R620W polymorphism of protein tyrosine phosphatase PTPN22 in Egyptian children and adolescents with systemic lupus erythematosus: relation to thyroid autoimmunity
Abstract
Background: Some studies showed associations of the minor T allele of the C1858T single nucleotide polymorphism (SNP) corresponding to the R620W amino acid substitution of protein tyrosine phosphatase (PTPN22) with multiple autoimmune diseases, including systemic lupus erythematosus (SLE).
Objectives: To study the frequency of PTPN22 R620W polymorphism among Egyptian patients with SLE and to test the association of the T allele with autoimmune thyroid disease in such patients.
Methods: Clinical evaluation, measurement of thyroid hormones and antibodies, and genotyping of PTPN22 R620W polymorphism were done for 60 SLE patients and 60 age- and sex-matched healthy subjects.
Results: Nineteen SLE cases (31.67%) had thyroid dysfunction with subclinical hypothyroidism being the most frequent form of thyroid dysfunction (20%) followed by primary hypothyroidism (6.67%), subclinical hyperthyroidism (3.33%) and primary hyperthyroidism (1.67%). Autoimmune thyroid disease was detected in 36.67% of cases. Systemic lupus erythematosus disease activity index (SLEDAI) score did not differ between patients with thyroid dysfunction and euthyroid patients (p=0.061) nor with the frequency of positive thyroid peroxidise antibodies (TPOAb, p=0.092) and antithyroglobulin antibodies (ATGAb, p=0.1). T allele frequency did not differ between cases and controls (p=1.19) and was associated with autoimmune thyroid disease in Egyptian SLE patients (p=0.002).
Conclusions: R620W polymorphism of the PTPN22 gene is not a major risk allele for SLE susceptibility among Egyptian SLE patients but appears to be a risk factor for concurrent autoimmune thyroid disease and SLE.
Competing interests: The authors declare that there was no financial support and there are no conflicts of interest in the submitted manuscript.
Authors’ contributions: RTH has made substantial contributions to conception and design, or acquisition of data, or analysis and interpretation of data, has been involved in drafting the manuscript and revised the manuscript critically for important intellectual content. KSA has been involved in general supervision of research group and has given final approval of the version to be published. KAT has participated in the study design and coordination, collection of cases and helped to draft the manuscript. AIH carried out the laboratory part of the study and performed the statistical analysis.
References
1. Mustelin T, Alonso A, Bottini N. Protein tyrosine phosphatases in T cell physiology. Mol Immunol 2004;41:687–700.10.1016/j.molimm.2004.04.015Suche in Google Scholar PubMed
2. Ladner MB, Bottini N, Valdes AM. Association of the single nucleotide polymorphism C1858T of the PTPN22 gene with type 1 diabetes. Hum Immunol 2005;66:60–4.10.1016/j.humimm.2004.09.016Suche in Google Scholar PubMed
3. Begovich AB, Carlton VE, Honigberg LA. A missense single-nucleotide polymorphism in a gene encoding a protein tyrosine phosphatase (PTPN22) is associated with rheumatoid arthritis. Am J Hum Genet 2004;75:330–7.10.1086/422827Suche in Google Scholar PubMed PubMed Central
4. Lee AT, Li W, Liew A. The PTPN22 R620W polymorphism associates with RF positive rheumatoid arthritis in a dose-dependent manner but not with HLA-SE status. Genes Immun 2005;6:129–33.10.1038/sj.gene.6364159Suche in Google Scholar PubMed
5. Orozco G, Sanchez E, Gonzalez-Gay MA. Association of a functional single-nucleotide polymorphism of PTPN22, encoding lymphoid protein phosphatase, with rheumatoid arthritis and systemic lupus erythematosus. Arthritis Rheum 2005;52:219–24.10.1002/art.20771Suche in Google Scholar PubMed
6. Tsai RT, Chang TC, Wang CR, Chuang CY, Chen CY. Thyroid disorders in chinese patients with systemic lupus erythematosus. Rheumatol Int 1993;13:9–13.10.1007/BF00290328Suche in Google Scholar PubMed
7. Vianna JL, Haga HJ, Asherson RA, Swana G, Hughes GR. A prospective evaluation of antithyroid antibody prevalence in 100 patients with systemic lupus erythematosus. J Rheumatol 1991;18:1193–5.Suche in Google Scholar
8. Tan EM, Cohen AS, Fries JF. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 1982;25:1271–7.10.1002/art.1780251101Suche in Google Scholar PubMed
9. Liong MH, Socher SA, Lorson MG. Reliability and validity of the clinical assessment of disease activity in SLE. Arthritis Rheum 1989;32:1107.10.1002/anr.1780320909Suche in Google Scholar PubMed
10. Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. Arch Dis Child 1966;41:613–35.10.1136/adc.41.220.613Suche in Google Scholar PubMed PubMed Central
11. Babson AL. The Immulite 2000 Automated immunoassay system. J Clin Immunoassy 1991;14:83–8.Suche in Google Scholar
12. Portmann L, Hamada H, Heinrich G. Anti-thyroid peroxidase antibody in patients with autoimmune thyroid disease: possible identity with anti-microsomal antibody. J Clin Endocrinol Metab 1985;61:1001.10.1210/jcem-61-5-1001Suche in Google Scholar PubMed
13. Ueda D. Normal volume of the thyroid gland in children. J Clin Ultrasound 1990;18:455–62.10.1002/jcu.1870180602Suche in Google Scholar PubMed
14. Bottini N, Musumeci L, Alonso A. A functional variant of lymphoid tyrosine phosphatase is associated with type I diabetes. Nat Genet 2004;36:337–8.10.1038/ng1323Suche in Google Scholar PubMed
15. Criswell LA, Pfeiffer KA, Lum RF. Analysis of families in the Multiple Autoimmune Disease Genetics Consortium (MADGC) collection: the PTPN22 620W allele associates with multiple autoimmune phenotypes. Am J Hum Genet 2005;76:561–71.10.1086/429096Suche in Google Scholar PubMed PubMed Central
16. Velaga MR, Wilson V, Jennings CE. The codon 620 tryptophan allele of the lymphoid tyrosine phosphatase (LYP) gene is a major determinant of Graves’ disease. J Clin Endocrinol Metab 2004;89:5862–5.10.1210/jc.2004-1108Suche in Google Scholar PubMed
17. Kyogoku C, Langefeld CD, Ortmann WA. Genetic association of the R620W polymorphism of protein tyrosine phosphatase PTPN22 with human SLE. Am J Hum Genet 2004;75:504–7.10.1086/423790Suche in Google Scholar PubMed PubMed Central
18. Park DJ, Cho CS, Lee SH. Thyroid disorders in Korean patients with systemic lupus erythematosus. Scand J Rheumatol 1995;24:13–7.10.3109/03009749509095147Suche in Google Scholar PubMed
19. Chan ATY, Soffar AL, Bucknall RC. Thyroid disease in systemic lupus erythematosus and rheumatoid arthritis. Rheumatol 2001;40:353–4.10.1093/rheumatology/40.3.353Suche in Google Scholar PubMed
20. Pyne, D, Isenberg DA. Autoimmune thyroid disease in systemic lupus erythematosus. Ann Rheum Dis 2002;61:70–2.10.1136/ard.61.1.70Suche in Google Scholar PubMed PubMed Central
21. Magaro M, Zoli A, Altomonte L. The association of silent thyroiditis with active systemic lupus erythematosus. Clin Exp Rheumatol 1992;10:67–70.Suche in Google Scholar
22. Stram K, Fuster V, Pins V. Changes in thyroid function in systemic lupus erythematosus progressive systemic sclerosis and rheumatoid arthritis. Rheumatism 1994;41:1–4.Suche in Google Scholar
23. Goh KL, Wang F. Thyroid disorders in systemic lupus erythematosus. Ann Rheum Dis 1986;45:579–83.10.1136/ard.45.7.579Suche in Google Scholar PubMed PubMed Central
24. Boelaert K, Newby P, Simmonds M. Risk of co-existing autoimmune diseases in 3309 index cases with auto-immune thyroid disease and their relatives. Endocrine Abstracts 2008;15:385.Suche in Google Scholar
25. Wu H, Rita MRM, Graham DS. Association analysis of the R620W polymorphism of protein tyrosine phosphatase PTPN22 in systemic lupus erythematosus families. Arthritis Rheum 2005;52:2396–402.10.1002/art.21223Suche in Google Scholar PubMed
©2013 by Walter de Gruyter Berlin Boston
Artikel in diesem Heft
- Masthead
- Masthead
- Editorial
- Unintentional death in childhood and adolescence
- Review
- Detached, distraught or discerning? Fathers of adolescents with chronic illness: a review of the literature
- Original Articles
- Perception of transition readiness and preferences for use of technology in transition programs: teens’ ideas for the future
- Adaptation of an internet-based depression prevention intervention for Chinese adolescents: from “CATCH-IT” to “grasp the opportunity”
- Smaller pelvic size in pregnant adolescents contributes to lower birth weight
- R620W polymorphism of protein tyrosine phosphatase PTPN22 in Egyptian children and adolescents with systemic lupus erythematosus: relation to thyroid autoimmunity
- Motivational stage of change in young patients undergoing day treatment for eating disorders
- Leveraging microfinance to impact HIV and financial behaviors among adolescents and their mothers in West Bengal: a cluster randomized trial
- Patterns of contraception choice among Hispanic and non-Hispanic female adolescents
- Translation of children’s cycling into steps: the share of cycling in 10-year-olds’ physical activity
- Weight gain in an eating disorders day program
- Case Report
- Weight loss as a result of religious zeal in young Orthodox Jewish males
Artikel in diesem Heft
- Masthead
- Masthead
- Editorial
- Unintentional death in childhood and adolescence
- Review
- Detached, distraught or discerning? Fathers of adolescents with chronic illness: a review of the literature
- Original Articles
- Perception of transition readiness and preferences for use of technology in transition programs: teens’ ideas for the future
- Adaptation of an internet-based depression prevention intervention for Chinese adolescents: from “CATCH-IT” to “grasp the opportunity”
- Smaller pelvic size in pregnant adolescents contributes to lower birth weight
- R620W polymorphism of protein tyrosine phosphatase PTPN22 in Egyptian children and adolescents with systemic lupus erythematosus: relation to thyroid autoimmunity
- Motivational stage of change in young patients undergoing day treatment for eating disorders
- Leveraging microfinance to impact HIV and financial behaviors among adolescents and their mothers in West Bengal: a cluster randomized trial
- Patterns of contraception choice among Hispanic and non-Hispanic female adolescents
- Translation of children’s cycling into steps: the share of cycling in 10-year-olds’ physical activity
- Weight gain in an eating disorders day program
- Case Report
- Weight loss as a result of religious zeal in young Orthodox Jewish males