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Interleukin - 6 promoter polymorphisms at -597, -572 and -174

Interleukin - 6 (IL6) plays key roles in hematopoiesis, immune, and acute phase responses. Dysregulated IL6 expression is implicated in diseases such as atherosclerosis and arthritis. The interleukin-6 gene possesses promoter polymorphisms G-597A, G-572C and G-174C in partial linkage dysequilibrium which affect the transcription of the interleukin-6 gene and the production of interleukin-6 protein. In vitro activity studies by transient transfection of promoter-reporter gene constructs into an endothelial-like cell line yielded the following haplotype / phenotype correlations (1) :

Haplotype
(-597, -572 and -174)
Phenotype Frequency (%)
GGG High IL-6 production 54
GCG Intermediate IL-6 production 5
AGG Intermediate IL-6 production 0.3
AGC Intermediate IL-6 production 40
GGC Intermediate IL-6 production 0.6

Thus, in most cases the G-174 allele is associated with high IL-6 production. A variety of clinical situations have been studied in relationship with the G-174 allele and the other polymorphisms in the IL-6 gene promoter (see reference table below).

References

(1) Terry CF, Loukaci V, Green FR. Cooperative influence of genetic polymorphisms on interleukin 6 transcriptional regulation. J Biol Chem 2000 Jun 16;275(24):18138-44
(PMID: 10747905)<Abstract>

Conditions associated with G-174C PMID
IL-6 after Coronary artery bypass graft (also with G-572C) 11557672<Abstract>
C-reactive protein (CRP) 11922913<Abstract>
CRP and bone resorption markers 12519862<Abstract>
Platelet and WBC count 11397324<Abstract>
Triglyzerides and other lipid abnormalities 10720087<Abstract>
Energy expenditure and insulin sensitivity 12540635<Abstract>
Cortisol and hyperandrogenism (also with G-597A) 11889177<Abstract>
Recurrent aphtous stomatitis 12140751<Abstract>
Kidney allograft survival 12371985<Abstract>
Sepsis survival 11902285<Abstract>
Alzheimer's disease 12352619<Abstract>
Kaposi sarcoma 11001912<Abstract>
Antibodies to human hsp60 11862386<Abstract>
In vivo endothelial function 11895465<Abstract>
Multi-infarct dementia 12086705<Abstract>
Peripheral artery occlusive disease 12217290<Abstract>
Modulation of the effect of alcohol on carotid atherosclerosis 12574550<Abstract>




Last Update: 3-2003 rf