Abstract
Background
Psoriasis (Ps) is a chronic dermatosis characterized by erythematous-squamous plaques derived from an inflammatory response. The effect of polymorphisms in the genes that encode the members of the IL-17 family and their receptors has been studied to find an association with the susceptibility to Ps. However, the findings have not been conclusive.
Objectives
To describe the association between IL-17A, IL-17F and IL-17RA gene polymorphisms and susceptibility to Ps.
Method
A systematic review was conducted using the PubMed and Scopus databases to identify studies that evaluated the association between IL-17A, IL-17F, and IL-17RA gene polymorphisms and Ps susceptibility. This meta-analysis included reports published until June 2021. Heterogeneity was assessed using Cochran’s Q-statistic test and I2 statistics. The associations between polymorphisms and Ps susceptibility were determined by pooled OR with a 95% CI.
Results
Fifteen studies were included. The frequency of the T allele of the IL-17F rs763780 polymorphism was significantly lower in patients with vulgar Ps (OR = 0.732, p = 0.026). The TT genotype of the IL-17F rs763780 polymorphism was significantly associated with a decreased frequency in individuals with Ps and psoriatic arthritis (PsA) (TT:TC + CC OR = 0.664, p = 0.046). Regarding IL-17RA polymorphisms, the AG genotype of the rs4819554 polymorphism showed a near-significant decrease in psoriasis risk compared to the GG genotype (AG:GG OR = 0.604, p = 0.050). Other polymorphisms in IL-17A, IL-17F and IL-17RA showed no association with Ps.
Conclusions
The T allele and TT genotype of the IL-17F rs763780 polymorphism may be associated with a decreased risk of psoriasis. Therefore, the implications of this variant on psoriasis pathogenesis and treatment require further investigation.
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FVV-V and JJR-V contributed equally to this work. Conceptualization of the study: OG-M. Literature search, data collection, data analysis, and data interpretation: FVV-V, JJR-V, SGH-O, and AA-N. Validation: AA-N and OG-M. Writing—original draft preparation: FVV-V, JJR-V, and EM-L. Writing—review and editing: JM-B and OG-M. All authors have read and approved the final manuscript.
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Villalpando-Vargas, F.V., Rivera-Valdés, J.J., Alvarado-Navarro, A. et al. Association between IL-17A, IL-17F and IL-17RA gene polymorphisms and susceptibility to psoriasis and psoriatic arthritis: a meta-analysis. Inflamm. Res. 70, 1201–1210 (2021). https://doi.org/10.1007/s00011-021-01514-6
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DOI: https://doi.org/10.1007/s00011-021-01514-6