Influence of IL6R rs8192284 polymorphism status in disease activity in rheumatoid arthritis

J Rheumatol. 2010 Aug 1;37(8):1579-81. doi: 10.3899/jrheum.091455. Epub 2010 Jun 15.

Abstract

Objective: To analyze the influence of IL6R rs8192284 polymorphism on the disease activity of rheumatoid arthritis (RA).

Methods: Patients with RA (n = 281) were followed for a median of 4.2 years. A total of 1143 disease activity measurements using the 28-joint count Disease Activity Score (DAS28) were performed. A mixed-effect model was used to analyze the measurements.

Results: A statistically significant interaction was observed between IL6R rs8192284 polymorphism and the presence of anticyclic citrullinated peptide (anti-CCP) antibodies (p = 0.008). An inverse relationship between the polymorphism and DAS28 was observed depending on anti-CCP status.

Conclusion: The anti-CCP status in patients with RA determines the association between the IL6R rs8192284 polymorphism and disease activity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Arthritis, Rheumatoid / genetics*
  • Arthritis, Rheumatoid / immunology
  • Arthritis, Rheumatoid / physiopathology
  • Female
  • Genetic Predisposition to Disease
  • Genotype
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Peptides, Cyclic / blood*
  • Polymorphism, Single Nucleotide*
  • Receptors, Interleukin-6 / blood
  • Receptors, Interleukin-6 / genetics*
  • Severity of Illness Index
  • Signal Transduction

Substances

  • IL6R protein, human
  • Peptides, Cyclic
  • Receptors, Interleukin-6
  • cyclic citrullinated peptide