Nolde, Michael and Alayash, Zoheir and Reckelkamm, Stefan Lars and Kocher, Thomas and Ehmke, Benjamin and Holtfreter, Birte and Baurecht, Hansjorg and Georgakis, Marios K. K. and Baumeister, Sebastian-Edgar (2023) Downregulation of interleukin 6 signaling might reduce the risk of periodontitis: a drug target Mendelian randomization study. FRONTIERS IN IMMUNOLOGY, 14: 1160148. ISSN 1664-3224,
Full text not available from this repository. (Request a copy)Abstract
AimInterleukin 6 (IL-6) is considered to play a role in the dysbiotic host response in the development of periodontitis. While the inhibition of the IL-6 receptor using monoclonal antibodies is a well-established therapy for some diseases, so far, its potential benefit in patients with periodontitis has not been examined. We tested the association of genetically proxied downregulation of IL-6 signaling with periodontitis to explore whether downregulation of IL-6 signaling could represent a viable treatment target for periodontitis, Materials and methodsAs proxies for IL-6 signaling downregulation, we selected 52 genetic variants in close vicinity of the gene encoding IL-6 receptor that were associated with lower circulating C-reactive protein (CRP) levels in a genome-wide association study (GWAS) of 575 531 participants of European ancestry from the UK Biobank and the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) consortium. Associations with periodontitis were tested with inverse-variance weighted Mendelian randomization in a study of 17 353 cases and 28 210 controls of European descent in the Gene-Lifestyle Interactions in Dental Endpoints (GLIDE) consortium. In addition, the effect of CRP reduction independent of the IL-6 pathway was assessed. ResultsGenetically proxied downregulation of IL-6 signaling was associated with lower odds of periodontitis (odds ratio (OR) = 0.81 per 1-unit decrement in log-CRP levels; 95% confidence interval (CI): [0.66;0.99]; P = 0.0497). Genetically proxied reduction of CRP independent of the IL-6 pathway had a similar effect (OR = 0.81; 95% CI: [0.68; 0.98]; P = 0.0296). ConclusionIn conclusion, genetically proxied downregulation of IL-6 signaling was associated with lower odds of periodontitis and CRP might be a causal target for the effect of IL-6 on the risk of periodontitis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RHEUMATOID-ARTHRITIS; HOST-MODULATION; INFLAMMATION; RECEPTOR; RESOLUTION; EXPRESSION; EVALUATE; DISEASE; periodontal disease(s); periodontitis; cytokine(s); host modulation therapy; epidemiology; cell signaling |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Mar 2024 09:18 |
| Last Modified: | 23 Mar 2024 09:18 |
| URI: | https://pred.uni-regensburg.de/id/eprint/60384 |
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