title: Polymorphism of interleukin-18 promoter influences the onset of kidney graft function after transplantation.
abstract: It has been well recognized that the promoter polymorphisms of interleukin-18 (IL-18) influence the level of cytokine expression. In our previously published data, we showed constitutive IL-18 expression in the epithelium of renal distal tubules in patients after kidney transplantation and significantly elevated IL-18 expression during acute rejection. In this study, we evaluated the clinical significance of two functional promoter polymorphisms of the IL-18 gene at positions -607 A/C (rs1946518) and -137 C/G (rs187238) in patients after kidney transplantation and looked for associations with the onset of graft function and the incidence of rejection episodes. Promoter polymorphisms in 124 patients and 103 unrelated controls were evaluated by sequence-specific primer polymerase chain reaction and the allele, genotype and haplotype frequencies were statistically correlated. We found a statistically different distribution of the allele frequency of -607 A/C polymorphism between patients with immediate or delayed onset of kidney graft function. Data showed that the C allele, which contributes to higher IL-18 expression, is more frequent in patients with delayed onset of function (P = 0.03, odds ratio = 1.93; 95% confidence interval = 1.15-3.25). A/C single nucleotide polymorphisms of the IL-18 promoter at position -607 may influence the onset of early kidney allograft function.
authors.affiliation: Department of Immunogenetics, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
authors.forename: L
authors.initials: L
authors.lastname: Kolesar
authors.forename: P
authors.initials: P
authors.lastname: Novota
authors.forename: E
authors.initials: E
authors.lastname: Krasna
authors.forename: A
authors.initials: A
authors.lastname: Slavcev
authors.forename: O
authors.initials: O
authors.lastname: Viklicky
authors.forename: E
authors.initials: E
authors.lastname: Honsova
authors.forename: I
authors.initials: I
authors.lastname: Striz
mesh_terms: D004847:Epithelial Cells / Q000378:metabolism; D005260:Female; D005786:Gene Expression Regulation / Q000235:genetics; D006084:Graft Rejection / Q000235:genetics / Q000378:metabolism; D006085:Graft Survival / Q000235:genetics; D006801:Humans; D020382:Interleukin-18 / Q000096:biosynthesis / Q000235:genetics*; D016030:Kidney Transplantation; D007686:Kidney Tubules, Distal / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D020641:Polymorphism, Single Nucleotide; D011401:Promoter Regions, Genetic / Q000235:genetics*; D020127:Recovery of Function / Q000235:genetics*; D012189:Retrospective Studies; D013997:Time Factors; D014184:Transplantation, Homologous
chemical_list: D020382:Interleukin-18