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Table 2 Biological interpretation of the single nucleotide polymorphisms (SNPs) associated with ankylosing spondylitis (AS)

From: Genetically determined high activities of the TNF-alpha, IL23/IL17, and NFkB pathways were associated with increased risk of ankylosing spondylitis

Gene

Rs-number

Pathway

Model

OR (95% CI)

P-value / Bonferronia

Effect of minor-allele

Biological interpretation

TLR1

rs4833095

Pathogen recognition

CC vs TT

2.59 (1.48–4.51)

0.00081 / 0.04

743C increase TLR1 level in PBMC [56]

Increased TLR1 level was associated with increased risk of AS. This could indicate that a genetically determined high activity of the NFkB pathway, and thus high TNF-α and IL-17 activity, was associated with increased risk of AS.

TLR4

rs1554973

Pathogen recognition

CC vs TT

0.55 (0.34–0.86)

0.010 / 0.51

Unknown [67]

–

LY96

rs11465996

Pathogen recognition

GG vs CC

0.68 (0.46–1.00)

0.049 / 1.00

-1625G increase MD-2 and TNF-α levels in human U937 cells and whole blood leukocytes [57]

Increased MD-2 and TNF-α level was associated with a reduced risk of AS. In contrast to the other results this indicate that genetically determined high TNF-driven inflammatory response was associated with reduced risk of AS.

TNF

rs1800629

Cytokines

GA or AA vs GG

0.56 (0.44–0.72)

0.0000047 / 0.00024

-308A increase expression in jurkat cells [65], reduce mRNA level in PBMC and serum [48] or no association was found [49]

Reduced TNF-α mRNA level was associated with reduced risk of AS. This could indicate that genetically determined high TNF-driven inflammatory response was associated with increased risk of AS.

TNF

rs361525

Cytokines

GA or AA vs GG

0.49 (0.31–0.78)

0.0024 / 0.12

-238A reduce expression in PBMC [49]

Reduced TNF-α expression was associated with reduced risk of AS. This indicates that genetically determined high TNF-driven inflammatory response was associated with increased risk of AS.

TNFRSF1A

rs4149570

Cytokines

GT or TT vs GG

1.44 (1.15–1.80)

0.0013 / 0.066b

-609 T increase expression in PBMC [50]

Increased TNF-α receptor 1 expression was associated with increased risk of AS. This indicates that genetically determined high TNF-driven inflammatory response was associated with increased risk of AS.

PTPN22

rs2476601

Immune response

GA or AA vs GG

0.76 (0.58–0.98)

0.037 / 1.00

1858A reduce TNF-α level in serum [51]

Reduced TNF-α level was associated with reduced risk of AS. This indicates that genetically determined high TNF-driven inflammatory response was associated with increased risk of AS.

IL18

rs187238

Cytokines

GC or CC vs GG

0.80 (0.65–0.99)

0.044 / 1.00

-137C reduce IL-18 level in serum [53] and expression in PBMC [54]

Reduced IL-18 expression, and thus reduced IL-17 and TNF-α activity, was associated with reduced risk of AS.

This indicates that a genetically determined high activity of the IL23/IL17 pathway was associated with increased risk of AS.

IL23R

rs11209026

Cytokines

GA or AA vs GG

0.60 (0.42–0.87)

0.0071 / 0.36

rs11209026A reduce IL-17 level in PBMC [52]

Reduced IL-17 level was associated with reduced risk of AS. This indicates that a genetically determined high activity of the IL23/IL17 pathway was associated with increased risk of AS.

  1. OR Odds ratio
  2. 95% CI 95% confidence interval
  3. PBMC peripheral blood mononuclear cell
  4. aThe Bonferroni calculations were based on the 51 SNPs assessed in this study
  5. bThe TNFRSF1A (rs4149570) TT vs GG: OR: 1.79, 95% CI: 1.31–2.41, p = 0.00027, Bonferroni = 0.014