Skip to main content

Advertisement

Log in

Association between IL-17A, IL-17F and IL-17RA gene polymorphisms and susceptibility to psoriasis and psoriatic arthritis: a meta-analysis

  • Original Research Article
  • Published:
Inflammation Research Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Availability of data and materials

The authors ensure that all data and materials, as well as application software, support published claims and meet field standards. Any required information can be accessed through the corresponding author.

References

  1. Komiya E, Tominaga M, Kamata Y, Suga Y, Takamori K. Molecular and cellular mechanisms of itch in psoriasis. Int J Mol Sci. 2020. https://doi.org/10.3390/ijms21218406 (MDPI AG).

    Article  PubMed  PubMed Central  Google Scholar 

  2. Nair PA, Badri T. Psoriasis. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2021.

    Google Scholar 

  3. Tiwari V, Brent LH. Psoriatic arthritis. In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2021.

    Google Scholar 

  4. Takahashi H, Nakamura K, Kaneko F, Nakagawa H, Iizuka H. Analysis of psoriasis patients registered with the Japanese society for psoriasis research from 2002–2008. J Dermatol. 2011. https://doi.org/10.1111/j.1346-8138.2010.01145.x.

    Article  PubMed  Google Scholar 

  5. Kamiya K, Kishimoto M, Sugai J, Komine M, Ohtsuki M. Risk factors for the development of psoriasis. Int J Mol Sci. 2019. https://doi.org/10.3390/ijms20184347 (MDPI AG).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Trembath RC, Lee Clough R, Rosbotham JL, Jones AB, Camp RDR, Frodsham A, Browne J, et al. Identification of a major susceptibility locus on chromosome 6p and evidence for further disease loci revealed by a two stage genome-wide search in psoriasis. Hum Mol Genet. 1997;6:813–20. https://doi.org/10.1093/hmg/6.5.813 (Oxford University Press).

    Article  CAS  PubMed  Google Scholar 

  7. Sagoo GS, Tazi-Ahnini R, Barker JWN, Elder JT, Nair RP, Samuelsson L, Traupe H, Trembath RC, Robinson DA, Iles MM. Meta-analysis of genome-wide studies of psoriasis susceptibility reveals linkage to chromosomes 6p21 and 4q28-q31 in Caucasian and Chinese Hans population. J Investig Dermatol. 2004;122:1401–5. https://doi.org/10.1111/j.0022-202X.2004.22607.x (Blackwell Publishing Inc.).

    Article  CAS  PubMed  Google Scholar 

  8. Zuo X, Sun L, Yin X, Gao J, Sheng Y, Jinhua Xu, Zhang J, et al. Whole-exome SNP array identifies 15 new susceptibility loci for psoriasis. Nat Commun. 2015. https://doi.org/10.1038/ncomms7793 (Nature Publishing Group).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Moseley TA, Haudenschild DR, Rose L, Reddi AH. Interleukin-17 family and IL-17 receptors. Cytokine Growth Factor Rev. 2003. https://doi.org/10.1016/S1359-6101(03)00002-9 (Elsevier BV).

    Article  PubMed  Google Scholar 

  10. Furue M, Furue K, Tsuji G, Nakahara T. Interleukin-17A and keratinocytes in psoriasis. Int J Mol Sci. 2020. https://doi.org/10.3390/ijms21041275 (MDPI AG).

    Article  PubMed  PubMed Central  Google Scholar 

  11. Pușcaș A, Cătană A, Pușcaș C, Roman I, Vornicescu C, Șomlea M, Orăsan R. Psoriasis: association of interleukin-17 gene polymorphisms with severity and response to treatment (review). Exp Ther Med. 2019. https://doi.org/10.3892/etm.2019.7624 (Spandidos Publications).

    Article  PubMed  PubMed Central  Google Scholar 

  12. Beringer A, Noack M, Miossec P. IL-17 in chronic inflammation: from discovery to targeting. Trends Mol Med. 2016. https://doi.org/10.1016/j.molmed.2016.01.001 (Elsevier Ltd).

    Article  PubMed  Google Scholar 

  13. Starnes T, Robertson MJ, Sledge G, Kelich S, Nakshatri H, Broxmeyer HE, Hromas R. Cutting edge: IL-17F, a novel cytokine selectively expressed in activated t cells and monocytes, regulates angiogenesis and endothelial cell cytokine production. J Immunol. 2001;167:4137–40. https://doi.org/10.4049/jimmunol.167.8.4137 (The American Association of Immunologists).

    Article  CAS  PubMed  Google Scholar 

  14. Yang XO, Nurieva R, Martinez GJ, Kang HS, Chung Y, Pappu BP, Shah B, et al. Molecular antagonism and plasticity of regulatory and inflammatory T cell programs. Immunity. 2008;29:44–56. https://doi.org/10.1016/j.immuni.2008.05.007.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Yang XO, Seon HC, Park H, Nurieva R, Shah B, Acero L, Wang YH, et al. Regulation of inflammatory responses by IL-17F. J Exp Med. 2008;205:1063–75. https://doi.org/10.1084/jem.20071978.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Boutet MA, Nerviani A, Afflitto GG, Pitzalis C. Role of the IL-23/IL-17 axis in psoriasis and psoriatic arthritis: the clinical importance of its divergence in skin and joints. Int J Mol Sci. 2018. https://doi.org/10.3390/ijms19020530 (MDPI AG).

    Article  PubMed  PubMed Central  Google Scholar 

  17. Liu T, Li S, Ying S, Tang S, Ding Y, Li Y, Qiao J, Fang H. The IL-23/IL-17 pathway in inflammatory skin diseases: from bench to bedside. Front Immunol. 2020. https://doi.org/10.3389/fimmu.2020.594735 (Frontiers Media S.A).

    Article  PubMed  PubMed Central  Google Scholar 

  18. Sato Y, Ogawa E, Okuyama R. Role of innate immune cells in psoriasis. Int J Mol Sci. 2020. https://doi.org/10.3390/ijms21186604 (MDPI AG).

    Article  PubMed  PubMed Central  Google Scholar 

  19. Shibata S, Saeki H, Tsunemi Y, Kato T, Nakamura K, Kakinuma T, Kagami S, et al. IL-17F single nucleotide polymorphism is not associated with Psoriasis vulgaris or atopic dermatitis in the Japanese population. J Dermatol Sci. 2009. https://doi.org/10.1016/j.jdermsci.2008.09.003.

    Article  PubMed  Google Scholar 

  20. Wang WJ, Yin XY, Zuo XB, Cheng H, Du WD, Zhang FY, Yang S, Zhang XJ. Gene-gene interactions in IL23/Th17 pathway contribute to psoriasis susceptibility in Chinese Han population. J Eur Acad Dermatol Venereol. 2013;27:1156–62. https://doi.org/10.1111/j.1468-3083.2012.04683.x.

    Article  CAS  PubMed  Google Scholar 

  21. Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M, Tugwell P, O’connell D, Peterson J, Welch V, et al. The newcastle-ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa (ON): Ottawa Hospital Research Institute. Ottawa Ottawa Hosp Res Institute, 1, 2012.

  22. van Rhee H, Suurmond R, Hak T. User manual for meta-essentials: workbooks for meta-analysis. 2015. Available at SSRN: https://ssrn.com/abstract=3241355 or https://doi.org/10.2139/ssrn.3241355.

  23. Horita N, Kaneko T. Genetic model selection for a case-control study and a meta-analysis. Meta Gene. 2015;5:1–8. https://doi.org/10.1016/j.mgene.2015.04.003 (Elsevier B.V).

    Article  PubMed  PubMed Central  Google Scholar 

  24. Loures R, Marco A, Macedo LC, Reis DM, Oliveira CF, Meneguetti JL, Martines GF, Neves JSF, de Souza E, Sell AM, Visentainer JEL. Influence of TNF and IL17 gene polymorphisms on the spondyloarthritis immunopathogenesis, regardless of HLA-B27, in a Brazilian population. Mediat Inflamm. 2018. https://doi.org/10.1155/2018/1395823 (Hindawi Limited).

    Article  Google Scholar 

  25. Smolnikova MV, Barilo AA, Smirnova SV. Polymorphism of cytokine genes (Il17a and Il17F) in psoriasis and psoriatic arthritis. Siberian Med Rev. 2018. https://doi.org/10.20333/2500136-2018-5-48-53.

    Article  Google Scholar 

  26. Choi BG, Hong JY, Hong JR, Hur MS, Kim SM, Lee YW, Choe YB, Ahn KJ. The IL17F His161Arg polymorphism, a potential risk locus for psoriasis, increases serum levels of interleukin-17F in an Asian population. Sci Rep. 2019. https://doi.org/10.1038/s41598-019-55062-5 (Nature Research).

    Article  PubMed  PubMed Central  Google Scholar 

  27. Sabry D, Aboraia N, Samir M. A potential association between psoriasin to rs4819554 of IL-17RA gene polymorphism in psoriasis Egyptian patients. Arch Dermatol Res. 2020;312:273–81. https://doi.org/10.1007/s00403-019-02011-x (Springer).

    Article  CAS  PubMed  Google Scholar 

  28. Fouad NA, Akl EM, Ahmed SH. Association of genetic variants of the interleukin-17F rs763780 and its circulating level in psoriasis patients in Egypt. Egypt J Immunol. 2020;27:39–46.

    PubMed  Google Scholar 

  29. Catanoso MG, Boiardi L, Macchioni P, Garagnani P, Sazzini M, De Fanti S, Farnetti E, et al. IL-23A, IL-23R, IL-17A and IL-17R polymorphisms in different psoriatic arthritis clinical manifestations in the northern Italian population. Rheumatol Int. 2013;33:1165–76. https://doi.org/10.1007/s00296-012-2501-6.

    Article  CAS  PubMed  Google Scholar 

  30. Popadić S, Ramić Z, Medenica L, Pravica V, Popadić D. Polymorphism rs11465553 in the interleukin-17F gene in serbian patients with psoriasis and healthy controls. Serbian J Dermatol Venereol. 2015;6:161–6. https://doi.org/10.2478/sjdv-2014-0013 (Walter de Gruyter GmbH).

    Article  Google Scholar 

  31. Yin X, Cheng H, Zhang R, Fan X, Zhou F, Jiang L, Tang X, et al. Combined effect of five single nucleotide polymorphisms related to IL23/Th17 pathway in the risk of psoriasis. Immunogenetics. 2014;66:215–8. https://doi.org/10.1007/s00251-013-0756-z.

    Article  CAS  PubMed  Google Scholar 

  32. Batalla A, Coto E, González-Lara L, González-Fernández D, Gómez J, Aranguren TF, Queiro R, Santos-Juanes J, López-Larrea C, Coto-Segura P. Association between single nucleotide polymorphisms IL17RA rs4819554 and IL17E rs79877597 and Psoriasis in a Spanish cohort. J Dermatol Sci. 2015;80:111–5. https://doi.org/10.1016/j.jdermsci.2015.06.011 (Elsevier Ireland Ltd).

    Article  CAS  PubMed  Google Scholar 

  33. Prieto-Pérez R, Solano-López G, Cabaleiro T, Román M, Ochoa D, Talegón M, Baniandrés O, et al. The polymorphism rs763780 in the IL-17F gene is associated with response to biological drugs in patients with psoriasis. Pharmacogenomics. 2015;16:1723–31. https://doi.org/10.2217/pgs.15.107 (Future Medicine Ltd).

    Article  CAS  PubMed  Google Scholar 

  34. Bialecka M, Ostasz R, Kurzawski M, Klimowicz A, Fabiañczyk H, Bojko P, Dziedziejko V, Safranow K, MacHoy-Mokrzyñska A, Drozdzik M. IL17A and IL17F gene polymorphism association with psoriasis risk and response to treatment in a polish population. Dermatology. 2017;232:592–6. https://doi.org/10.1159/000448090 (S. Karger AG).

    Article  CAS  Google Scholar 

  35. Kim SY, Hur MS, Choi BG, Kim MJ, Lee YW, Choe YB, Ahn KJ. A preliminary study of new single polymorphisms in the T helper type 17 pathway for psoriasis in the Korean population. Clin Exp Immunol. 2017;187:251–8. https://doi.org/10.1111/cei.12888 (Blackwell Publishing Ltd).

    Article  CAS  PubMed  Google Scholar 

  36. Kaur R, Rawat AK, Kumar S, Aadil W, Akhtar T, Narang T, Chopra D. Association of genetic polymorphism of interleukin-17A & interleukin-17F with susceptibility of psoriasis. Indian J Med Res. 2018;148:422–6. https://doi.org/10.4103/ijmr.IJMR_1859_16 (Wolters Kluwer Medknow Publications).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Kotobuki Y, Tanemura A, Yang L, Itoi S, Wataya-Kaneda M, Murota H, Fujimoto M, Serada S, Naka T, Katayama I. Dysregulation of melanocyte function by Th17-related cytokines: Significance of Th17 cell infiltration in autoimmune vitiligo vulgaris. Pigment Cell Melanoma Res. 2012;25:219–30. https://doi.org/10.1111/j.1755-148X.2011.00945.x.

    Article  CAS  PubMed  Google Scholar 

  38. Hwang S-Y, Kim H-Y. Expression of IL-17 homologs and their receptors in the synovial cells of rheumatoid arthritis patients. Mol Cells. 2005;19:180–4.

    CAS  PubMed  Google Scholar 

  39. Tzartos JS, Friese MA, Craner MJ, Palace J, Newcombe J, Esiri MM, Fugger L. Interleukin-17 production in central nervous system-infiltrating T cells and glial cells is associated with active disease in multiple sclerosis. Am J Pathol. 2008;172:146–55. https://doi.org/10.2353/ajpath.2008.070690.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Seiderer J, Elben I, Diegelmann J, Glas J, Stallhofer J, Tillack C, Pfennig S, et al. Role of the novel Th17 cytokine IL-17F in inflammatory bowel disease (IBD): upregulated colonic IL-17F expression in active Crohnʼs disease and analysis of the IL17F p.His161Arg polymorphism in IBD. Inflamm Bowel Dis. 2008;14:437–45. https://doi.org/10.1002/ibd.20339.

    Article  PubMed  Google Scholar 

  41. Krueger JG, Fretzin S, Suárez-Fariñas M, Haslett PA, Phipps KM, Cameron GS, McColm J, et al. IL-17A is essential for cell activation and inflammatory gene circuits in subjects with psoriasis. J Allergy Clin Immunol. 2012. https://doi.org/10.1016/j.jaci.2012.04.024 (Mosby Inc).

    Article  PubMed  PubMed Central  Google Scholar 

  42. Arisawa T, Tahara T, Shibata T, Nagasaka M, Nakamura M, Kamiya Y, Fujita H, et al. The influence of polymorphisms of interleukin-17A and interleukin-17F genes on the susceptibility to ulcerative colitis. J Clin Immunol. 2008;28:44–9. https://doi.org/10.1007/s10875-007-9125-8.

    Article  CAS  PubMed  Google Scholar 

  43. Hayashi R, Tahara T, Shiroeda H, Saito T, Nakamura M, Tsutsumi M, Shibata T, Arisawa T. Influence of IL17A polymorphisms (rs2275913 and rs3748067) on the susceptibility to ulcerative colitis. Clin Exp Med. 2013;13:239–44. https://doi.org/10.1007/s10238-012-0206-5.

    Article  CAS  PubMed  Google Scholar 

  44. Márquez A, Hernández-Rodríguez J, Cid MC, Solans R, Castañeda S, Fernández-Contreras ME, Ramentol M, et al. Influence of the IL17A locus in giant cell arteritis susceptibility. Ann Rheum Dis. 2014;73:1742–5. https://doi.org/10.1136/annrheumdis-2014-205261 (BMJ Publishing Group).

    Article  CAS  PubMed  Google Scholar 

  45. Maalmi H, Beraies A, Charad R, Ammar J, Hamzaoui K, Hamzaoui A. IL-17A and IL-17F genes variants and susceptibility to childhood asthma in Tunisia. J Asthma. 2014;51:348–54. https://doi.org/10.3109/02770903.2013.876647 (Informa Healthcare).

    Article  CAS  PubMed  Google Scholar 

  46. Chen J, Deng Yu, Zhao J, Luo Z, Peng W, Yang J, Ren L, et al. The polymorphism of IL-17 G-152A was associated with childhood asthma and bacterial colonization of the hypopharynx in bronchiolitis. J Clin Immunol. 2010;30:539–45. https://doi.org/10.1007/s10875-010-9391-8.

    Article  CAS  PubMed  Google Scholar 

  47. Lew B-L, Cho H-R, Haw S, Kim H-J, Chung J-H, Sim W-Y. Association between IL17A/IL17RA Gene polymorphisms and susceptibility to alopecia areata in the Korean population. Ann Dermatol. 2012;24:61. https://doi.org/10.5021/ad.2012.24.1.61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Kim Y-G, Kim E-Y, Ihm C-G, Lee T-W, Lee S-H, Jeong K-H, Moon J-Y, Chung J-H, Kim Y-H. Gene polymorphisms of interleukin-17 and interleukin-17 receptor are associated with end-stage kidney disease. Am J Nephrol. 2012;36:472–7. https://doi.org/10.1159/000343571 (Karger Publishers).

    Article  CAS  PubMed  Google Scholar 

  49. Kim YG, Ihm CG, Lee TW, Lee SH, Jeong KH, Moon JY, Chung JH, Kim SK, Kim YH. Association of genetic polymorphisms of interleukins with new-onset diabetes after transplantation in renal transplantation. Transplantation. 2012;93:900–7. https://doi.org/10.1097/TP.0b013e3182497534.

    Article  CAS  PubMed  Google Scholar 

  50. Park JS, Park BL, Kim MO, Heo JS, Jung JS, Bae DJ, Soo Taek Uh, et al. Association of single nucleotide polymorphisms on Interleukin 17 receptor A (IL17RA) gene with aspirin hypersensitivity in asthmatics. Hum Immunol. 2013;74:598–606. https://doi.org/10.1016/j.humimm.2012.11.002 (Elsevier).

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

No funding was received to assist with the preparation of this manuscript.

Author information

Authors and Affiliations

Authors

Contributions

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.

Corresponding author

Correspondence to Omar Graciano-Machuca.

Ethics declarations

Conflict of interests

The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethics approval

Not applicable. Due to the nature of the study, approval by the ethics committee was not required. However, all of the included studies had their corresponding approval.

Consent to participate

Not applicable.

Consent for publication

Not applicable.

Additional information

Responsible Editor: John Di Battista.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 29 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00011-021-01514-6

Keywords

Navigation