02530nas a2200409 4500000000100000008004100001260001600042653002800058653001000086653000900096653002500105653001100130653003100141653001900172653003800191653001300229653001100242653001900253653003100272653002500303653000900328653001100337653001600348653002600364653001900390100002300409700002100432700002000453700001700473700002100490700002100511245013700532300001100669490000800680520141800688022001402106 2008 d c2008 Jun 3010a3' Untranslated Regions10aAdult10aAged10aCase-Control Studies10aFemale10aGene Expression Regulation10aGene Frequency10aGenetic Predisposition to Disease10agenotype10aHumans10aInterleukin-1210aInterleukin-12 Subunit p4010aLeprosy, lepromatous10aMale10aMexico10aMiddle Aged10aPolymorphism, Genetic10aRNA, Messenger1 aAlvarado-Navarro A1 aMontoya-Buelna M1 aMuñoz-Valle JF1 aLopez-Roa RI1 aGuillen-Vargas C1 aFafutis-Morris M00aThe 3'UTR 1188 A/C polymorphism in the interleukin-12p40 gene (IL-12B) is associated with lepromatous leprosy in the west of Mexico. a148-510 v1183 a

Leprosy is a chronic infectious disease caused by Mycobacterium leprae. IL-12 participates in the immune response against M. leprae by regulating T cell differentiation into the Th1-type response. Several single nucleotide polymorphisms have been identified in the IL-12 gene such as 3'UTR 1188 A/C polymorphism, which is associated with different diseases. However, the relationship of this polymorphism with the immune response in leprosy has not been explored. In this case-control study, we evaluated 44 patients with lepromatous leprosy (LL) and 51 healthy subjects (HS). We aimed to determine the relationship between 3'UTR 1188 A/C polymorphism of IL-12 p40, mRNA expression, and soluble IL-12 concentration in LL patients and HS. Genotype frequencies were 41% A/A, 36% A/C, and 23% C/C in LL patients, and 47% A/A, 49% A/C, and 4% C/C in HS (p<0.05). LL patients had a lower mRNA expression of IL-12 p40 gene, whereas HS had a higher expression level. Soluble IL-12 p40 concentration was higher in LL patients than in HS (p<0.05). IL-12 p70 concentration did not differ between groups, and IL-12 p40 concentration was not significantly correlated with mRNA expression in either group. These data suggest that IL-12 p40 3'UTR 1188 A/C polymorphism is associated with greater susceptibility to lepromatous leprosy in patients from western Mexico, independently of IL-12 p40 and p70 expression levels.

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