Abstract

Ankylosing spondylitis (AS) is a chronic inflammation of the sacroiliac joints, spine and peripheral joints. The development of ankylosing spondylitis is still unclear. Genetics factors such as human leukocyte antigen HLA-B27 and ERAP1 have been widely reported to associate to AS susceptibility. In this study, we enrolled 361 AS patients and selected four tagging single nucleotides polymorphisms (tSNPs) at STIM1 gene. The correlation between STIM1 genetic polymorphisms and AS activity index (BASDAI, BASFI, BAS-G) as well as laboratory parameters of inflammation (erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP)) were tested. Our results indicated that HLA-B27 positive AS patients who are carrying the minor allele homozygous G/G genotype of SNP rs3750996 significantly associated with a higher level of ESR in serum. Furthermore, rs3750996/rs3750994 pairwise allele analysis indicated that G-C haplotypes also significantly correlated with higher level of ESR as well as CRP. These findings provide a better understanding of STIM1 genetic contribution to the pathogenesis of AS.

Highlights

  • Ankylosing spondylitis (AS) is a chronic inflammatory disorder of the lumbar spine and sacroiliac that can affect the peripheral joints [1]

  • We analyzed the relationship between disease activity index (BASDAI, Bath Ankylosing Spondylitis Functional Index (BASFI) and Bath Ankylosing Spondylitis Global (BAS-G)) and the four polymorphisms of Stromal interaction molecule 1 (STIM1) among human leukocyte antigen (HLA)-B27 positive AS patients

  • We further analyzed the association between inflammatory biochemical examination (ESR and C-reactive protein (CRP)) and STIM1 gene polymorphisms

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Summary

Introduction

Ankylosing spondylitis (AS) is a chronic inflammatory disorder of the lumbar spine and sacroiliac that can affect the peripheral joints [1]. Males are affected more frequently than females [2]. AS strongly associates with the human leukocyte antigen (HLA)-B27 gene [3], but HLA-B27 accounts for only 16% of the genetic variability in AS [4]. In 2010, Lee et al [8] identified that CTLA-4 +49A.G genotype associated with circulatory CRP level. These results indicated that the level of inflammation in AS subjects may be pre-determined by CTLA-4 genotypes

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