Abstract
Gout is usually characterized by uric acid-induced recurrent attacks of acute inflammatory arthritis. CC chemokine ligand 2 (CCL2), a chemokine involved in the recruitment and migration of monocytes/macrophages, has previously been shown to be increased in the plasma of gout patients. In this study, we examined whether the CCL2 −2518A/G (rs1024611) single nucleotide polymorphism (SNP) affects susceptibility to gout in a Chinese Han male population. Genomic DNA from gout patients (n = 1,109) and ethnically matched gout-free controls (n = 1,034) was genotyped for the CCL2 −2518A/G SNP using polymerase chain reaction–restriction fragment length polymorphism. The Chi-square test was performed to investigate the association of genotypic and allelic frequencies between cases and controls, and the −2518G allele was shown to be associated with a significantly increased risk of gout development [P = 0.007, odds ratio 1.182, 95 % confidence interval 1.047–1.335]. The GG genotypic distribution was also significantly different between cases and controls (adjusted P = 0.021). However, genotypic distributions and allelic frequencies did not indicate significant associations (P = 0.150 and P = 0.050, respectively) between tophi and non-tophi patients. Our findings support a key role for the CCL2 SNP −2518A/G in association with gout susceptibility in the Chinese Han male population. However, additional studies in other populations should be carried out to confirm this finding.
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References
Choi HK, Mount DB, Reginato AM (2005) Pathogenesis of gout. Ann Intern Med 143:499–516
Matsukawa A, Miyazaki S, Maeda T, Tanase S, Feng L et al (1998) Production and regulation of monocyte chemoattractant protein-1 in lipopolysaccharide-or monosodium urate crystal-induced arthritis in rabbits: roles of tumor necrosis factor alpha, interleukin-1, and interleukin-8. Lab Invest 78:973–985
Zheng W, Li R, Pan H, He D, Xu R et al (2009) Role of osteopontin in induction of monocyte chemoattractant protein 1 and macrophage inflammatory protein 1β through the NF-κB and MAPK pathways in rheumatoid arthritis. Arthritis Rheum 60:1957–1965
Harigai M, Hara M, Yoshimura T, Leonard EJ, Inoue K et al (1993) Monocyte chemoattractant protein-1 (CCL2) in inflammatory joint diseases and its involvement in the cytokine network of rheumatoid synovium. Clin Immunol Immunopathol 69:83–91
Grainger R, McLaughlin RJ, Harrison AA, Harper JL (2013) Hyperuricaemia elevates circulating CCL2 levels and primes monocyte trafficking in subjects with inter-critical gout. Rheumatology 52:1018–1021
Fenoglio et al. (2004) CCL2 in Alzheimer’s disease patients: a −2518G polymorphism and serum levels by neurobiol aging 25(9):1169–1173
Karrer S, Bosserhoff AK, Weiderer P, Distler O, Landthaler M et al (2005) The −2518 promotor polymorphism in the CCL2 gene is associated with systemic sclerosis. J Invest Dermatol 124:92–98
Gao Q, Du Q, Zhang H, Guo C, Lu S et al (2014) Monocyte chemotactic protein-1 −2518 gene polymorphism and susceptibility to spinal tuberculosis. Arch Med Res 45:183–187
Song GG, Lee YH (2013) The CTLA-4 and CCL2 polymorphisms and susceptibility to systemic sclerosis: a meta-analysis. Immunol Invest 42:481–492
Lin HL, Ueng KC, Hsieh YS, Chiang WL, Yang SF et al (2012) Impact of CCL2 and CCR-2 gene polymorphisms on coronary artery disease susceptibility. Mol Biol Rep 39:9023–9030
Brown KS, Nackos E, Morthala S, Jensen LE, Whitehead AS et al (2007) Monocyte chemoattractant protein-1: plasma concentrations and A (−2518) G promoter polymorphism of its gene in systemic lupus erythematosus. J Rheumatol 34:740–746
Miao Z, Li C, Chen Y, Zhao S, Wang Y et al (2008) Dietary and lifestyle changes associated with high prevalence of hyperuricemia and gout in the Shandong coastal cities of Eastern China. J Rheumatol 35:1859–1864
Luk AJ, Simkin PA (2005) Epidemiology of hyperuricemia and gout. Am J Manag Care 11:S435–S442
Sundy JS, Hershfield MS (2007) Uricase and other novel agents for the management of patients with treatment-failure gout. Curr Rheumatol Rep 9:258–264
Wallace SL, Robinson H, Masi AT, Decker JL, McCarty DJ et al (1977) Preliminary criteria for the classification of the acute arthritis of primary gout. Arthritis Rheum 20:895–900
Mikuls TR, Farrar JT, Bilker WB, Fernandes S, Schumacher HR Jr et al (2005) Gout epidemiology: results from the UK general practice research database, 1990–1999. Ann Rheum Dis 64:267–272
Pierer M, Rethage J, Seibl R, Lauener R, Brentano F et al (2004) Chemokine secretion of rheumatoid arthritis synovial fibroblasts stimulated by Toll-like receptor 2 ligands. J Immunol 172:1256–1265
Yao TC, Kuo ML, See LC, Ou LS, Lee WI et al (2006) RANTES and monocyte chemoattractant protein 1 as sensitive markers of disease activity in patients with juvenile rheumatoid arthritis: a six-year longitudinal study. Arthritis Rheum 54:258–2593
Ogura N, Satoh K, Akutsu M, Tobe M, Kuyama K et al (2010) CCL2 production in temporomandibular joint inflammation. J Dent Res 89:1117–1122
Ahmed S, Pakozdi A, Koch AE (2006) Regulation of interleukin-1beta-induced chemokine production and matrix metalloproteinase 2 activation by epigallocatechin-3-gallate in rheumatoid arthritis synovial fibroblasts. Arthritis Rheum 54:2393–2401
Liu S, Yin C, Chu N, Han L, Li C (2013) IL-8-251T/A and IL-12B 1188A/C polymorphisms are associated with gout in a Chinese male population. Scand J Rheumatol 42:150–158
Liu S, Wang H, Li C (2013) Relationship between -238A/G and -308A/G polymorphisms in the promoter region of TNF-α and susceptibility to gout in the Chinese Han male population. Cent Eur J Immunol 38:449–453
Chang SJ, Chen CJ, Tsai FC, Lai HM, Tsai PC et al (2008) Associations between gout tophus and polymorphisms 869T/C and -509C/T in transforming growth factor beta1 gene. Rheumatology 47:617–621
Chang SJ, Tsai PC, Chen CJ, Lai HM, Ko YC (2007) The polymorphism −863C/A in tumour necrosis factor-alpha gene contributes an independent association to gout. Rheumatology 46:1662–1666
Rovin BH, Lu L, Saxena R (1999) A novel polymorphism in the CCL2 gene regulatory region that influences CCL2 expression. Biochem Biophys Res Commun 259:344–348
Pham MH, Bonello GB, Castiblanco J et al (2012) The rs1024611 regulatory region polymorphism is associated with CCL2 allelic expression imbalance. PLoS ONE 7(11):e49498
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We thank all of the probands for their participation. This work was supported by the National Science Foundation of China (81070686 and 31371272).
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Ruixia Sun and Keke Zhang contributed equally to the work.
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Sun, R., Zhang, K., Zhang, X. et al. The CC chemokine ligand 2 (CCL2) polymorphism −2518A/G is associated with gout in the Chinese Han male population. Rheumatol Int 35, 479–484 (2015). https://doi.org/10.1007/s00296-014-3102-3
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DOI: https://doi.org/10.1007/s00296-014-3102-3