Frontiers in Immunology (Sep 2021)

Genetic Associations Between IL-6 and the Development of Autoimmune Arthritis Are Gender-Specific

  • Jianqiao Hong,
  • Jianqiao Hong,
  • Jianqiao Hong,
  • Zihao Qu,
  • Zihao Qu,
  • Zihao Qu,
  • Xiaoxiao Ji,
  • Xiaoxiao Ji,
  • Xiaoxiao Ji,
  • Congsun Li,
  • Congsun Li,
  • Congsun Li,
  • Geng Zhang,
  • Geng Zhang,
  • Geng Zhang,
  • Ciliang Jin,
  • Jie Wang,
  • Jie Wang,
  • Jie Wang,
  • Yongxing Zhang,
  • Yongxing Zhang,
  • Yongxing Zhang,
  • Yue Shen,
  • Yue Shen,
  • Yue Shen,
  • Jiahong Meng,
  • Jiahong Meng,
  • Jiahong Meng,
  • Chenhe Zhou,
  • Chenhe Zhou,
  • Chenhe Zhou,
  • Chaohua Fang,
  • Wei Wang,
  • Wei Wang,
  • Wei Wang,
  • Shigui Yan,
  • Shigui Yan,
  • Shigui Yan

DOI
https://doi.org/10.3389/fimmu.2021.707617
Journal volume & issue
Vol. 12

Abstract

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ObjectivesTo find out the genetic association between IL6 and autoimmune arthritis.MethodsWe performed a two-sample Mendelian randomization (MR) study using multiple genome-wide association studies (GWAS) datasets. Furthermore, a sex-stratified MR study was performed to identify sexual dimorphism in the association between IL6 and autoimmune arthritis. Then, LocusZoom plots were displayed based on the IL6R gene region to present evidence of genetic colocalization between diseases.ResultsThe MR result denoted a genetic association between the increased level of IL-6 signaling and risk of RA (β=0.325, 95%CI 0.088, 0.561, p=7.08E-03) and AS (β=1.240, 95%CI 0.495, 1.980, p=1.1E-03). Accordingly, sIL6R was found to have negatively correlation with the onset of RA (β=-0.020, 95%CI -0.0320, -0.008, p=1.18E-03) and AS (β=-0.125, 95%CI -0.177, -0.073, p=2.29E-06). However, no genetic association between IL6/sIL6R and PsA was detected. The gender-stratified MR analysis showed that IL6 was associated with AS in the male population, with RA in the female population, and with PsA in the male population. Additionally, ADAR, a gene identified by a sensitive test, could be the reason for the nonsignificant association between IL6 and PsA in a pooled population.ConclusionOur findings showed that the overactive IL6 signal pathway led to autoimmune arthritis, especially in RA and AS. Sexual difference was also observed in IL6-intermediate susceptibility to autoimmune arthritis.

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