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Interleukin-6 Receptor Polymorphism Is Prevalent in HIV-negative Castleman Disease and Is Associated with Increased Soluble Interleukin-6 Receptor Levels
Authors:Katie Stone  Emily Woods  Susann M. Szmania  Owen W. Stephens  Tarun K. Garg  Bart Barlogie  John D. Shaughnessy  Jr   Brett Hall  Manjula Reddy  Antje Hoering  Emily Hansen  Frits van Rhee
Affiliation:1. Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.; 2. Signal Genetics, LLC., New York, New York, United States of America.; 3. Janssen Research and Development, Radnor, Pennsylvania, United States of America.; 4. Cancer Research and Biostatistics, Seattle, Washington, United States of America.; Baylor College of Medicine, United States of America,
Abstract:Multicentric Castleman Disease is largely driven by increased signaling in the pathway for the plasma cell growth factor interleukin-6. We hypothesized that interleukin-6/interleukin-6 receptor/gp130 polymorphisms contribute to increased interleukin-6 and/or other components of the interleukin-6 signaling pathway in HIV-negative Castleman Disease patients. The study group was composed of 58 patients and 50 healthy donors of a similar racial/ethnic profile. Of seven polymorphisms chosen for analysis, we observed an increased frequency between patients and controls of the minor allele of interleukin-6 receptor polymorphism rs4537545, which is in linkage disequilibrium with interleukin-6 receptor polymorphism rs2228145. Further, individuals possessing at least one copy of the minor allele of either polymorphism expressed higher levels of soluble interleukin-6 receptor. These elevated interleukin-6 receptor levels may contribute to increased interleukin-6 activity through the trans-signaling pathway. These data suggest that interleukin-6 receptor polymorphism may be a contributing factor in Castleman Disease, and further research is warranted.
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