Session Information
Date: Sunday, November 8, 2015
Title: Spondylarthropathies Psoriatic Arthritis - Pathogenesis, Etiology
Session Type: ACR Concurrent Abstract Session
Session Time: 2:30PM-4:00PM
Background/Purpose:
Genetic factors provide over 90% of the overall susceptibility to ankylosing spondylitis (AS) and recent studies have focused on non-major histocompatibility complex genes. The etiology of uveitis in AS has been suggested to involve two adhesion molecules including intercellular adhesion molecule (ICAM)-1 and leukocyte functional antigen (LFA)-1.
Platelet-endothelial cell adhesion molecule 1 (PECAM1) is a member of the immunoglobulin superfamily which is expressed on endothelial cells. There is emerging evidence that PECAM1 may be an important regulator of activation of lymphocytes. The β1 integrin (ITGB1) can associate with different membrane proteins and cause signal transduction by interactions in the extracellular and trans-membrane domain. Therefore, we examined the association of PECAM1 and ITGB1 gene polymorphisms with development of uveitis in patients with AS.
Methods:
We conducted a case–control study where 223 AS patients who met the Modified New York criteria and 239 ethnically matched controls were genotyped for 9 single nucleotide polymorphisms (SNPs) in the PECAM-1 promoter and gene. Genomic DNA was isolated from peripheral blood leukocytes by a standard phenol–chloroform method and a GoldenGate assay (Illumina, http://www.illumina.com) was used for genotyping.
Results:
Conditional logistic regression was used to evaluate the association between the PECAM1 or ITGB1 SNPs with susceptibility to AS, and no significant association was found on both genes. However, in the subgroup analyses between AS patients with uveitis and those without, seven SNPs in PECAM1 gene were associated with the presence of uveitis, including rs1050382 (dominant model (DM), p=0.022), rs2812 (recessive model (RM), p=0.013), rs4968721 (DM, p=0.016), rs6808 (DM, p=0.011), rs6809 (DM, p=0.013), rs9899806 (DM, p=0.013) and rs9913080 (DM, p=0.019). In addition, seven polymorphisms in ITGB1 gene including rs11009147 (DM, p=0.012; co-dominant model (CDM), p=0.034), rs17468 (DM, p=0.012; CDM, p= 0.019), rs2153875 (CDM, p= 0.030), rs2230396 (DM, p=0.012), rs2488330 (DM, p=0.004), rs3780871 (DM, p=0.031) and rs7079624 (RM, p=0.004) were associated with uveitis development.
Conclusion:
This is the first analysis of the PECAM1 and ITGB1 gene polymorphisms in AS, demonstrating a clear association with uveitis in AS. Larger studies are warranted to elucidate the association of PECAM-1 and ITGB1 in the pathogenesis of uveitis in AS.
Table 1. Logistic analysis of PECAM1 polymorphisms and the risk of uveitis among AS patients
rs No. |
Dominant Model |
Recessive Model |
Co-dominant Model |
|||
Odds (95% CI) |
P.Value (adj.P.) |
Odds (95% CI) |
P.Value (adj.P.) |
Odds (95% CI) |
P.Value (adj.P.) |
|
rs1050382 |
2.170 (1.116-4.219) |
0.022 (0.027) |
0.456 (0.129-1.611) |
0.223 (0.262) |
1.314 (0.824-2.095) |
0.250 (0.294) |
rs11079538 |
1.623 (0.745-3.537) |
0.222 (0.261) |
1.289 (0.568-2.924) |
0.543 (0.571) |
1.345 (0.821-2.202) |
0.238 (0.297) |
rs2812 |
2.190 (0.620-7.736) |
0.223 (0.247) |
0.424 (0.215-0.837) |
0.013 (0.024) |
0.732 (0.457-1.173) |
0.195 (0.300) |
rs4968721 |
2.302 (1.167-4.541) |
0.016 (0.022) |
0.412 (0.117-1.446) |
0.166 (0.237) |
1.304 (0.820-2.075) |
0.261 (0.290) |
rs6808 |
2.406 (1.220-4.743) |
0.011 (0.020) |
0.456 (0.129-1.611) |
0.223 (0.278) |
1.379 (0.862-2.205) |
0.178 (0.298) |
rs6809 |
2.354 (1.193-4.641) |
0.013 (0.020) |
0.456 (0.129-1.611) |
0.223 (0.297) |
1.364 (0.852-2.184) |
0.195 (0.279) |
rs8065316 |
1.124 (0.490-2.578) |
0.781 (0.822) |
1.774 (0.908-3.468) |
0.093 (0.155) |
1.360 (0.848-2.180) |
0.201 (0.268) |
rs9899806 |
2.354 (1.193-4.641) |
0.013 (0.022) |
0.509 (0.143-1.813) |
0.297 (0.330) |
1.414 (0.876-2.283) |
0.155 (0.282) |
rs9913080 |
2.252 (1.141-4.443) |
0.019 (0.025) |
0.392 (0.112-1.373) |
0.143 (0.220) |
1.270 (0.800-2.016) |
0.310 (0.326) |
Table 2. Logistic analysis of ITGB1 polymorphisms and the risk of uveitis among AS patients
rs number |
Dominant Model |
Recessive Model |
Co-dominant Model |
|||
Odds (95% CI) |
P.Value (adj.P.) |
Odds (95% CI) |
P.Value (adj.P.) |
Odds (95% CI) |
P.Value (adj.P.) |
|
rs11009147 |
0.436 (0.226-0.839) |
0.012 (0.021) |
0.712 (0.273-1.858) |
0.488 (0.596) |
0.582 (0.353-0.960) |
0.034 (0.046) |
rs1187078 |
0.873 (0.261-2.921) |
0.826 (0.865) |
0.919 (0.486-1.737) |
0.796 (0.834) |
0.926 (0.560-1.532) |
0.767 (0.804) |
rs17468 |
0.436 (0.226-0.839) |
0.012 (0.019) |
0.563 (0.249-1.272) |
0.167 (0.245) |
0.589 (0.377-0.918) |
0.019 (0.030) |
rs2153875 |
0.527 (0.249-1.117) |
0.094 (0.122) |
0.465 (0.202-1.071) |
0.072 (0.113) |
0.582 (0.356-0.949) |
0.030 (0.044) |
rs2230396 |
0.436 (0.226-0.839) |
0.012 (0.020) |
0.712 (0.273-1.858) |
0.488 (0.565) |
0.582 (0.353-0.960) |
0.034 (0.044) |
rs2298141 |
1.340 (0.702-2.559) |
0.374 (0.457) |
3.718 (1.126-12.28) |
0.031 (0.052) |
1.508 (0.906-2.511) |
0.113 (0.131) |
rs2488330 |
0.390 (0.203-0.748) |
0.004 (0.008) |
0.712 (0.273-1.858) |
0.488 (0.631) |
0.546 (0.330-0.901) |
0.017 (0.032) |
rs2503997 |
1.278 (0.659-2.477) |
0.466 (0.540) |
1.308 (0.586-2.920) |
0.511 (0.562) |
1.205 (0.778-1.865) |
0.401 (0.441) |
rs3780871 |
0.268 (0.081-0.888) |
0.031 (0.042) |
0.745 (0.390-1.424) |
0.374 (0.514) |
0.662 (0.398-1.103) |
0.113 (0.139) |
rs7079624 |
1.403 (0.538-3.662) |
0.488 (0.536) |
2.560 (1.335-4.909) |
0.004 (0.008) |
1.830 (1.109-3.021) |
0.017 (0.030) |
To cite this abstract in AMA style:
Shim SC, Yoo IS, Yoo SJ, Kim Y, Lim MK, Sheen DH, Kim J. Association of Platelet Endothelial Cell Adhesion Molecule-1 and ß1 Integrin Gene Polymorphisms with Uveitis Development in Ankylosing Spondylitis [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/association-of-platelet-endothelial-cell-adhesion-molecule-1-and-s1-integrin-gene-polymorphisms-with-uveitis-development-in-ankylosing-spondylitis/. Accessed .« Back to 2015 ACR/ARHP Annual Meeting
ACR Meeting Abstracts - https://acrabstracts.org/abstract/association-of-platelet-endothelial-cell-adhesion-molecule-1-and-s1-integrin-gene-polymorphisms-with-uveitis-development-in-ankylosing-spondylitis/