A functional IL-6 receptor (IL6R) variant is a risk factor for persistent atopic dermatitis
Abstract
Background Atopic dermatitis (AD) is a common inflammatory skin disease. Previous studies have revealed shared genetic determinants among different inflammatory disorders, suggesting that markers associated with immune-related traits might also play a role in AD. Objective We sought to identify novel genetic risk factors for AD. Methods We examined the results of all genome-wide association studies from a public repository and selected 318 genetic markers that were significantly associated with any inflammatory trait. These markers were considered candidates and tested for association with AD in a 3-step approach including 7 study populations with 7130 patients with AD and 9253 control subjects. Results A functional amino acid change in the IL-6 receptor (IL-6R Asp358Ala; rs2228145) was significantly associated with AD (odds ratio [OR], 1.15; P = 5 × 10(-9)). Interestingly, investigation of 2 independent population-based birth cohorts showed that IL-6R 358Ala specifically predisposes to the persistent form of AD (ORpersistent AD = 1.22, P = .0008; ORtransient AD = 1.04, P = .54). This variant determines the balance between the classical membrane-bound versus soluble IL-6R signaling pathways. Carriers of 358Ala had increased serum levels of soluble IL-6R (P = 4 × 10(-14)), with homozygote carriers showing a 2-fold increase. Moreover, we demonstrate that soluble IL-6R levels were higher in patients with AD than in control subjects (46.0 vs 37.8 ng/mL, P = .001). Additional AD r…
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IL-6R is associated with asthma and atopic dermatitis.
“It was also reported that IL-6R is associated with asthma and atopic dermatitis (270, 271).”
From IL-6 in inflammation, autoimmunity and cancer (2021) · cites this paper as [271]
Cites
A common variant on chromosome 11q13 is associated with atopic dermatitis
Esparza-Gordillo, J., Weidinger, S., Fölster-Holst, R., Bauerfeind, A., Ruschendorf, F., Patone, G., Rohde, K., Marenholz, I., Schulz, F., Kerscher, T., et al. (2009) · Nature Genetics · doi:10.1038/ng.347 · Cited by 317 · see citing works
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IL-6 in inflammation, autoimmunity and cancer
Hirano, T. (2021) · International Immunology · doi:10.1093/intimm/dxaa078 · Cited by 1,453 · see citing works
“It was also reported that IL-6R is associated with asthma and atopic dermatitis (270, 271).”
BackgroundPleiotropy and specificity: insights from the interleukin 6 family of cytokines
Murakami, M., Kamimura, D., & Hirano, T. (2019) · Immunity · doi:10.1016/j.immuni.2019.03.027 · Cited by 533 · see citing works
Targeting classical IL-6 signalling or IL-6<i>trans</i>-signalling in depression?
Maes, M., Anderson, G., Kubera, M., & Berk, M. (2014) · Expert Opinion on Therapeutic Targets · doi:10.1517/14728222.2014.888417 · Cited by 140 · see citing works
Kern, C., Wan, J., LeWinn, K. Z., Ramirez, F. D., Lee, Y., McCulloch, C. E., Langan, S. M., & Abuabara, K. (2021) · JAMA Dermatology · doi:10.1001/jamadermatol.2021.2657 · Cited by 103 · see citing works
Self-citationThériault, S., Dina, C., Messika-Zeitoun, D., Le Scouarnec, S., Capoulade, R., Gaudreault, N., Rigade, S., Li, Z., Simonet, F., Lamontagne, M., et al. (2019) · Circulation: Genomic and Precision Medicine · doi:10.1161/circgen.119.002617 · Cited by 90 · see citing works
- Authors
- Esparza-Gordillo, J., Schaarschmidt, H., Liang, L., Cookson, W., Bauerfeind, A., Lee-Kirsch, M.-A., Nemat, K., Henderson, J., Paternoster, L., Harper, J. I., Mangold, E., Nothen, M. M., Rüschendorf, F., Kerscher, T., Marenholz, I., Matanovic, A., Lau, S., Keil, T., Bauer, C.-P., Kurek, M., Ciechanowicz, A., Macek, M., Franke, A., Kabesch, M., Hubner, N., Abecasis, G., Weidinger, S., Moffatt, M., & Lee, Y.-A.
- Affiliations
- Max Delbrück Center (DE)
- Christian-Albrechts-Universität zu Kiel (DE)
- Harvard University (US)
- Imperial College London (GB)
- Technische Universität Dresden (DE)
- University of Bristol (GB)
- Great Ormond Street Hospital (GB)
- University of Bonn (DE)
- Charité – Universitätsmedizin Berlin (DE)
- Technical University of Munich (DE)
- Pomeranian Medical University (PL)
- University Hospital Regensburg (DE)
- University of Michigan (US)
- University Hospital Schleswig-Holstein (DE)
- Corresponding author
- Lee, Young-Ae
- ORCID
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 132
- Issue
- 2
- Pages
- 371-377
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W2064797995
- Cited by
- 107
- References
- 1
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 11 · 2023: 9 · 2022: 8 · 2021: 10 · 2020: 8 · 2019: 11 · 2018: 5 · 2017: 6 · 2016: 3 · 2015: 10 · 2014: 7 · 2013: 2
- FWCI
- 8.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- Bristol Research (University of Bristol) (publishedVersion)
- University of Regensburg Publication Server (University of Regensburg) (acceptedVersion)
- MDC Repository (Max-Delbrueck-Center for Molecular Medicine) (submittedVersion)
- mediaTUM (Technical University of Munich) (submittedVersion)
- Funders
- Wellcome Trust (097117, 092731)
- Medical Research Council (MR/J012165/1)
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
- Keywords
- atopic dermatitis, IL-6 receptor, rs2228145, soluble IL-6 receptor, genetic risk factors, RAD50, RUNX3, HER3
- MeSH terms
- Adolescent, Alleles, Child, Child, Preschool, Dermatitis, Atopic, Female, Genotype, Humans, Infant, Infant, Newborn, Male, Risk Factors, Cohort Studies, Interleukin-6, Receptors, Interleukin-6, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Genome-Wide Association Study
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