Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Full Paper
  • Published:

IFNG polymorphisms are associated with gender differences in susceptibility to multiple sclerosis

Abstract

Interferon-gamma (IFNγ) treatment is deleterious in multiple sclerosis (MS). MS occurs twice as frequently in women as in men. IFNγ expression varies by gender. We studied a population-based sample of US MS patients and ethnicity-matched controls and independent Northern Irish and Belgian hospital-based patients and controls for association with MS, stratified by gender, of an intron 1 microsatellite [I1(761)*CAn], a single nucleotide polymorphism 3′ of IFNG [3′(325)*G → A] and three flanking microsatellite markers spanning a 118 kb region around IFNG. Men carriers of the 3′(325)*A allele have increased susceptibility to MS compared to noncarriers in the USA (P=0.044; OR: 2.58, 95% CI: 0.97–8.08) and Northern Ireland (P=0.019; OR: 2.37, 95% CI: 1.10–5.13). There is a nonsignificant trend in the same direction in Belgian men (P=0.299; OR: 1.50, 95% CI: 0.71–3.26). Men carriers of I1(761)*CA13, which is in strong linkage disequilibrium with the 3′(325)*A, have increased susceptibility (P=0.050; OR: 2.22, 95% CI: 0.98–5.40), while men carriers of I1(761)*CA12 have decreased susceptibility (P=0.022; OR: 0.46, 95% CI: 0.23–0.90) to MS in the USA. Similar associations were reported in Sardinia between the I1(761)*CA12 allele and reduced risk of MS in men. Flanking markers were not associated with MS susceptibility. Polymorphisms of IFNG may contribute to differences in susceptibility to MS between men and women.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. Oksenberg JR, Hauser SL . New insights into the immunogenetics of multiple sclerosis. Curr Opin Neurol 1997; 10: 181–185.

    Article  CAS  PubMed  Google Scholar 

  2. Dyment DA, Sadovnick AD, Ebers GC . Genetics of multiple sclerosis. Hum Mol Genet 1997; 6: 1693–1698.

    Article  CAS  PubMed  Google Scholar 

  3. Kantarci OH, de Andrade M, Weinshenker BG . Identifying disease modifying genes in multiple sclerosis. J Neuroimmunol 2002; 123: 144–159.

    Article  CAS  PubMed  Google Scholar 

  4. Ebers GC, Kukay K, Bulman DE et al. A full genome search in multiple sclerosis. Nat Genet 1996; 13: 472–476.

    Article  CAS  PubMed  Google Scholar 

  5. Haines J, Pericak-Vance M, Seboun E, Hauser S, and the Multiple Sclerosis Study Group. A complete genomic screen for multiple sclerosis underscores a role for the major histocompatibility complex. Nat Genet 1996; 13: 469–471.

    Article  CAS  PubMed  Google Scholar 

  6. Sawcer S, Jones HB, Feakes R et al. A genome screen in multiple sclerosis reveals susceptibility loci on chromosome 6p21 and 17q22. Nat Genet 1996; 13: 464–468.

    Article  CAS  PubMed  Google Scholar 

  7. Kuokkanen S, Sundvall M, Terwilliger JD et al. A putative vulnerability locus to multiple sclerosis maps to 5p14–p12 in a region syntenic to the murine locus Eae2. Nat Genet 1996; 13: 477–480.

    Article  CAS  PubMed  Google Scholar 

  8. Chataway J, Feakes R, Coraddu F et al. The genetics of multiple sclerosis: principles, background and updated results of the United Kingdom systemic genome screen. Brain 1998; 121: 1869–1887.

    Article  PubMed  Google Scholar 

  9. Risch N, Merikangas KR . The future of genetic studies of complex human diseases. Science 1996; 273: 1516–1517.

    Article  CAS  PubMed  Google Scholar 

  10. Billiau A . Interferon-gamma in autoimmunity. Cytokine Growth Factor Rev 1996; 7: 25–34.

    Article  CAS  PubMed  Google Scholar 

  11. Navikas V, Link H . Review: cytokines and the pathogenesis of multiple sclerosis. J Neurosci Res 1996; 45: 322–333.

    Article  CAS  PubMed  Google Scholar 

  12. Issazadeh S, Mustafa M, Ljungdahl A et al. Interferon gamma, interleukin 4 and transforming growth factor beta in experimental autoimmune encephalomyelitis in Lewis rats: dynamics of cellular mRNA expression in the central nervous system and lymphoid cells. J Neurosci Res 1995; 40: 579–590.

    Article  CAS  PubMed  Google Scholar 

  13. Renno T, Lin JY, Piccirillo C, Antel J, Owens T . Cytokine production by cells in cerebrospinal fluid during experimental allergic encephalomyelitis in SJL/J mice. J Neuroimmunol 1994; 49: 1–7.

    Article  CAS  PubMed  Google Scholar 

  14. Willenborg DO, Fordham S, Bernard CC, Cowden WB, Ramshaw IA . IFN-gamma plays a critical down-regulatory role in the induction and effector phase of myelin oligodendrocyte glycoprotein-induced autoimmune encephalomyelitis. J Immunol 1996; 157: 3223–3227.

    CAS  PubMed  Google Scholar 

  15. Espejo C, Penkowa M, Saez-Torres I et al. Treatment with anti-interferon-gamma monoclonal antibodies modifies experimental autoimmune encephalomyelitis in interferon-gamma receptor knockout mice. Exp Neurol 2001; 172: 460–468.

    Article  CAS  PubMed  Google Scholar 

  16. Horwitz MS, Evans CF, McGavern DB, Rodriguez M, Oldstone MB . Primary demyelination in transgenic mice expressing interferon-gamma. Nat Med 1997; 3: 1037–1041.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Renno T, Taupin V, Bourbonniere L et al. Interferon-gamma in progression to chronic demyelination and neurological deficit following acute EAE. Mol Cell Neurosci 1998; 12: 376–389.

    Article  CAS  PubMed  Google Scholar 

  18. Popko B, Baerwald KD . Oligodendroglial response to the immune cytokine, interferon gamma. Neurochem Res 1999; 24: 331–338.

    Article  CAS  PubMed  Google Scholar 

  19. Kim IJ, Beck HN, Lein PJ, Higgins D . Interferon gamma induces retrograde dendritic retraction and inhibits synapse formation. J Neurosci 2002; 22: 4530–4539.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Beck J, Rondot P, Catinot L, Falcoff E, Kirchner H, Wietzerbin J . Increased production of interferon gamma and tumor necrosis factor precedes clinical manifestation in multiple sclerosis: do cytokines trigger off exacerbations? Acta Neurol Scand 1988; 78: 318–323.

    Article  CAS  PubMed  Google Scholar 

  21. Dettke M, Scheidt P, Prange H, Kirchner H . Correlation between interferon production and clinical disease activity in patients with multiple sclerosis. J Clin Immunol 1997; 17: 293–300.

    Article  CAS  PubMed  Google Scholar 

  22. Petereit HF, Nolden S, Schoppe S, Bamborschke S, Pukrop R, Heiss WD . Low interferon gamma producers are better treatment responders: a two-year follow-up of interferon beta-treated multiple sclerosis patients. Mult Scler 2002; 8: 492–494.

    Article  CAS  PubMed  Google Scholar 

  23. Panitch HS, Hirsch RL, Haley AS, Johnson KP . Exacerbations of multiple sclerosis in patients treated with gamma interferon. Lancet 1987; 1: 893–895.

    Article  CAS  PubMed  Google Scholar 

  24. Duquette P, Pleines J, Girard M, Charest L, Senecal-Quevillon M, Masse C . The increased susceptibility of women to multiple sclerosis. Can J Neurol Sci 1992; 19: 466–471.

    CAS  PubMed  Google Scholar 

  25. Thompson AJ, Polman CH, Miller DH et al. Primary progressive multiple sclerosis. Brain 1997; 120 (Part 6): 1085–1096.

    Article  PubMed  Google Scholar 

  26. Pelfrey CM, Cotleur AC, Lee JC, Rudick RA . Sex differences in cytokine responses to myelin peptides in multiple sclerosis. J Neuroimmunol 2002; 130: 211–223.

    Article  CAS  PubMed  Google Scholar 

  27. Nguyen LT, Ramanathan M, Weinstock-Guttman B, Baier M, Brownscheidle C, Jacobs LD . Sex differences in in vitro pro-inflammatory cytokine production from peripheral blood of multiple sclerosis patients. J Neurol Sci 2003; 209: 93–99.

    Article  CAS  PubMed  Google Scholar 

  28. Zimonjic DB, Rezanka LJ, Evans CH, Polymeropoulos MH, Trent JM, Popescu NC . Mapping of the immune interferon gamma gene (IFNG) to chromosome band 12q14 by fluorescence in situ hybridization. Cytogenet Cell Genet 1995; 71: 247–248.

    Article  CAS  PubMed  Google Scholar 

  29. Giedraitis V, He B, Hillert J . Mutation screening of the interferon-gamma gene as a candidate gene for multiple sclerosis. Eur J Immunogenet 1999; 26: 257–259.

    Article  CAS  PubMed  Google Scholar 

  30. Ruiz-Linares A . Dinucleotide repeat polymorphisms in the interferon-gamma (IFNG) gene. Hum Mol Genet 1993; 2: 1508.

    Article  CAS  PubMed  Google Scholar 

  31. Wu S, Muhleman D, Comings DE . G5644A polymorphism in the interferon-gamma (IFNG) gene. Psychiatry Genet 1998; 8: 57.

    Article  CAS  Google Scholar 

  32. Bream JH, Carrington M, O’Toole S et al. Polymorphisms of the human IFNG gene noncoding regions. Immunogenetics 2000; 51: 50–58.

    Article  CAS  PubMed  Google Scholar 

  33. Iwasaki H, Ota N, Nakajima T et al. Five novel single-nucleotide polymorphisms of human interferon gamma identified by sequencing the entire gene. J Hum Genet 2001; 46: 32–34.

    Article  CAS  PubMed  Google Scholar 

  34. Ackerman H, Udalova I, Hull J, Kwiatkowski D . Evolution of a polymorphic regulatory element in interferon-gamma through transposition and mutation. Mol Biol Evol 2002; 19: 884–890.

    Article  CAS  PubMed  Google Scholar 

  35. Bream JH, Ping A, Zhang X, Winkler C, Young HA . A single nucleotide polymorphism in the proximal IFN-gamma promoter alters control of gene transcription. Genes Immunity 2002; 3: 165–169.

    Article  CAS  PubMed  Google Scholar 

  36. Chevillard C, Henri S, Stefani F, Parzy D, Dessein A . Two new polymorphisms in the human interferon gamma (IFN-gamma) promoter. Eur J Immunogenet 2002; 29: 53–56.

    Article  CAS  PubMed  Google Scholar 

  37. He B, Xu C, Yang B, Landtblom AM, Fredrikson S, Hillert J . Linkage and association analysis of genes encoding cytokines and myelin proteins in multiple sclerosis. J Neuroimmunol 1998; 86: 13–19.

    Article  CAS  PubMed  Google Scholar 

  38. Vandenbroeck K, Opdenakker G, Goris A, Murru R, Billiau A, Marrosu MG . Interferon-gamma gene polymorphism-associated risk for multiple sclerosis in Sardinia. Ann Neurol 1998; 44: 841–842.

    Article  CAS  PubMed  Google Scholar 

  39. Goris A, Epplen C, Fiten P et al. Analysis of an IFN-gamma gene (IFNG) polymorphism in multiple sclerosis in Europe: effect of population structure on association with disease. J Interferon Cytokine Res 1999; 19: 1037–1046.

    Article  CAS  PubMed  Google Scholar 

  40. Reboul J, Mertens C, Levillayer F et al. Cytokines in genetic susceptibility to multiple sclerosis: a candidate gene approach. French Multiple Sclerosis Genetics Group. J Neuroimmunol 2000; 102: 107–112.

    Article  CAS  PubMed  Google Scholar 

  41. Dai Y, Masterman T, Huang WX et al. Analysis of an interferon-gamma gene dinucleotide-repeat polymorphism in Nordic multiple sclerosis patients. Mult Scler 2001; 7: 157–163.

    Article  CAS  PubMed  Google Scholar 

  42. Goris A, Heggarty S, Marrosu MG, Graham C, Billiau A, Vandenbroeck K . Linkage disequilibrium analysis of chromosome 12q14–15 in multiple sclerosis: delineation of a 118-kb interval around interferon-gamma (IFNG) that is involved in male vs female differential susceptibility. Genes Immun 2002; 3: 470–476.

    Article  CAS  PubMed  Google Scholar 

  43. Kantarci OH, Hebrink DD, Atkinson EJ, McMurray CT, Weinshenker BG . A comprehensive screen for genetic variation in the interferon-gamma gene in multiple sclerosis. Neurology 2000; 54 (Suppl 3): A324.

    Google Scholar 

  44. van Ooteghem P, D’Hooghe MB, Vlietinck R, Carton H . Prevalence of multiple sclerosis in Flanders, Belgium. Neuroepidemiology 1994; 13: 220–225.

    Article  CAS  PubMed  Google Scholar 

  45. Mayr WT, Pittock SJ, McClelland RL, Jorgensen NW, Noseworthy JH, Rodriguez M . Incidence and prevalence of multiple sclerosis in Olmsted County, Minnesota, 1985–2000. Neurology 2003; 61: 1373–1377.

    Article  CAS  PubMed  Google Scholar 

  46. McDonnell GV, Hawkins SA . An epidemiologic study of multiple sclerosis in Northern Ireland. Neurology 1998; 50: 423–428.

    Article  CAS  PubMed  Google Scholar 

  47. Marrosu MG, Murru MR, Costa G et al. Multiple sclerosis in Sardinia is associated and in linkage disequilibrium with HLA DR3 and DR4 alleles. Am J Hum Genet 1997; 61: 454–457.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Petrovsky N, Harrison LC . HLA class II-associated polymorphism of interferon-gamma production. Implications for HLA-disease association. Hum Immunol 1997; 53: 12–16.

    Article  CAS  PubMed  Google Scholar 

  49. Vandenbroeck K, Goris A . Cytokine gene polymorphisms in multifactorial diseases: gateways to novel targets for immunotherapy? Trends Pharmacol Sci 2003; 24: 284–289.

    Article  CAS  PubMed  Google Scholar 

  50. Dabora SL, Roberts P, Nieto A et al. Association between a high-expressing inteferon-gamma allele and a lower frequency of kidney angiomyolipomas in TSC2 patients. Am J Hum Genet 2002; 71: 750–758.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Vandenbroeck K, Cunningham S, Goris A et al. Polymorphisms in the interferon-gamma/interleukin-26 gene region contribute to sex bias in susceptibility to rheumatoid arthritis. Arthritis Rheum 2003; 48: 2773–2778.

    Article  CAS  PubMed  Google Scholar 

  52. Pravica V, Asderakis A, Perrey C, Hajeer A, Sinnot PJ, Hutchinson IV . In vitro production of IFN-γ correlates with CA repeat polymorphism in the human IFN-γ gene. Eur J Immunogenet 1999; 26: 1–3.

    Article  CAS  PubMed  Google Scholar 

  53. Hoffmann SC, Stanley EM, Cox ED et al. Ethnicity greatly influences cytokine gene polymorphism distribution. Am J Transplant 2002; 2: 560–567.

    Article  CAS  PubMed  Google Scholar 

  54. Hutchings A, Guay-Woodford L, Thomas JM et al. Association of cytokine single nucleotide polymorphisms with B7 costimulatory molecules in kidney allograft recipients. Pediatr Transplant 2002; 6: 69–77.

    Article  CAS  PubMed  Google Scholar 

  55. Miyake K, Nakashima H, Akahoshi M et al. Genetically determined interferon-gamma production influences the histological phenotype of lupus nephritis. Rheumatology 2002; 41: 518–524.

    Article  CAS  PubMed  Google Scholar 

  56. Pravica V, Perrey C, Stevens A, Lee JH, Hutchinson IV . A single nucleotide polymorphism in the first intron of the human IFN-gamma gene: absolute correlation with a polymorphic CA microsattelite marker of high IFN-gamma production. Hum Immunol 2000; 61: 863–866.

    Article  CAS  PubMed  Google Scholar 

  57. Lopez-Maderuelo D, Arnalich F, Serantes R et al. Interferon-gamma and interleukin-10 gene polymorphisms in pulmonary tuberculosis. Am J Respir Crit Care Med 2003; 167: 970–975.

    Article  PubMed  Google Scholar 

  58. Rossouw M, Nel HJ, Cooke GS, van Helden PD, Hoal EG . Association between tuberculosis and a polymorphic NFkappaB binding site in the interferon gamma gene. Lancet 2003; 361: 1871–1872.

    Article  CAS  PubMed  Google Scholar 

  59. Young HA . Regulation of interferon-gamma gene expression. J Interferon Cytokine Res 1996; 16: 563–568.

    Article  CAS  PubMed  Google Scholar 

  60. O’Shea JJ, Paul WE . Regulation of T(H)1 differentiation—controlling the controllers. Nat Immunol 2002; 3: 506–508.

    Article  PubMed  Google Scholar 

  61. Martino G, Adorini L, Rieckmann P et al. Inflammation in multiple sclerosis: the good, the bad, and the complex. Lancet Neurol 2002; 1: 499–509.

    Article  PubMed  Google Scholar 

  62. Fox HS, Bond BL, Parslow TG . Estrogen regulates the IFN-gamma promoter. J Immunol 1991; 146: 4362–4367.

    CAS  PubMed  Google Scholar 

  63. Verthelyi D, Klinman DM . Sex hormone levels correlate with the activity of cytokine-secreting cells in vivo. Immunology 2000; 100: 384–390.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Sicotte NL, Liva SM, Klutch R et al. Treatment of multiple sclerosis with the pregnancy hormone estriol. Ann Neurol 2002; 52: 421–428.

    Article  CAS  PubMed  Google Scholar 

  65. Kim S, Voskuhl RR . Decreased IL-12 production underlies the decreased ability of male lymph node cells to induce experimental autoimmune encephalomyelitis. J Immunol 1999; 162: 5561–5568.

    CAS  PubMed  Google Scholar 

  66. Satoskar A, Al-Quassi HH, Alexander J . Sex-determined resistance against Leishmania mexicana is associated with the preferential induction of a Th1-like response and IFN-gamma production by female but not male DBA/2 mice. Immunol Cell Biol 1998; 76: 159–166.

    Article  CAS  PubMed  Google Scholar 

  67. Ishikawa R, Bigley NJ . Sex hormone modulation of interferon (IFN) alpha/beta and gamma production by mouse spleen cell subsets following picornavirus infection. Viral Immunol 1990; 3: 225–236.

    Article  CAS  PubMed  Google Scholar 

  68. McFarland HI, Bigley NJ . Sex-dependent, early cytokine production by NK-like spleen cells following infection with the D variant of encephalomyocarditis virus (EMCV-D). Viral Immunol 1989; 2: 205–214.

    Article  CAS  PubMed  Google Scholar 

  69. Huygen K, Palfliet K . Strain variation in interferon gamma production of BCG-sensitized mice challenged with PPD II. Importance of one major autosomal locus and additional sexual influences. Cell Immunol 1984; 85: 75–81.

    Article  CAS  PubMed  Google Scholar 

  70. Dabora SL, Roberts P, Nieto A et al. Association between a high-expressing interferon-gamma allele and a lower frequency of kidney angiomyolipomas in TSC2 patients. Am J Hum Genet 2002; 71: 750–758.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Whitman SC, Ravisankar P, Daugherty A . IFN-gamma deficiency exerts gender-specific effects on atherogenesis in apolipoprotein E−/− mice. J Interferon Cytokine Res 2002; 22: 661–670.

    Article  CAS  PubMed  Google Scholar 

  72. Han X, Lundberg P, Tanamachi B, Openshaw H, Longmate J, Cantin E . Gender influences herpes simplex virus type 1 infection in normal and gamma interferon-mutant mice. J Virol 2001; 75: 3048–3052.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Rodriguez M, Siva A, Ward J, Stolp-Smith K, O’Brien P, Kurland L . Impairment, disability, and handicap in multiple sclerosis: a population-based study in Olmsted County, Minnesota. Neurology 1994; 44: 28–33.

    Article  CAS  PubMed  Google Scholar 

  74. Pittock SJ, Mayr WT, McClelland RL et al. Change in MS-related disability in a population-based cohort: a 10-year follow-up study. Neurology 2004; 62: 51–59.

    Article  CAS  PubMed  Google Scholar 

  75. Kantarci OH, Hebrink DD, Achenbach SJ et al. A population-based association study of Fas and FasL polymorphisms in multiple sclerosis. J Neuroimmunol 2004; 146: 162–170.

    Article  CAS  PubMed  Google Scholar 

  76. Goris A, Marrosu MG, Vandenbroeck K . Novel polymorphisms in the IL-10 related AK155 gene (chromosome 12q15). Genes Immun 2001; 2: 284–286.

    Article  CAS  PubMed  Google Scholar 

  77. Kwok PY . SNP genotyping with fluorescence polarization detection. Hum Mutat 2002; 19: 315–323.

    Article  CAS  PubMed  Google Scholar 

  78. Schaid DJ, Rowland CM, Tines DE, Jacobson RM, Poland GA . Score tests for association between traits and haplotypes when linkage phase is ambiguous. Am J Hum Genet 2002; 70: 425–434.

    Article  PubMed  Google Scholar 

  79. SAS/STAT User's Guide, Version 8. SAS Institute Inc., Cary, NC, 1999.

  80. InsightfulCorp. S-plus Reference Manual, Version 6. Seattle, WA, 2001.

Download references

Acknowledgements

The National Institute of Health, grant no. NS45442, and the National MS Society, grant no. 3406-A-6-02, to B Weinshenker, K Vandenbroeck and C Pelfrey have supported this study. The Northern Ireland HPSS R&D Office supported K Vandenbroeck, grant RRG11.5 RSG 1726. A Goris was a research assistant of the Fund for Scientific Research—Flanders (FWO—Flanders). The Mayo Foundation, grant no. DK 43694-01A2, and National Institutes of Health, grant no. MH-56207, supported C McMurray. The University Hospital Research Council, Leuven, Belgium, supported B Dubois.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B G Weinshenker.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kantarci, O., Goris, A., Hebrink, D. et al. IFNG polymorphisms are associated with gender differences in susceptibility to multiple sclerosis. Genes Immun 6, 153–161 (2005). https://doi.org/10.1038/sj.gene.6364164

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.gene.6364164

Keywords

This article is cited by

Search

Quick links