 

  29. Louis E, Satsangi J, Roussomoustakaki M et al. Cytokine gene polymorphisms in inflammatory bowel disease. Gut 1996; 39: 705–710.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Bioque G, Bouma G, Crusius JBA et al. Evidence for genetic heterogeneity in IBD: the interleukin-1 receptor antagonist in the predisposition to suffer from ulcerative colitis. Eur J Gastroenterol Hepatol 1996; 8: 105–110.

    Article  CAS  PubMed  Google Scholar 

  31. Hacker UT, Gomolka M, Keller E et al. Lack of association between an interleukin-1 receptor antagonist gene polymorphism and ulcerative colitis. Gut 1997; 40: 623–627.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Heresbach D, Alizadeh M, Dabadie A et al. Significance of interleukin-1 beta and interleukin-1 receptor antagonist genetic polymorphism in inflammatory bowel disease. Am J Gastroenterol 1997; 92: 1164–1169.

    CAS  PubMed  Google Scholar 

  33. Andus T, Caesar I, Vogi D, Scholmerich J, Gross V . Association of HLA-DR15, P-ANCA and IL-1 receptor antagonist allele 2 with ulcerative colitis. Gastroenterology 1995; 108: A770.

    Google Scholar 

  34. Stokkers PCF, van Aken BE, Basoski N, Reitsma PH, Tytgat GNJ, van Deventer SJH . Five genetic markers in the interleukin 1 family in relation to inflammatory bowel disease. Gut 1998; 43: 33–39.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Vijgen L, Van Gysel M, Rector A et al. Interleukin-1 receptor antagonist VNTR-polymorphism in inflammatory bowel disease. Genes Immun 2002; 3: 400–406.

    Article  CAS  PubMed  Google Scholar 

  36. Craggs A, West S, Curtis A et al. Absence of a genetic association between IL-1RN and IL-1B polymorphisms in ulcerative colitis and Crohn's disease in multiple populations from northeast England. Scand J Gastroenterol 2001; 36: 1173–1178.

    Article  CAS  PubMed  Google Scholar 

  37. Tountas NA, Casini-Raggi V, Yang H et al. Functional and ethnic association of allele 2 of the IL-1 receptor antagonist gene in ulcerative colitis. Gastroenterology 1999; 117: 806–813.

    Article  CAS  PubMed  Google Scholar 

  38. Roussomoustakaki M, Satsangi J, Welsh K et al. Genetic markers may predict disease behaviour in patients with ulcerative colitis. Gastroenterology 1997; 112: 1845–1853.

    Article  CAS  PubMed  Google Scholar 

  39. Bouma G, Crusius JBA, Garcia-Gonzalez MA et al. Genetic markers in clinically well-defined patients with ulcerative colitis (UC). Clin Exp Immunol 1999; 115: 294–300.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Nemetz A, Nosti-Escanilla MP, Molnar T et al. IL1B gene polymorphisms influence the course and severity of inflammatory bowel disease. Immunogenetics 1999; 49: 527–531.

    Article  CAS  PubMed  Google Scholar 

  41. Nishiyama T, Mitsuyama K, Toyonaga A, Sasaki E, Tanikawa K . Colonic mucosal interleukin-1 receptor antagonist in inflammatory bowel disease. Digestion 1994; 55: 368–373.

    Article  CAS  PubMed  Google Scholar 

  42. Dionne S, D'Agata ID, Hiscott J, Vanounou T, Seidman EG . Colonic explant production of IL-1 and its receptor antagonist is imbalanced in inflammatory bowel disease (IBD). Clin Exp Immunol 1998; 112: 435–442.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Danis VA, Millington M, Hyland VJ, Grennan D . Cytokine production by normal human monocytes: inter-subject variation and relationship to an UIL-1 receptor antagonist (IL-1Ra) gene polymorphism. Clin Exp Immunol 1995; 99: 303–310.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Hurme M, Santtilla S . IL-1 receptor antagonist (IL-1Ra) plasma levels are co-ordinately regulated by both IL-1Ra and IL-1β genes. Eur J Immunol 1998; 28: 2598–2602.

    Article  CAS  PubMed  Google Scholar 

  45. Mandrup-Poulsen T, Pociot F, Molvig J et al. Monokine antagonism is reduced in patients with IDDM. Diabetes 1994; 43: 1242–1247.

    Article  CAS  PubMed  Google Scholar 

  46. Cominelli F, Pizarro TT . Interleukin-1 receptor anatagonist: a novel acute phase protein with anti-inflammatory properties. J Clin Invest 1997; 99: 2813.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Andus T, Daig R, Vogl D et al. Imbalance of the interleukin-1 system in colonic mucosa-association with intestinal inflammation and interleukin-1 receptor antagonist genotype 2. Gut 1997; 41: 651–657.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Santtilla S, Savinainen K, Hurme M . Presence of the IL-1RA allele 2 (IL1RN*2) is associated with enhanced IL-1β production in vitro. Scand J Immunol 1998; 47: 195–198.

    Article  Google Scholar 

  49. Pociot F, Molvig J, Wogensen L, Worsae H, Nerup J . A TaqI polymorphism in the human interleukin-1 beta (IL-1 beta) gene correlates with IL-1 beta secretion in vitro. Eur J Clin Invest 1992; 22: 396–402.

    Article  CAS  PubMed  Google Scholar 

  50. Jenkins D, Balsitis M, Gallivan S et al. Guidelines for the initial biopsy diagnosis of suspected chronic idiopathic inflammatory bowel disease. The British Society of Gstroenterology Initiative. J Clin Pathol 1997; 50: 93–105.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Baron JH, Connell AM, Lennard-Jones JE . Variation between observers in describing mucosal appearances in proctocolitis. Br Med J 1964; 1: 89–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Ruddell WSJ, Dickinson RJ, Dixon MF, Axon ATR . Treatment of distal ulcerative colitis (proctosigmoiditis) in relapse: comparison of hydrocortisone enemas and rectal hydrocortisone foam. Gut 1980; 21: 885–889.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Tagariello G, di Giovine FS . Interleukin-1 in haemophilic arthritis. Thromb Haemost 1996; 75: 979–980.

    CAS  PubMed  Google Scholar 

  54. Silva MA, Menezes J, Wizman S, Gendron R, Oligny L, Seidman EG . Cytokine tissue levels as markers of disease activity in pediatric Crohn's disease. Pediatr Res 2003; 54: 1–6.

    Article  Google Scholar 

  55. Ahn SJ, Costa J, Emanuel JR . PicoGreen quantitation of DNA: effective evaluation of samples pre- or post-PCR. Nucleic Acids Res 1996; 24: 2623–2625.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Uejima H, Lee PW, Cui H, Feinberg AP . Hot-stop PCR: a simple and general assay for linear quantitation of allele ratios. Nat Genet 2000; 25: 375–376.

    Article  CAS  PubMed  Google Scholar 

  57. Chomezynsky P, Sacchi N . Acid guanidinium–phenol–chloroform method. Ann Biochem 1987; 162: 156–159.

    Google Scholar 

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Correspondence to M J Carter.

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This study was financially supported by a grant from The National Association of Colitis and Crohn's Disease and The Special Trustees of the Central Sheffield Hospitals. Dr Carter is a Digestive Disorders Foundation Research Training Fellow.

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Carter, M., Jones, S., Camp, N. et al. Functional correlates of the interleukin-1 receptor antagonist gene polymorphism in the colonic mucosa in ulcerative colitis. Genes Immun 5, 8–15 (2004). https://doi.org/10.1038/sj.gene.6364032

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