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Published in: NeuroMolecular Medicine 4/2017

01-12-2017 | Original Paper

STAT4 Polymorphisms are Associated with Neuromyelitis Optica Spectrum Disorders

Authors: Ziyan Shi, Qin Zhang, Hongxi Chen, Zhiyun Lian, Ju Liu, Huiru Feng, Xiaohui Miao, Qin Du, Hongyu Zhou

Published in: NeuroMolecular Medicine | Issue 4/2017

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Abstract

STAT4 plays a crucial role in the functioning of the innate and adaptive immune cells and has been identified as a susceptibility gene in numerous autoimmune disorders. However, its association with neuromyelitis optica spectrum disorders (NMOSD) remains uncertain. Here, we performed a case–control study to determine whether STAT4 contributed to the risk of NMOSD. We tested five STAT4 SNPs in 233 patients with established NMOSD and 492 healthy controls. Chi-square tests and logistic regression analyses were performed with four genetic models, including allelic, additive, dominant, and recessive models, to identify associations with NMOSD. The results of multiple test comparisons were corrected using the Benjamini and Hochberg false discovery rate (FDR–BH). After correcting for multiple test comparisons, the minor alleles of four STAT4 SNPs exhibited significant association with increased risk of NMOSD (rs7574865 T, odds ratio [OR] = 1.66, 95% confidence interval [CI] 1.32–2.08, P corr = 0.000; rs10181656 G, OR = 1.62, 95% CI 1.29–2.03, P corr = 0.000; rs10168266 T, OR = 1.59, 95% CI 1.27–2.00, P corr = 0.001; and rs13426947 A, OR = 1.51, 95% CI 1.21–1.90, P corr = 0.004). Identical results were observed in the dominant, recessive, and additive models. In contrast, the G allele of rs7601754 displayed a protective effect against NMOSD (OR = 0.53, 95% CI 0.36–0.76, P corr = 0.006). Our study indicates that STAT4 polymorphisms are associated with the risk of NMOSD, which provides novel insights into the underlying mechanisms of this disease.
Literature
go back to reference Asgari, N., Nielsen, C., Stenager, E., Kyvik, K. O., & Lillevang, S. T. (2012). HLA, PTPN22 and PD-1 associations as markers of autoimmunity in neuromyelitis optica. Multiple Sclerosis Journal, 18(1), 23–30.CrossRefPubMed Asgari, N., Nielsen, C., Stenager, E., Kyvik, K. O., & Lillevang, S. T. (2012). HLA, PTPN22 and PD-1 associations as markers of autoimmunity in neuromyelitis optica. Multiple Sclerosis Journal, 18(1), 23–30.CrossRefPubMed
go back to reference Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: a practical and powerful approach to multiple testing. Journal of the Royal Statistical Society. Series B (Methodological), 57(1), 289–300. Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: a practical and powerful approach to multiple testing. Journal of the Royal Statistical Society. Series B (Methodological), 57(1), 289–300.
go back to reference Bettelli, E., Oukka, M., & Kuchroo, V. K. (2007). T(H)-17 cells in the circle of immunity and autoimmunity. Nature Immunology, 8(4), 345–350.CrossRefPubMed Bettelli, E., Oukka, M., & Kuchroo, V. K. (2007). T(H)-17 cells in the circle of immunity and autoimmunity. Nature Immunology, 8(4), 345–350.CrossRefPubMed
go back to reference Dos, P. G., Sato, D. K., Becker, J., & Fujihara, K. (2016). Th17 cells pathways in multiple sclerosis and neuromyelitis optica spectrum disorders: pathophysiological and therapeutic implications. Mediators of Inflammation, 2016, 5314541. Dos, P. G., Sato, D. K., Becker, J., & Fujihara, K. (2016). Th17 cells pathways in multiple sclerosis and neuromyelitis optica spectrum disorders: pathophysiological and therapeutic implications. Mediators of Inflammation, 2016, 5314541.
go back to reference Drori, T., & Chapman, J. (2014). Diagnosis and classification of neuromyelitis optica (Devic’s syndrome). Autoimmunity Reviews, 13(4–5), 531–533.CrossRefPubMed Drori, T., & Chapman, J. (2014). Diagnosis and classification of neuromyelitis optica (Devic’s syndrome). Autoimmunity Reviews, 13(4–5), 531–533.CrossRefPubMed
go back to reference Han, J. W., Zheng, H. F., Cui, Y., Sun, L. D., Ye, D. Q., Hu, Z., et al. (2009). Genome-wide association study in a Chinese Han population identifies nine new susceptibility loci for systemic lupus erythematosus. Nature Genetics, 41(11), 1234–1237.CrossRefPubMed Han, J. W., Zheng, H. F., Cui, Y., Sun, L. D., Ye, D. Q., Hu, Z., et al. (2009). Genome-wide association study in a Chinese Han population identifies nine new susceptibility loci for systemic lupus erythematosus. Nature Genetics, 41(11), 1234–1237.CrossRefPubMed
go back to reference Hildner, K. M., Schirmacher, P., Atreya, I., Dittmayer, M., Bartsch, B., Galle, P. R., et al. (2007). Targeting of the transcription factor STAT4 by antisense phosphorothioate oligonucleotides suppresses collagen-induced arthritis. Journal of Immunology, 178(6), 3427–3436.CrossRef Hildner, K. M., Schirmacher, P., Atreya, I., Dittmayer, M., Bartsch, B., Galle, P. R., et al. (2007). Targeting of the transcription factor STAT4 by antisense phosphorothioate oligonucleotides suppresses collagen-induced arthritis. Journal of Immunology, 178(6), 3427–3436.CrossRef
go back to reference Ishizu, T., Osoegawa, M., Mei, F. J., Kikuchi, H., Tanaka, M., Takakura, Y., et al. (2005). Intrathecal activation of the IL-17/IL-8 axis in opticospinal multiple sclerosis. Brain, 128(Pt 5), 988–1002.CrossRefPubMed Ishizu, T., Osoegawa, M., Mei, F. J., Kikuchi, H., Tanaka, M., Takakura, Y., et al. (2005). Intrathecal activation of the IL-17/IL-8 axis in opticospinal multiple sclerosis. Brain, 128(Pt 5), 988–1002.CrossRefPubMed
go back to reference Jacob, C. O., Zang, S., Li, L., Ciobanu, V., Quismorio, F., Mizutani, A., et al. (2003). Pivotal role of Stat4 and Stat6 in the pathogenesis of the lupus-like disease in the New Zealand mixed 2328 mice. Journal of Immunology, 171(3), 1564–1571.CrossRef Jacob, C. O., Zang, S., Li, L., Ciobanu, V., Quismorio, F., Mizutani, A., et al. (2003). Pivotal role of Stat4 and Stat6 in the pathogenesis of the lupus-like disease in the New Zealand mixed 2328 mice. Journal of Immunology, 171(3), 1564–1571.CrossRef
go back to reference Jarius, S., Probst, C., Borowski, K., Franciotta, D., Wildemann, B., Stoecker, W., et al. (2010). Standardized method for the detection of antibodies to aquaporin-4 based on a highly sensitive immunofluorescence assay employing recombinant target antigen. Journal of the Neurological Sciences, 291(1–2), 52–56.CrossRefPubMed Jarius, S., Probst, C., Borowski, K., Franciotta, D., Wildemann, B., Stoecker, W., et al. (2010). Standardized method for the detection of antibodies to aquaporin-4 based on a highly sensitive immunofluorescence assay employing recombinant target antigen. Journal of the Neurological Sciences, 291(1–2), 52–56.CrossRefPubMed
go back to reference Kim, J. Y., Bae, J. S., Kim, H. J., & Shin, H. D. (2014). CD58 polymorphisms associated with the risk of neuromyelitis optica in a Korean population. BMC Neurology, 14, 57.CrossRefPubMedPubMedCentral Kim, J. Y., Bae, J. S., Kim, H. J., & Shin, H. D. (2014). CD58 polymorphisms associated with the risk of neuromyelitis optica in a Korean population. BMC Neurology, 14, 57.CrossRefPubMedPubMedCentral
go back to reference Kim, H. J., Park, H. Y., Kim, E., Lee, K. S., Kim, K. K., Choi, B. O., et al. (2010). Common CYP7A1 promoter polymorphism associated with risk of neuromyelitis optica. Neurobiology of Disease, 37(2), 349–355.CrossRefPubMed Kim, H. J., Park, H. Y., Kim, E., Lee, K. S., Kim, K. K., Choi, B. O., et al. (2010). Common CYP7A1 promoter polymorphism associated with risk of neuromyelitis optica. Neurobiology of Disease, 37(2), 349–355.CrossRefPubMed
go back to reference Korman, B. D., Kastner, D. L., Gregersen, P. K., & Remmers, E. F. (2008). STAT4: genetics, mechanisms, and implications for autoimmunity. Curr Allergy Asthma Reports, 8(5), 398–403.CrossRef Korman, B. D., Kastner, D. L., Gregersen, P. K., & Remmers, E. F. (2008). STAT4: genetics, mechanisms, and implications for autoimmunity. Curr Allergy Asthma Reports, 8(5), 398–403.CrossRef
go back to reference Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS). Neurology, 33(11), 1444–1452.CrossRefPubMed Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS). Neurology, 33(11), 1444–1452.CrossRefPubMed
go back to reference Lamana, A., López-Santalla, M., Castillo-González, R., Ortiz, A. M., Martín, J., García-Vicuña, R., et al. (2015). The Minor Allele of rs7574865 in the STAT4 Gene is associated with increased mRNA and protein expression. PLoS ONE, 10(11), e0142683.CrossRefPubMedPubMedCentral Lamana, A., López-Santalla, M., Castillo-González, R., Ortiz, A. M., Martín, J., García-Vicuña, R., et al. (2015). The Minor Allele of rs7574865 in the STAT4 Gene is associated with increased mRNA and protein expression. PLoS ONE, 10(11), e0142683.CrossRefPubMedPubMedCentral
go back to reference Li, Y., Zhang, K., Chen, H., Sun, F., Xu, J., Wu, Z., et al. (2013). A genome-wide association study in Han Chinese identifies a susceptibility locus for primary Sjögren’s syndrome at 7q11.23. Nature Genetics, 45(11), 1361–1365.CrossRefPubMed Li, Y., Zhang, K., Chen, H., Sun, F., Xu, J., Wu, Z., et al. (2013). A genome-wide association study in Han Chinese identifies a susceptibility locus for primary Sjögren’s syndrome at 7q11.23. Nature Genetics, 45(11), 1361–1365.CrossRefPubMed
go back to reference Liang, Y., Pan, H. F., & Ye, D. Q. (2014). Therapeutic potential of STAT4 in autoimmunity. Expert Opinion on Therapeutic Targets, 18(8), 945–960.CrossRefPubMed Liang, Y., Pan, H. F., & Ye, D. Q. (2014). Therapeutic potential of STAT4 in autoimmunity. Expert Opinion on Therapeutic Targets, 18(8), 945–960.CrossRefPubMed
go back to reference Mathur, A. N., Chang, H. C., Zisoulis, D. G., Stritesky, G. L., Yu, Q., O’Malley, J. T., et al. (2007). Stat3 and Stat4 direct development of IL-17-secreting Th cells. Journal of Immunology, 178(8), 4901–4907.CrossRef Mathur, A. N., Chang, H. C., Zisoulis, D. G., Stritesky, G. L., Yu, Q., O’Malley, J. T., et al. (2007). Stat3 and Stat4 direct development of IL-17-secreting Th cells. Journal of Immunology, 178(8), 4901–4907.CrossRef
go back to reference Matiello, M., Kim, H. J., Kim, W., Brum, D. G., Barreira, A. A., Kingsbury, D. J., et al. (2010). Familial neuromyelitis optica. Neurology, 75(4), 310–315.CrossRefPubMedPubMedCentral Matiello, M., Kim, H. J., Kim, W., Brum, D. G., Barreira, A. A., Kingsbury, D. J., et al. (2010). Familial neuromyelitis optica. Neurology, 75(4), 310–315.CrossRefPubMedPubMedCentral
go back to reference Nishikomori, R., Usui, T., Wu, C. Y., Morinobu, A., O’Shea, J. J., & Strober, W. (2002). Activated STAT4 has an essential role in Th1 differentiation and proliferation that is independent of its role in the maintenance of IL-12R beta 2 chain expression and signaling. Journal of Immunology, 169(8), 4388–4398.CrossRef Nishikomori, R., Usui, T., Wu, C. Y., Morinobu, A., O’Shea, J. J., & Strober, W. (2002). Activated STAT4 has an essential role in Th1 differentiation and proliferation that is independent of its role in the maintenance of IL-12R beta 2 chain expression and signaling. Journal of Immunology, 169(8), 4388–4398.CrossRef
go back to reference Pandit, L., Asgari, N., Apiwattanakul, M., Palace, J., Paul, F., Leite, M. I., et al. (2015). Demographic and clinical features of neuromyelitis optica: A review. Multiple Sclerosis Journal, 21(7), 845–853.CrossRefPubMedPubMedCentral Pandit, L., Asgari, N., Apiwattanakul, M., Palace, J., Paul, F., Leite, M. I., et al. (2015). Demographic and clinical features of neuromyelitis optica: A review. Multiple Sclerosis Journal, 21(7), 845–853.CrossRefPubMedPubMedCentral
go back to reference Remmers, E. F., Plenge, R. M., Lee, A. T., Graham, R. R., Hom, G., Behrens, T. W., et al. (2007). STAT4 and the risk of rheumatoid arthritis and systemic lupus erythematosus. New England Journal of Medicine, 357(10), 977–986.CrossRefPubMedPubMedCentral Remmers, E. F., Plenge, R. M., Lee, A. T., Graham, R. R., Hom, G., Behrens, T. W., et al. (2007). STAT4 and the risk of rheumatoid arthritis and systemic lupus erythematosus. New England Journal of Medicine, 357(10), 977–986.CrossRefPubMedPubMedCentral
go back to reference Shi, Y. Y., & He, L. (2005). SHEsis, a powerful software platform for analyses of linkage disequilibrium, haplotype construction, and genetic association at polymorphism loci. Cell Research, 15(2), 97–98.CrossRefPubMed Shi, Y. Y., & He, L. (2005). SHEsis, a powerful software platform for analyses of linkage disequilibrium, haplotype construction, and genetic association at polymorphism loci. Cell Research, 15(2), 97–98.CrossRefPubMed
go back to reference Shi, Z., Zhang, Q., Chen, H., Miao, X., Liu, J., Lian, Z., et al. (2017). Association of CD40 gene polymorphisms with susceptibility to neuromyelitis optica spectrum disorders. Molecular Neurobiology, 54(7), 5236–5242.CrossRefPubMed Shi, Z., Zhang, Q., Chen, H., Miao, X., Liu, J., Lian, Z., et al. (2017). Association of CD40 gene polymorphisms with susceptibility to neuromyelitis optica spectrum disorders. Molecular Neurobiology, 54(7), 5236–5242.CrossRefPubMed
go back to reference Wang, H. H., Dai, Y. Q., Qiu, W., Lu, Z. Q., Peng, F. H., Wang, Y. G., et al. (2011). Interleukin-17-secreting T cells in neuromyelitis optica and multiple sclerosis during relapse. Journal of Clinical Neuroscience, 18(10), 1313–1317.CrossRefPubMed Wang, H. H., Dai, Y. Q., Qiu, W., Lu, Z. Q., Peng, F. H., Wang, Y. G., et al. (2011). Interleukin-17-secreting T cells in neuromyelitis optica and multiple sclerosis during relapse. Journal of Clinical Neuroscience, 18(10), 1313–1317.CrossRefPubMed
go back to reference Wang, X., Yu, T., Yan, Q., Wang, W., Meng, N., Li, X., et al. (2016). Significant association between fc receptor-like 3 polymorphisms (−1901A>G and −658C>T) and Neuromyelitis Optica (NMO) Susceptibility in the Chinese Population. Molecular Neurobiology, 53(1), 686–694.CrossRefPubMed Wang, X., Yu, T., Yan, Q., Wang, W., Meng, N., Li, X., et al. (2016). Significant association between fc receptor-like 3 polymorphisms (−1901A>G and −658C>T) and Neuromyelitis Optica (NMO) Susceptibility in the Chinese Population. Molecular Neurobiology, 53(1), 686–694.CrossRefPubMed
go back to reference Watford, W. T., Hissong, B. D., Bream, J. H., Kanno, Y., Muul, L., & O’Shea, J. J. (2004). Signaling by IL-12 and IL-23 and the immunoregulatory roles of STAT4. Immunological Reviews, 202, 139–156.CrossRefPubMed Watford, W. T., Hissong, B. D., Bream, J. H., Kanno, Y., Muul, L., & O’Shea, J. J. (2004). Signaling by IL-12 and IL-23 and the immunoregulatory roles of STAT4. Immunological Reviews, 202, 139–156.CrossRefPubMed
go back to reference Wingerchuk, D. M., Banwell, B., Bennett, J. L., Cabre, P., Carroll, W., Chitnis, T., et al. (2015). International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology, 85(2), 177–189.CrossRefPubMedPubMedCentral Wingerchuk, D. M., Banwell, B., Bennett, J. L., Cabre, P., Carroll, W., Chitnis, T., et al. (2015). International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology, 85(2), 177–189.CrossRefPubMedPubMedCentral
go back to reference Wingerchuk, D. M., Lennon, V. A., Lucchinetti, C. F., Pittock, S. J., & Weinshenker, B. G. (2007). The spectrum of neuromyelitis optica. Lancet Neurology, 6(9), 805–815.CrossRefPubMed Wingerchuk, D. M., Lennon, V. A., Lucchinetti, C. F., Pittock, S. J., & Weinshenker, B. G. (2007). The spectrum of neuromyelitis optica. Lancet Neurology, 6(9), 805–815.CrossRefPubMed
go back to reference Wingerchuk, D. M., Lennon, V. A., Pittock, S. J., Lucchinetti, C. F., & Weinshenker, B. G. (2006). Revised diagnostic criteria for neuromyelitis optica. Neurology, 66(10), 1485–1489.CrossRefPubMed Wingerchuk, D. M., Lennon, V. A., Pittock, S. J., Lucchinetti, C. F., & Weinshenker, B. G. (2006). Revised diagnostic criteria for neuromyelitis optica. Neurology, 66(10), 1485–1489.CrossRefPubMed
go back to reference Yamasaki, K., Horiuchi, I., Minohara, M., Kawano, Y., Ohyagi, Y., Yamada, T., et al. (1999). HLA-DPB1*0501-associated opticospinal multiple sclerosis: clinical, neuroimaging and immunogenetic studies. Brain, 122(Pt 9), 1689–1696.CrossRefPubMed Yamasaki, K., Horiuchi, I., Minohara, M., Kawano, Y., Ohyagi, Y., Yamada, T., et al. (1999). HLA-DPB1*0501-associated opticospinal multiple sclerosis: clinical, neuroimaging and immunogenetic studies. Brain, 122(Pt 9), 1689–1696.CrossRefPubMed
go back to reference Yan, N., Meng, S., Zhou, J., Xu, J., Muhali, F. S., Jiang, W., et al. (2014). Association between STAT4 gene polymorphisms and autoimmune thyroid diseases in a Chinese population. International Journal of Molecular Sciences, 15(7), 12280–12293.CrossRefPubMedPubMedCentral Yan, N., Meng, S., Zhou, J., Xu, J., Muhali, F. S., Jiang, W., et al. (2014). Association between STAT4 gene polymorphisms and autoimmune thyroid diseases in a Chinese population. International Journal of Molecular Sciences, 15(7), 12280–12293.CrossRefPubMedPubMedCentral
go back to reference Yang, W., Ng, P., Zhao, M., Hirankarn, N., Lau, C. S., Mok, C. C., et al. (2009). Population differences in SLE susceptibility genes: STAT4 and BLK, but not PXK, are associated with systemic lupus erythematosus in Hong Kong Chinese. Genes and Immunity, 10(3), 219–226.CrossRefPubMed Yang, W., Ng, P., Zhao, M., Hirankarn, N., Lau, C. S., Mok, C. C., et al. (2009). Population differences in SLE susceptibility genes: STAT4 and BLK, but not PXK, are associated with systemic lupus erythematosus in Hong Kong Chinese. Genes and Immunity, 10(3), 219–226.CrossRefPubMed
go back to reference Yoshimine, S., Sakai, T., Ogasawara, M., Shikishima, K., Tsuneoka, H., & Tanaka, K. (2011). Anti-aquaporin-4 antibody-positive familial neuromyelitis optica in mother and daughter. Japanese Journal of Ophthalmology, 55(6), 647–650.CrossRefPubMed Yoshimine, S., Sakai, T., Ogasawara, M., Shikishima, K., Tsuneoka, H., & Tanaka, K. (2011). Anti-aquaporin-4 antibody-positive familial neuromyelitis optica in mother and daughter. Japanese Journal of Ophthalmology, 55(6), 647–650.CrossRefPubMed
go back to reference Yuan, H., Feng, J. B., Pan, H. F., Qiu, L. X., Li, L. H., Zhang, N., et al. (2010). A meta-analysis of the association of STAT4 polymorphism with systemic lupus erythematosus. Modern Rheumatology, 20(3), 257–262.CrossRefPubMed Yuan, H., Feng, J. B., Pan, H. F., Qiu, L. X., Li, L. H., Zhang, N., et al. (2010). A meta-analysis of the association of STAT4 polymorphism with systemic lupus erythematosus. Modern Rheumatology, 20(3), 257–262.CrossRefPubMed
Metadata
Title
STAT4 Polymorphisms are Associated with Neuromyelitis Optica Spectrum Disorders
Authors
Ziyan Shi
Qin Zhang
Hongxi Chen
Zhiyun Lian
Ju Liu
Huiru Feng
Xiaohui Miao
Qin Du
Hongyu Zhou
Publication date
01-12-2017
Publisher
Springer US
Published in
NeuroMolecular Medicine / Issue 4/2017
Print ISSN: 1535-1084
Electronic ISSN: 1559-1174
DOI
https://doi.org/10.1007/s12017-017-8463-9

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