C-C Chemokine Receptor 2 and Sarcoidosis: Association with Löfgren's Syndrome

Paolo Spagnolo, Elisabetta A. Renzoni, Athol U. Wells, Hiroe Sato, Jan C. Grutters, Piersante Sestini, Atiyeh Abdallah, Enzo Gramiccioni, Henk J.T. Ruven, Roland M. Du Bois, Kenneth I. Welsh*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

94 Citations (Scopus)

Abstract

Sarcoidosis is thought to result from the interaction between an unknown environmental antigenic trigger and the host's genetic susceptibility. We hypothesized that sarcoidosis, or one of the disease subsets, could be associated with single nucleotide polymorphisms of C-C chemokine receptor 2 (CCR2) gene. Eight single-nucleotide polymorphisms in CCR2 were studied in a total of 304 Dutch individuals (90 non-Löfgren sarcoidosis, 47 Löfgren's syndrome, 167 control subjects). From the investigated CCR2 polymorphisms, nine haplotypes were deduced (haplotypes 1-9). In patients with Löfgren's syndrome, a strongly significant increase in the frequency of CCR2-haplotype 2, which includes four unique alleles (A at nucleotide position -6752, A at 3,000, T at 3,547, and T at 4,385), was observed compared with control subjects (74% vs. 38% respectively, p < 0.0001), whereas no difference was found between non-Löfgren sarcoidosis and control subjects (both 38%). The association between CCR2-haplotype 2 carriage frequency and Löfgren's syndrome (odds ratio, 4.4; p < 0.0001) remained significant after adjustment for human leukocyte antigen haplotype DRB1*0301-DQB1 *0201 (odds ratio, 11.5; p < 0.0001) and female sex (odds ratio, 3.2; p = 0.003), two known risk factors for Löfgren's syndrome. In conclusion, this report describes a strong association between CCR2-haplotype 2 and Löfgren's syndrome. Further studies are needed to understand the molecular mechanisms underlying this association.

Original languageEnglish
Pages (from-to)1162-1166
Number of pages5
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume168
Issue number10
DOIs
Publication statusPublished - 15 Nov 2003
Externally publishedYes

Keywords

  • Cytokines
  • Polymorphisms
  • Sarcoidosis

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