Skip to main content
Erschienen in: Rheumatology International 10/2012

01.10.2012 | Original Article

Confirmation of C4 gene copy number variation and the association with systemic lupus erythematosus in Chinese Han population

verfasst von: Yongmei Lv, Sumin He, Zheng Zhang, Yang Li, Dayan Hu, Kunju Zhu, Hui Cheng, Fusheng Zhou, Gang Chen, Xiaodong Zheng, Pan Li, Yunqing Ren, Xianyong Yin, Yong Cui, Liangdan Sun, Sen Yang, Xuejun Zhang

Erschienen in: Rheumatology International | Ausgabe 10/2012

Einloggen, um Zugang zu erhalten

Abstract

The distribution of complement component 4 (C4) gene copy number (GCN) has been validated in European populations. Meanwhile, C4 gene has been identified as a susceptibility gene for systemic lupus erythematosus (SLE). However, the association and the possible phenotype significance remain to be determined intensely in the Chinese population. This study was designed to validate the distribution of C4 GCNs in Chinese Han and the correlation between C4 GCNs and SLE using quantitative real-time polymerase chain reaction in 924 SLE patients and 1,007 controls. The results presented distribution of C4 GCNs in healthy populations and also showed that lower C4 GCN was a risk factor for SLE and higher C4 GCN was a protective factor against the disease susceptibility, which was similar to the report in the Caucasian population. Furthermore, we found the association between C4A GCN and disease subphenotypes of arthritis with SLE. We conclude that the association of C4 GCN with SLE was replicated in Chinese Han population, which highlighted the importance of C4 in SLE pathogenesis of diverse populations.
Literatur
1.
Zurück zum Zitat Hopkinson ND, Doherty M, Powell RJ (1994) Clinical features and race-specific incidence/prevalence rates of systemic lupus erythematosus in a geographically complete cohort of patients. Ann Rheum Dis 53:675–680PubMedCrossRef Hopkinson ND, Doherty M, Powell RJ (1994) Clinical features and race-specific incidence/prevalence rates of systemic lupus erythematosus in a geographically complete cohort of patients. Ann Rheum Dis 53:675–680PubMedCrossRef
2.
Zurück zum Zitat Wang J, Yang S, Chen JJ et al (2007) Systemic lupus erythematosus: a genetic epidemiology study of 695 patients from China. Arch Dermatol Res 298:485–491PubMedCrossRef Wang J, Yang S, Chen JJ et al (2007) Systemic lupus erythematosus: a genetic epidemiology study of 695 patients from China. Arch Dermatol Res 298:485–491PubMedCrossRef
3.
Zurück zum Zitat Zeng QY, Chen R, Darmawan J et al (2008) Rheumatic diseases in China. Arthritis Res Ther 10:R17PubMedCrossRef Zeng QY, Chen R, Darmawan J et al (2008) Rheumatic diseases in China. Arthritis Res Ther 10:R17PubMedCrossRef
4.
Zurück zum Zitat Shen L, LC Wu, Sanlioglu S et al (1994) Structure and genetics of the partially duplicated gene RP located immediately upstream of the complement C4A and the C4B genes in the HLA class III region. Molecular cloning, exon-intron structure, composite retroposon, and breakpoint of gene duplication. J Biol Chem 269:8466–8476PubMed Shen L, LC Wu, Sanlioglu S et al (1994) Structure and genetics of the partially duplicated gene RP located immediately upstream of the complement C4A and the C4B genes in the HLA class III region. Molecular cloning, exon-intron structure, composite retroposon, and breakpoint of gene duplication. J Biol Chem 269:8466–8476PubMed
5.
Zurück zum Zitat Yang Z, Mendoza AR, Welch TR, Zipf WB, Yu CY (1999) Modular variations of the human major histocompatibility complex class III genes for serine/threonine kinase RP, complement component C4, steroid 21-hydroxylase CYP21, and tenascin TNX (the RCCX module). A mechanism for gene deletions and disease associations. J Biol Chem 274:12147–12156PubMedCrossRef Yang Z, Mendoza AR, Welch TR, Zipf WB, Yu CY (1999) Modular variations of the human major histocompatibility complex class III genes for serine/threonine kinase RP, complement component C4, steroid 21-hydroxylase CYP21, and tenascin TNX (the RCCX module). A mechanism for gene deletions and disease associations. J Biol Chem 274:12147–12156PubMedCrossRef
6.
Zurück zum Zitat Yu CY (1991) The complete exon-intron structure of a human complement component C4A gene. DNA sequences, polymorphism, and linkage to the 21-hydroxylase gene. J Immunol 146:1057–1066PubMed Yu CY (1991) The complete exon-intron structure of a human complement component C4A gene. DNA sequences, polymorphism, and linkage to the 21-hydroxylase gene. J Immunol 146:1057–1066PubMed
7.
Zurück zum Zitat CY Yu, Belt KT, Giles CM, Campbell RD, Porter RR (1986) Structural basis of the polymorphism of human complement components C4A and C4B: gene size, reactivity and antigenicity. EMBO J 5:2873–2881 CY Yu, Belt KT, Giles CM, Campbell RD, Porter RR (1986) Structural basis of the polymorphism of human complement components C4A and C4B: gene size, reactivity and antigenicity. EMBO J 5:2873–2881
8.
Zurück zum Zitat YL Wu, Yang Y, Chung EK et al (2008) Phenotypes, genotypes and disease susceptibility associated with gene copy number variations: complement C4 CNVs in European American healthy subjects and those with systemic lupus erythematosus. Cytogenet Genome Res 123:131–141CrossRef YL Wu, Yang Y, Chung EK et al (2008) Phenotypes, genotypes and disease susceptibility associated with gene copy number variations: complement C4 CNVs in European American healthy subjects and those with systemic lupus erythematosus. Cytogenet Genome Res 123:131–141CrossRef
9.
Zurück zum Zitat Yang Y, Chung EK, Wu YL et al (2007) Gene copy-number variation and associated polymorphisms of complement component C4 in human systemic lupus erythematosus (SLE): low copy number is a risk factor for and high copy number is a protective factor against SLE susceptibility in European Americans. Am J Hum Genet 80:1037–1054PubMedCrossRef Yang Y, Chung EK, Wu YL et al (2007) Gene copy-number variation and associated polymorphisms of complement component C4 in human systemic lupus erythematosus (SLE): low copy number is a risk factor for and high copy number is a protective factor against SLE susceptibility in European Americans. Am J Hum Genet 80:1037–1054PubMedCrossRef
10.
Zurück zum Zitat Doherty DG, Ireland R, Demaine AG et al (1992) Major histocompatibility complex genes and susceptibility to systemic lupus erythematosus in southern Chinese. Arthritis Rheum 35:641–646PubMedCrossRef Doherty DG, Ireland R, Demaine AG et al (1992) Major histocompatibility complex genes and susceptibility to systemic lupus erythematosus in southern Chinese. Arthritis Rheum 35:641–646PubMedCrossRef
11.
Zurück zum Zitat Hong GH, Kim HY, Takeuchi F et al (1994) Association of complement C4 and HLA-DR alleles with systemic lupus erythematosus in Koreans. J Rheumatol 21:442–447PubMed Hong GH, Kim HY, Takeuchi F et al (1994) Association of complement C4 and HLA-DR alleles with systemic lupus erythematosus in Koreans. J Rheumatol 21:442–447PubMed
12.
Zurück zum Zitat Yamada H, Watanabe A, Mimori A et al (1990) Lack of gene deletion for complement C4A deficiency in Japanese patients with systemic lupus erythematosus. J Rheumatol 17:1054–1057PubMed Yamada H, Watanabe A, Mimori A et al (1990) Lack of gene deletion for complement C4A deficiency in Japanese patients with systemic lupus erythematosus. J Rheumatol 17:1054–1057PubMed
13.
Zurück zum Zitat Hochberg MC (1997) Updating the American college of rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 40:1725PubMedCrossRef Hochberg MC (1997) Updating the American college of rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 40:1725PubMedCrossRef
14.
Zurück zum Zitat Szilagyi A, Blasko B, Szilassy D et al (2006) Real-time PCR quantification of human complement C4A and C4B genes. BMC Genet 7:1PubMedCrossRef Szilagyi A, Blasko B, Szilassy D et al (2006) Real-time PCR quantification of human complement C4A and C4B genes. BMC Genet 7:1PubMedCrossRef
15.
Zurück zum Zitat YL Wu, Savelli SL, Yang Y et al (2007) Sensitive and specific real-time polymerase chain reaction assays to accurately determine copy number variations (CNVs) of human complement C4A, C4B, C4-long, C4-short, and RCCX modules: elucidation of C4 CNVs in 50 consanguineous subjects with defined HLA genotypes. J Immunol 179:3012–3025 YL Wu, Savelli SL, Yang Y et al (2007) Sensitive and specific real-time polymerase chain reaction assays to accurately determine copy number variations (CNVs) of human complement C4A, C4B, C4-long, C4-short, and RCCX modules: elucidation of C4 CNVs in 50 consanguineous subjects with defined HLA genotypes. J Immunol 179:3012–3025
16.
Zurück zum Zitat Blanchong CA, Zhou B, Rupert KL et al (2000) Deficiencies of human complement component C4A and C4B and heterozygosity in length variants of RP-C4-CYP21-TNX (RCCX) modules in caucasians. The load of RCCX genetic diversity on major histocompatibility complex-associated disease. J Exp Med 191:2183–2196PubMedCrossRef Blanchong CA, Zhou B, Rupert KL et al (2000) Deficiencies of human complement component C4A and C4B and heterozygosity in length variants of RP-C4-CYP21-TNX (RCCX) modules in caucasians. The load of RCCX genetic diversity on major histocompatibility complex-associated disease. J Exp Med 191:2183–2196PubMedCrossRef
17.
Zurück zum Zitat Chung EK, Yang Y, Rennebohm RM et al (2002) Genetic sophistication of human complement components C4A and C4B and RP-C4-CYP21-TNX (RCCX) modules in the major histocompatibility complex. Am J Hum Genet 71:823–837PubMedCrossRef Chung EK, Yang Y, Rennebohm RM et al (2002) Genetic sophistication of human complement components C4A and C4B and RP-C4-CYP21-TNX (RCCX) modules in the major histocompatibility complex. Am J Hum Genet 71:823–837PubMedCrossRef
18.
Zurück zum Zitat Schur PH, Sandson J (1968) Immunologic factors and clinical activity in systemic lupus erythematosus. N Engl J Med 278:533–538PubMedCrossRef Schur PH, Sandson J (1968) Immunologic factors and clinical activity in systemic lupus erythematosus. N Engl J Med 278:533–538PubMedCrossRef
19.
Zurück zum Zitat Fielder AH, Walport MJ, Batchelor JR et al (1983) Family study of the major histocompatibility complex in patients with systemic lupus erythematosus: importance of null alleles of C4A and C4B in determining disease susceptibility. Br Med J (Clin Res Ed) 286:425–428CrossRef Fielder AH, Walport MJ, Batchelor JR et al (1983) Family study of the major histocompatibility complex in patients with systemic lupus erythematosus: importance of null alleles of C4A and C4B in determining disease susceptibility. Br Med J (Clin Res Ed) 286:425–428CrossRef
20.
Zurück zum Zitat Kamatani Y, Matsuda K, Ohishi T et al (2008) Identification of a significant association of a single nucleotide polymorphism in TNXB with systemic lupus erythematosus in a Japanese population. J Hum Genet 53:64–73PubMedCrossRef Kamatani Y, Matsuda K, Ohishi T et al (2008) Identification of a significant association of a single nucleotide polymorphism in TNXB with systemic lupus erythematosus in a Japanese population. J Hum Genet 53:64–73PubMedCrossRef
21.
Zurück zum Zitat CY Yu, Campbell RD (1987) Definitive RFLPs to distinguish between the human complement C4A/C4B isotypes and the major Rodgers/Chido determinants: application to the study of C4 null alleles. Immunogenetics 25:383–390CrossRef CY Yu, Campbell RD (1987) Definitive RFLPs to distinguish between the human complement C4A/C4B isotypes and the major Rodgers/Chido determinants: application to the study of C4 null alleles. Immunogenetics 25:383–390CrossRef
22.
Zurück zum Zitat Yang Y, Chung EK, Zhou B et al (2003) Diversity in intrinsic strengths of the human complement system: serum C4 protein concentrations correlate with C4 gene size and polygenic variations, hemolytic activities, and body mass index. J Immunol 171:2734–2745PubMed Yang Y, Chung EK, Zhou B et al (2003) Diversity in intrinsic strengths of the human complement system: serum C4 protein concentrations correlate with C4 gene size and polygenic variations, hemolytic activities, and body mass index. J Immunol 171:2734–2745PubMed
23.
Zurück zum Zitat Leveziel N, Zerbib J, Richard F et al (2008) Genotype-phenotype correlations for exudative age-related macular degeneration associated with homozygous HTRA1 and CFH genotypes. Invest Ophthalmol Vis Sci 49:3090–3094PubMedCrossRef Leveziel N, Zerbib J, Richard F et al (2008) Genotype-phenotype correlations for exudative age-related macular degeneration associated with homozygous HTRA1 and CFH genotypes. Invest Ophthalmol Vis Sci 49:3090–3094PubMedCrossRef
24.
Zurück zum Zitat Thorburn CM, Prokunina-Olsson L, Sterba KA et al (2007) Association of PDCD1 genetic variation with risk and clinical manifestations of systemic lupus erythematosus in a multiethnic cohort. Genes Immun 8:279–287PubMedCrossRef Thorburn CM, Prokunina-Olsson L, Sterba KA et al (2007) Association of PDCD1 genetic variation with risk and clinical manifestations of systemic lupus erythematosus in a multiethnic cohort. Genes Immun 8:279–287PubMedCrossRef
25.
Zurück zum Zitat Zhang Z, Zhu KJ, Xu Q et al (2010) The association of the BLK gene with SLE was replicated in Chinese Han. Arch Dermatol Res 302:619–624PubMedCrossRef Zhang Z, Zhu KJ, Xu Q et al (2010) The association of the BLK gene with SLE was replicated in Chinese Han. Arch Dermatol Res 302:619–624PubMedCrossRef
26.
Zurück zum Zitat CF He, Liu YS, Cheng YL et al (2010) TNIP1, SLC15A4, ETS1, RasGRP3 and IKZF1 are associated with clinical features of systemic lupus erythematosus in a Chinese Han population. Lupus 19:1181–1186CrossRef CF He, Liu YS, Cheng YL et al (2010) TNIP1, SLC15A4, ETS1, RasGRP3 and IKZF1 are associated with clinical features of systemic lupus erythematosus in a Chinese Han population. Lupus 19:1181–1186CrossRef
27.
Zurück zum Zitat Dodds AW, Law SK (1990) The complement component C4 of mammals. Biochem J 265:495–502PubMed Dodds AW, Law SK (1990) The complement component C4 of mammals. Biochem J 265:495–502PubMed
28.
Zurück zum Zitat Martinez OP, Longman-Jacobsen N, Davies R et al (2001) Genetics of human complement component C4 and evolution the central MHC. Front Biosci 6:D904–D913PubMedCrossRef Martinez OP, Longman-Jacobsen N, Davies R et al (2001) Genetics of human complement component C4 and evolution the central MHC. Front Biosci 6:D904–D913PubMedCrossRef
29.
Zurück zum Zitat Asherson RA, Batchelor JR, Krausz T, Hughes GR (1987) Hypocomplementaemic urticarial vasculitis, angio-oedema and ‘lupus-like’ disease: association with C4B null allele. Clin Exp Rheumatol 5:161–164PubMed Asherson RA, Batchelor JR, Krausz T, Hughes GR (1987) Hypocomplementaemic urticarial vasculitis, angio-oedema and ‘lupus-like’ disease: association with C4B null allele. Clin Exp Rheumatol 5:161–164PubMed
30.
Zurück zum Zitat Odell D, Maciulis A, Cutler A et al (2005) Confirmation of the association of the C4B null allelle in autism. Hum Immunol 66:140–145PubMedCrossRef Odell D, Maciulis A, Cutler A et al (2005) Confirmation of the association of the C4B null allelle in autism. Hum Immunol 66:140–145PubMedCrossRef
31.
Zurück zum Zitat Christiansen FT, Dawkins RL, Uko G et al (1983) Complement allotyping in SLE: association with C4A null. Aust N Z J Med 13:483–488PubMedCrossRef Christiansen FT, Dawkins RL, Uko G et al (1983) Complement allotyping in SLE: association with C4A null. Aust N Z J Med 13:483–488PubMedCrossRef
32.
Zurück zum Zitat Traustadottir KH, Sigfusson A, Steinsson K, Erlendsson K (2002) C4A deficiency and elevated level of immune complexes: the mechanism behind increased susceptibility to systemic lupus erythematosus. J Rheumatol 29:2359–2366PubMed Traustadottir KH, Sigfusson A, Steinsson K, Erlendsson K (2002) C4A deficiency and elevated level of immune complexes: the mechanism behind increased susceptibility to systemic lupus erythematosus. J Rheumatol 29:2359–2366PubMed
33.
Zurück zum Zitat Welch TR, Brickman C, Bishof N et al (1998) The phenotype of SLE associated with complete deficiency of complement isotype C4A. J Clin Immunol 18:48–51PubMedCrossRef Welch TR, Brickman C, Bishof N et al (1998) The phenotype of SLE associated with complete deficiency of complement isotype C4A. J Clin Immunol 18:48–51PubMedCrossRef
34.
Zurück zum Zitat Gilliam BE, Wolff AE, Moore TL (2007) Partial C4 deficiency in juvenile idiopathic arthritis patients. J Clin Rheumatol 13:256–260PubMedCrossRef Gilliam BE, Wolff AE, Moore TL (2007) Partial C4 deficiency in juvenile idiopathic arthritis patients. J Clin Rheumatol 13:256–260PubMedCrossRef
35.
Zurück zum Zitat van Zeben D, Giphart MJ, Christiansen FT et al (1992) Properdin factor B and complement factor C4 allotypes in rheumatoid arthritis: results of a follow-up study. Hum Immunol 33:148–151PubMedCrossRef van Zeben D, Giphart MJ, Christiansen FT et al (1992) Properdin factor B and complement factor C4 allotypes in rheumatoid arthritis: results of a follow-up study. Hum Immunol 33:148–151PubMedCrossRef
Metadaten
Titel
Confirmation of C4 gene copy number variation and the association with systemic lupus erythematosus in Chinese Han population
verfasst von
Yongmei Lv
Sumin He
Zheng Zhang
Yang Li
Dayan Hu
Kunju Zhu
Hui Cheng
Fusheng Zhou
Gang Chen
Xiaodong Zheng
Pan Li
Yunqing Ren
Xianyong Yin
Yong Cui
Liangdan Sun
Sen Yang
Xuejun Zhang
Publikationsdatum
01.10.2012
Verlag
Springer-Verlag
Erschienen in
Rheumatology International / Ausgabe 10/2012
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-011-2023-7

Weitere Artikel der Ausgabe 10/2012

Rheumatology International 10/2012 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.