Skip to main content
Log in

Asp327Asn polymorphism of sex hormone-binding globulin gene is associated with systemic lupus erythematosus incidence

  • Published:
Molecular Biology Reports Aims and scope Submit manuscript

Abstract

Endogenous sex hormones have been observed to have a role in systemic lupus erythematosus (SLE) predisposition. Sex hormone-binding globulin (SHBG) regulates the bioavailability of sex hormones to target tissues. Therefore, we examined the distribution of the SHBG functional polymorphism Asp327Asn (rs6259) in SLE patients (n = 150) and controls (n = 150) in a Polish population. We found a contribution of the SHBG327Asn variant to the development of SLE. Women with the Asp/Asn and Asn/Asn genotypes displayed a 2.630-fold increased risk of SLE (95% CI = 1.561–4.433, P = 0.0003). SHBG has a much higher affinity for testosterone than estradiol, and the SHBG327Asn variant displays a reduction of estradiol clearance. Therefore we suggest that the opposing effects of estrogens and testosterone on the immune system and imbalance in the levels of these hormones in SLE patients can be enhanced by the SHBG327Asn protein variant.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Sekigawa I, Naito T, Hira K et al (2004) Possible mechanisms of gender bias in SLE: a new hypothesis involving a comparison of SLE with atopy. Lupus 13:217–222

    Article  CAS  PubMed  Google Scholar 

  2. Love LA (1994) New environmental agents associated with lupus-like disorders. Lupus 3:467–471

    Article  CAS  PubMed  Google Scholar 

  3. Rönnblom L, Eloranta ML, Alm GV (2006) The type I interferon system in systemic lupus erythematosus. Arthritis Rheum 54:408–420

    Article  PubMed  Google Scholar 

  4. Piotrowski PC, Duriagin S, Jagodzinski PP (2005) Expression of human endogenous retrovirus clone 4-1 may correlate with blood plasma concentration of anti-U1 RNP and anti-Sm nuclear antibodies. Clin Rheumatol 24:620–624

    Article  PubMed  Google Scholar 

  5. Nakajima M, Nakajima A, Kayagaki N et al (1997) Expression of Fas ligand and its receptor in cutaneous lupus: implication in tissue injury. Clin Immunol Immunopathol 83:223–229

    Article  CAS  PubMed  Google Scholar 

  6. Rosen A, Casciola-Rosen L, Ahearn J (1995) Novel packages of viral and self-antigens are generated during apoptosis. J Exp Med 181:1557–1561

    Article  CAS  PubMed  Google Scholar 

  7. Stohl W, Metyas S, Tan SM et al (2003) B lymphocyte stimulator overexpression in patients with systemic lupus erythematosus: longitudinal observations. Arthritis Rheum 48:3475–3486

    Article  PubMed  Google Scholar 

  8. Tsokos GC, Liossis SN (1999) Immune cell signaling defects in lupus: activation, anergy and death. Immunol Today 20:119–124

    Article  CAS  PubMed  Google Scholar 

  9. Zeng FQ, Yin RF, Tan GZ et al (2004) Characterization of DNA antigens from immune complexes deposited in the skin of patients with systemic lupus erythematosus. Chin Med J 117:1066–1071

    CAS  PubMed  Google Scholar 

  10. Cervera R, Khamashta MA, Font J et al (1993) Systemic lupus erythematosus: clinical and immunologic patterns of disease expression in a cohort of 1, 000 patients. The European Working Party on systemic lupus erythematosus. Medicine (Baltimore) 72:113–124

    CAS  Google Scholar 

  11. Formiga F, Moga I, Pac M et al (1999) Mild presentation of systemic lupus erythematosus in elderly patients assessed by SLEDAI. SLE Disease Activity Index Lupus 8:462–465

    CAS  Google Scholar 

  12. Scofield RH, Bruner GR, Namjou B et al (2008) Klinefelter’s syndrome (47, XXY) in male systemic lupus erythematosus patients: support for the notion of a gene-dose effect from the X chromosome. Arthritis Rheum 58:2511–2517

    Article  PubMed  Google Scholar 

  13. Walker SE, Keisler LW, Caldwell CW et al (1996) Effects of altered prenatal hormonal environment on expression of autoimmune disease in NZB/NZW mice. Environ Health Perspect 104(Suppl 4):815–821

    Article  CAS  PubMed  Google Scholar 

  14. Fortunati N, Becchis M, Catalano MG et al (1999) Sex hormone-binding globulin, its membrane receptor, and breast cancer: a new approach to the modulation of estradiol action in neoplastic cells. J Steroid Biochem Mol Biol 69:473–479

    Article  CAS  PubMed  Google Scholar 

  15. Kahn SM, Hryb DJ, Nakhla AM et al (2002) Sex hormone-binding globulin is synthesized in target cells. J Endocrinol 175:113–120

    Article  CAS  PubMed  Google Scholar 

  16. Catalano MG, Comba A, Fazzari A et al (1997) Sex steroid binding protein receptor (SBP-R) is related to a reduced proliferation rate in human breast cancer. Breast Cancer Res Treat 42:227–234

    Article  CAS  PubMed  Google Scholar 

  17. Power SG, Bocchinfuso WP, Pallesen M et al (1992) Molecular analyses of a human sex hormone-binding globulin variant: evidence for an additional carbohydrate chain. J Clin Endocrinol Metab 75:1066–1070

    Article  CAS  PubMed  Google Scholar 

  18. Van Baelen H, Convents R, Cailleau J et al (1992) Genetic variation of human sex hormone-binding globulin: evidence for a worldwide bi-allelic gene. J Clin Endocrinol Metab 75:135–139

    Article  PubMed  Google Scholar 

  19. Bocchinfuso WP, Ma KL, Lee WM et al (1992) Selective removal of glycosylation sites from sex hormone-binding globulin by site-directed mutagenesis. Endocrinology 131:2331–2336

    Article  CAS  PubMed  Google Scholar 

  20. Cousin P, Dechaud H, Grenot C et al (1999) Influence of glycosylation on the clearance of recombinant human sex hormone-binding globulin from rabbit blood. J Steroid Biochem Mol Biol 70:115–121

    Article  CAS  PubMed  Google Scholar 

  21. Cousin P, Calemard-Michel L, Lejeune H et al (2004) Influence of SHBG gene pentanucleotide TAAAA repeat and D327 N polymorphism on serum sex hormone-binding globulin concentration in hirsute women. J Clin Endocrinol Metab 89:917–924

    Article  CAS  PubMed  Google Scholar 

  22. Haiman CA, Riley SE, Freedman ML et al (2005) Common genetic variation in the sex steroid hormone-binding globulin (SHBG) gene and circulating SHBG levels among postmenopausal women: the Multiethnic Cohort. J Clin Endocrinol Metab 90:2198–2204

    Article  CAS  PubMed  Google Scholar 

  23. Hochberg MC (1997) Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 40:1725

    Article  CAS  PubMed  Google Scholar 

  24. Rinaldi S, Geay A, Déchaud H et al. (2002)Validity of free testosterone and free estradiol determinations in serum samples from postmenopausal women by theoretical calculations. Cancer Epidemiol Biomarkers Prev 11:1065-1071

    Google Scholar 

  25. Wong M, Tsao BP (2006) Current topics in human SLE genetics. Springer Semin Immunopathol 28:97–107

    Article  CAS  PubMed  Google Scholar 

  26. Burzynski M, Duriagin S, Mostowska M et al (2007) MTR 2756 A > G polymorphism is associated with the risk of systemic lupus erythematosus in the Polish population. Lupus 16:450–454

    Article  CAS  PubMed  Google Scholar 

  27. Sigurdsson S, Nordmark G, Göring HH et al (2005) Polymorphisms in the tyrosine kinase 2 and interferon regulatory factor 5 genes are associated with systemic lupus erythematosus. Am J Hum Genet 76:528–537

    Article  CAS  PubMed  Google Scholar 

  28. Remmers EF, Plenge RM, Lee AT et al (2007) STAT4 and the risk of rheumatoid arthritis and systemic lupus erythematosus. N Engl J Med 357:977–986

    Article  CAS  PubMed  Google Scholar 

  29. Hom G, Graham RR, Modrek B et al (2008) Association of systemic lupus erythematosus with C8orf13-BLK and ITGAM-ITGAX. N Engl J Med 358:900–909

    Article  CAS  PubMed  Google Scholar 

  30. International Consortium for Systemic Lupus Erythematosus Genetics (SLEGEN), Harley JB, Alarcón-Riquelme ME, Criswell LA et al (2008) Genome-wide association scan in women with systemic lupus erythematosus identifies susceptibility variants in ITGAM, PXK, KIAA1542 and other loci. Nat Genet 40:204–210

    Article  CAS  PubMed  Google Scholar 

  31. McMurray RW, Ndebele K, Hardy KJ et al (2001) 17-beta-estradiol suppresses IL-2 and IL-2 receptor. Cytokine 14:324–333

    Article  CAS  PubMed  Google Scholar 

  32. Kanda N, Tamaki K (1999) Estrogen enhances immunoglobulin production by human PBMCs. J Allergy Clin Immunol 103:282–288

    Article  CAS  PubMed  Google Scholar 

  33. Kanda N, Tsuchida T, Tamaki K (1999) Estrogen enhancement of anti-double-stranded DNA antibody and immunoglobulin G production in peripheral blood mononuclear cells from patients with systemic lupus erythematosus. Arthritis Rheum 42:328–337

    Article  CAS  PubMed  Google Scholar 

  34. Kanda N, Tsuchida T, Tamaki K (1997) Testosterone inhibits immunoglobulin production by human peripheral blood mononuclear cells from patients with systemic lupus erythematosus. Arthritis Rheum 40:1703–1711

    Article  CAS  PubMed  Google Scholar 

  35. Mendel CM (1989) The free hormone hypothesis: a physiologically based mathematical model. Endocr Rev 10:232–274

    Article  CAS  PubMed  Google Scholar 

  36. Lahita RG, Bradlow HL, Ginzler E et al (1987) Low plasma androgens in women with systemic lupus erythematosus. Arthritis Rheum 30:241–248

    Article  CAS  PubMed  Google Scholar 

  37. Harman SM, Metter EJ, Tobin JD et al (2001) Longitudinal effects of aging on serum total and free testosterone levels in healthy men. Baltimore longitudinal study of aging. J Clin Endocrinol Metab 86:724–731

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

Supported by grant No 502-01-01124182-07474 from Poznań University of Medical Sciences.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paweł P. Jagodziński.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Piotrowski, P., Gasik, R., Lianeri, M. et al. Asp327Asn polymorphism of sex hormone-binding globulin gene is associated with systemic lupus erythematosus incidence. Mol Biol Rep 37, 235–239 (2010). https://doi.org/10.1007/s11033-009-9639-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11033-009-9639-7

Keywords

Navigation