Lupus & antiphospholipid syndrome

Significant association of functional variants in the promoter sequence of IL18 with disease susceptibility and systemic lupus erythematosus clinical parameters

LupusPublished Case-control study

Authors' conclusion

The study indicates a significant relationship between the rs1946518 and rs187238 variants in IL-18 and a reduced risk of SLE. Furthermore, rs1946518 was found to be associated with certain clinical features related to disease activity and severity.

Study context

Population
SLE patients and healthy participants
Participants
251 peripheral blood samples
Comparison
SLE patients vs healthy participants: IL18 promoter variants rs1946518 (−607C > A) and rs187238 (−137G > C)
  • SLEn = 121
  • Healthyn = 130reference
Outcome
Association of IL18 variants rs1946518 and rs187238 with risk of SLE
Methodological detailsgenetic association study, high-resolution melting (HRM) genotyping
  • Genetic association study
  • HRM genotyping

Main finding

As reported in the abstract

Risk of SLE by IL18 genotype/allele
Odds ratio (95% CI)
rs1946518 AAvs rs1946518 CC
0.386(0.174–0.828)
rs1946518 A allelevs rs1946518 C allele
0.548(0.369–0.809)
rs187238 CCvs rs187238 GG
0.240(0.055–0.803)
rs187238 C allelevs rs187238 G allele
0.604(0.390–0.928)

Observational data: associations, not effects.

Further findings

Clinical parameters in SLE patients with rs1946518 protective allele (AA + AC)

Significantly lower CRP and anti-dsDNA levels, later age of onset, lower incidence of renal involvement and lower creatinine levels
P < 0.05

Original publication

Significant association of functional variants in the promoter sequence of IL18 with disease susceptibility and systemic lupus erythematosus clinical parameters. Lupus. Published 28 March 2025. doi:10.1177/09612033251331256

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