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Alerjik rinitli hastalarda HIF1A geni polimorfizmlerinin araştırılması

Yıl 2025, Cilt: 3 Sayı: 1, 13 - 18, 01.02.2025
https://doi.org/10.61845/agrimedical.1619321

Öz

Amaç:
Alerjik rinit (AR), çevresel alerjenlere karşı IgE aracılı aşırı duyarlılık nedeniyle gelişen kronik inflamatuar bir hastalıktır. Türkiye'de AR prevalansı %11,8 ile %36,4 arasında değişmektedir. Hipoksi ile İndüklenebilir 1-Alfa (HIF1A) geni, hipoksi ve inflamasyonla ilişkili yolların önemli bir rol oynar ve bu genin polimorfizmleri, çeşitli inflamatuar hastalıklarla ilişkilendirilmiştir. Bu çalışma, HIF1A genindeki C1772T ve C111A polimorfizmlerinin AR ile ilişkisinin araştırılmasını amaçlamıştır.
Materyal ve Method:
Çalışmaya 100 AR hastası ve 100 sağlıklı kontrol dahil edilmiştir. Tek Nükleotid Polimorfizmi (SNP) analizleri, PCR-RFLP kullanılarak yapılmış ve Sanger dizileme ile doğrulanmıştır. Serum total IgE seviyeleri ölçülmüş ve hastalar, hastalık şiddeti ve süresine göre sınıflandırılmıştır. Genotip bulguları, hastaların klinik özellikleriyle karşılaştırılmıştır.
Bulgular:
C111A polimorfizmi, hasta ve kontrol gruplarında homozigot yabanıl tip (CC) olarak bulunmuştur. C1772T polimorfizmi ise genotip ve alel frekansı açısından hasta ve kontrol gruplarında anlamlı fark göstermemiştir. Alt grup analizlerinde de fark bulunmamıştır.
Sonuç:
Bu çalışma, HIF1A genindeki bu iki polimorfizmin Türk popülasyonunda AR gelişimiyle ilişkili olmadığını göstermiştir. Ancak literatürde HIF1A mRNA ve protein seviyelerinin AR üzerindeki etkileri gösterilmiştir. Genetik ve çevresel faktörler nedeniyle sonuçların popülasyonlar arasında farklılık gösterebileceği bilinmektedir. HIF1A genindeki alternatif polimorfizmler ve ekspresyon seviyelerinin incelenmesi ile AR ve HIF1A ilişkisinin daha iyi anlaşılabileceği sonucuna varılmıştır.

Proje Numarası

2021-04-01-LTP02

Kaynakça

  • 1. Bernstein JA, Bernstein JS, Makol R, Ward S. Allergic Rhinitis: A Review. JAMA. 2024;331(10):866-77.
  • 2. Kakli HA, Riley TD. Allergic Rhinitis. Prim Care. 2016;43(3):465-75.
  • 3. Garcia-Marcos L, Asher MI, Pearce N, Ellwood E, Bissell K, Chiang CY, et al. The burden of asthma, hay fever and eczema in children in 25 countries: GAN Phase I study. Eur Respir J. 2022;60(3).
  • 4. Cingi C, Bayar Muluk N, Susaman N, Kucukcan N, Kar M, Altintas M, et al. The Score for Allergic Rhinitis study in Turkey, 2020. ENT Updates. 2021;11(1):1-7.
  • 5. Duman H, Dibek Misirlioglu E, Ginis T, Bostanci İ. Allergic Rhinitis in Children. Tuberculin Skin Test in Children. 2013;10(2):62-8.
  • 6. Demirel SH, Çetinkaya S. Hypoxia-inducible factor-1: Physiological and Pathological Response to Hypoxia of Cell. Sakarya Medical Journal. 2014;4(4):171-7.
  • 7. Chen X, Li Y-Y, Zhang W-Q, Zhang W-M, Zhou H. House dust mite extract induces growth factor expression in nasal mucosa by activating the PI3K/Akt/HIF-1α pathway. Biochemical and Biophysical Research Communications. 2016;469(4):1055-61.
  • 8. Wang X, Liu C, Wu L, Zhu S. Potent ameliorating effect of Hypoxia-inducible factor 1α (HIF-1α) antagonist YC-1 on combined allergic rhinitis and asthma syndrome (CARAS) in Rats. European Journal of Pharmacology. 2016;788:343-50.
  • 9. Kurt E, Metintas S, Basyigit I, Bulut I, Coskun E, Dabak S, et al. Prevalence and Risk Factors of Allergies in Turkey (PARFAIT): results of a multicentre cross-sectional study in adults. European Respiratory Journal. 2009;33(4):724-33.
  • 10. Zwick ME, Nilsson D, Andiappan AK, Halldén C, Tim CF, Säll T, et al. Poor Reproducibility of Allergic Rhinitis SNP Associations. PLoS ONE. 2013;8(1).
  • 11. Kelchtermans J, Chang X, March ME, Mentch F, Sleiman PMA, Hakonarson H. HIF-1alpha Pulmonary Phenotype Wide Association Study Unveils a Link to Inflammatory Airway Conditions. Front Genet. 2021;12:756645.
  • 12. Nilsson D, Andiappan AK, Hallden C, Tim CF, Sall T, Wang de Y, et al. Poor reproducibility of allergic rhinitis SNP associations. PLoS One. 2013;8(1):e53975.
  • 13. Davila I, Mullol J, Ferrer M, Bartra J, del Cuvillo A, Montoro J, et al. Genetic aspects of allergic rhinitis. J Investig Allergol Clin Immunol. 2009;19 Suppl 1:25-31.
  • 14. Baay-Guzman GJ, Bebenek IG, Zeidler M, Hernandez-Pando R, Vega MI, Garcia-Zepeda EA, et al. HIF-1 expression is associated with CCL2 chemokine expression in airway inflammatory cells: implications in allergic airway inflammation. Respir Res. 2012;13(1):60.
  • 15. Dewitz C, McEachern E, Shin S, Akong K, Nagle DG, Broide DH, et al. Hypoxia-inducible factor-1alpha inhibition modulates airway hyperresponsiveness and nitric oxide levels in a BALB/c mouse model of asthma. Clin Immunol. 2017;176:94-9.
  • 16. Baek KJ, Cho JY, Rosenthal P, Alexander LEC, Nizet V, Broide DH. Hypoxia potentiates allergen induction of HIF-1alpha, chemokines, airway inflammation, TGF-beta1, and airway remodeling in a mouse model. Clin Immunol. 2013;147(1):27-37.
  • 17. Nava-Salazar S, Sanchez-Rodriguez EN, Mendoza-Rodriguez CA, Moran C, Romero-Arauz JF, Cerbon MA. Polymorphisms in the hypoxia-inducible factor 1 alpha gene in Mexican patients with preeclampsia: A case control study. BMC Res Notes. 2011;4:68.
  • 18. Lin WP, Wang XJ, Wang CR, Zhang LQ, Li N, Wang FS, et al. Polymorphism in the hypoxiainducible factor 1alpha gene may confer susceptibility to LDD in Chinese cohort. PLoS One. 2013;8(8):e73158.
  • 19. Saravani M, Rokni M, Mehrbani M, Amirkhosravi A, Faramarz S, Fatemi I, et al. The evaluation of VEGF and HIF-1alpha gene polymorphisms and multiple sclerosis susceptibility. J Gene Med. 2019;21(12):e3132.
  • 20. Yilmaz I, Atac FB, Erkan AN, Verdi H, Cagici CA, Aslan S, et al. No difference in polymorphism frequency in a Turkish population with allergic rhinitis. Acta Otolaryngol. 2006;126(10):1110-1.
  • 21. Gulen F, Tanac R, Altinoz S, Berdeli A, Zeyrek D, Koksoy H, et al. The Fc gammaRIIa polymorphism in Turkish children with asthma bronchial and allergic rhinitis. Clin Biochem. 2007;40(5-6):392-6.
  • 22. Demir Eksi D, Gunizi H. The Role of WNT3A Protein and Gene Variants in Allergic Rhinitis: A Case-Control Study. Curr Issues Mol Biol. 2024;46(9):9523-33.
  • 23. Demir Eksi D, Gunizi H. Lack of Association Between FNDC5 Gene Polymorphisms, Serum Irisin Levels and Allergic Rhinitis. Acta Medica Alanya. 2023;7(2):170-7.

Investigation of HIF1A gene polymorphisms in patients with allergic rhinitis

Yıl 2025, Cilt: 3 Sayı: 1, 13 - 18, 01.02.2025
https://doi.org/10.61845/agrimedical.1619321

Öz

Aim:
Allergic rhinitis (AR) is a chronic inflammatory disease caused by IgE-mediated hypersensitivity to environmental allergens. In Türkiye, AR prevalence ranges between 11.8% and 36.4%. The Hypoxia Inducible Factor 1 Subunit Alpha (HIF1A) gene plays a significant role in hypoxia and inflammation-related pathways, and its polymorphisms have been associated with various inflammatory diseases. This study aimed to investigate the association of C1772T and C111A polymorphisms in the HIF1A gene with AR.
Material and Methods:
The study included 100 AR patients and 100 healthy controls. Single Nucleotide Polymorphism (SNP) analyses were performed using PCR-RFLP and validated by Sanger sequencing. Serum total IgE levels were measured, and patients were classified based on disease severity and duration. Genotype findings were compared with patients' clinical features.
Results:
The C111A SNP was non-polymorphic in both groups, as all individuals had the wild-type CC genotype. The C1772T SNP showed no significant differences in genotype or allele frequencies between patients and controls. Similarly, no significant associations were observed in patient subgroups stratified by disease severity, frequency, or serum IgE levels.
Conclusion:
This study demonstrated that these two polymorphisms in the HIF1A gene are not associated with AR development in the Turkish population. However, the literature indicates that HIF1A mRNA and protein levels affect AR. Results may vary due to genetic and environmental factors. Further studies investigating alternative polymorphisms in the HIF1A gene and its expression levels are needed to better understand the relationship between AR and HIF1A.

Etik Beyan

Ethical approval was obtained from the Alanya Alaaddin Keykubat University Clinical Research Ethics Committee (Approval No: 11-03, dated 23.06.2021). Informed consent was obtained from all participants.

Destekleyen Kurum

Alanya Alaaddin Keykubat University

Proje Numarası

2021-04-01-LTP02

Kaynakça

  • 1. Bernstein JA, Bernstein JS, Makol R, Ward S. Allergic Rhinitis: A Review. JAMA. 2024;331(10):866-77.
  • 2. Kakli HA, Riley TD. Allergic Rhinitis. Prim Care. 2016;43(3):465-75.
  • 3. Garcia-Marcos L, Asher MI, Pearce N, Ellwood E, Bissell K, Chiang CY, et al. The burden of asthma, hay fever and eczema in children in 25 countries: GAN Phase I study. Eur Respir J. 2022;60(3).
  • 4. Cingi C, Bayar Muluk N, Susaman N, Kucukcan N, Kar M, Altintas M, et al. The Score for Allergic Rhinitis study in Turkey, 2020. ENT Updates. 2021;11(1):1-7.
  • 5. Duman H, Dibek Misirlioglu E, Ginis T, Bostanci İ. Allergic Rhinitis in Children. Tuberculin Skin Test in Children. 2013;10(2):62-8.
  • 6. Demirel SH, Çetinkaya S. Hypoxia-inducible factor-1: Physiological and Pathological Response to Hypoxia of Cell. Sakarya Medical Journal. 2014;4(4):171-7.
  • 7. Chen X, Li Y-Y, Zhang W-Q, Zhang W-M, Zhou H. House dust mite extract induces growth factor expression in nasal mucosa by activating the PI3K/Akt/HIF-1α pathway. Biochemical and Biophysical Research Communications. 2016;469(4):1055-61.
  • 8. Wang X, Liu C, Wu L, Zhu S. Potent ameliorating effect of Hypoxia-inducible factor 1α (HIF-1α) antagonist YC-1 on combined allergic rhinitis and asthma syndrome (CARAS) in Rats. European Journal of Pharmacology. 2016;788:343-50.
  • 9. Kurt E, Metintas S, Basyigit I, Bulut I, Coskun E, Dabak S, et al. Prevalence and Risk Factors of Allergies in Turkey (PARFAIT): results of a multicentre cross-sectional study in adults. European Respiratory Journal. 2009;33(4):724-33.
  • 10. Zwick ME, Nilsson D, Andiappan AK, Halldén C, Tim CF, Säll T, et al. Poor Reproducibility of Allergic Rhinitis SNP Associations. PLoS ONE. 2013;8(1).
  • 11. Kelchtermans J, Chang X, March ME, Mentch F, Sleiman PMA, Hakonarson H. HIF-1alpha Pulmonary Phenotype Wide Association Study Unveils a Link to Inflammatory Airway Conditions. Front Genet. 2021;12:756645.
  • 12. Nilsson D, Andiappan AK, Hallden C, Tim CF, Sall T, Wang de Y, et al. Poor reproducibility of allergic rhinitis SNP associations. PLoS One. 2013;8(1):e53975.
  • 13. Davila I, Mullol J, Ferrer M, Bartra J, del Cuvillo A, Montoro J, et al. Genetic aspects of allergic rhinitis. J Investig Allergol Clin Immunol. 2009;19 Suppl 1:25-31.
  • 14. Baay-Guzman GJ, Bebenek IG, Zeidler M, Hernandez-Pando R, Vega MI, Garcia-Zepeda EA, et al. HIF-1 expression is associated with CCL2 chemokine expression in airway inflammatory cells: implications in allergic airway inflammation. Respir Res. 2012;13(1):60.
  • 15. Dewitz C, McEachern E, Shin S, Akong K, Nagle DG, Broide DH, et al. Hypoxia-inducible factor-1alpha inhibition modulates airway hyperresponsiveness and nitric oxide levels in a BALB/c mouse model of asthma. Clin Immunol. 2017;176:94-9.
  • 16. Baek KJ, Cho JY, Rosenthal P, Alexander LEC, Nizet V, Broide DH. Hypoxia potentiates allergen induction of HIF-1alpha, chemokines, airway inflammation, TGF-beta1, and airway remodeling in a mouse model. Clin Immunol. 2013;147(1):27-37.
  • 17. Nava-Salazar S, Sanchez-Rodriguez EN, Mendoza-Rodriguez CA, Moran C, Romero-Arauz JF, Cerbon MA. Polymorphisms in the hypoxia-inducible factor 1 alpha gene in Mexican patients with preeclampsia: A case control study. BMC Res Notes. 2011;4:68.
  • 18. Lin WP, Wang XJ, Wang CR, Zhang LQ, Li N, Wang FS, et al. Polymorphism in the hypoxiainducible factor 1alpha gene may confer susceptibility to LDD in Chinese cohort. PLoS One. 2013;8(8):e73158.
  • 19. Saravani M, Rokni M, Mehrbani M, Amirkhosravi A, Faramarz S, Fatemi I, et al. The evaluation of VEGF and HIF-1alpha gene polymorphisms and multiple sclerosis susceptibility. J Gene Med. 2019;21(12):e3132.
  • 20. Yilmaz I, Atac FB, Erkan AN, Verdi H, Cagici CA, Aslan S, et al. No difference in polymorphism frequency in a Turkish population with allergic rhinitis. Acta Otolaryngol. 2006;126(10):1110-1.
  • 21. Gulen F, Tanac R, Altinoz S, Berdeli A, Zeyrek D, Koksoy H, et al. The Fc gammaRIIa polymorphism in Turkish children with asthma bronchial and allergic rhinitis. Clin Biochem. 2007;40(5-6):392-6.
  • 22. Demir Eksi D, Gunizi H. The Role of WNT3A Protein and Gene Variants in Allergic Rhinitis: A Case-Control Study. Curr Issues Mol Biol. 2024;46(9):9523-33.
  • 23. Demir Eksi D, Gunizi H. Lack of Association Between FNDC5 Gene Polymorphisms, Serum Irisin Levels and Allergic Rhinitis. Acta Medica Alanya. 2023;7(2):170-7.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kulak Burun Boğaz, Gen ve Moleküler Tedavi
Bölüm Araştırma Makalesi
Yazarlar

Bünyamin Yaşar 0000-0002-3965-0807

Hüseyin Günizi 0000-0001-8653-0544

Durkadın Demir Ekşi 0000-0002-5887-3141

Proje Numarası 2021-04-01-LTP02
Erken Görünüm Tarihi 1 Şubat 2025
Yayımlanma Tarihi 1 Şubat 2025
Gönderilme Tarihi 13 Ocak 2025
Kabul Tarihi 31 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 3 Sayı: 1

Kaynak Göster

AMA Yaşar B, Günizi H, Demir Ekşi D. Investigation of HIF1A gene polymorphisms in patients with allergic rhinitis. Ağrı Med J. Şubat 2025;3(1):13-18. doi:10.61845/agrimedical.1619321