Skip to main content
Log in

The −174 G/C Polymorphism in Interleukin-6 (IL-6) Promoter Region is Associated with Serum IL-6 and Carcinoembryonic Antigen Levels in Patients with Colorectal Cancers in Taiwan

  • Published:
Journal of Clinical Immunology Aims and scope Submit manuscript

Abstract

Introduction

We investigated the associations between −174 G/C polymorphism of interleukin-6 (IL-6) gene promoter and serum IL-6 and carcinoembryonic antigen (CEA) levels in Taiwanese patients with colorectal cancer (CRC).

Results and Discussion

The frequency of the G allele was only 0.043, which is significantly lower compared to Western analogs. On grouping genotypes as G-positive (GG and CG) and G-negative (GG), the average IL-6 level and CEA levels were significantly lower in G-positive patients than in G-negative analogs (IL-6, 3.56 ± 4.38 vs. 15.38 ± 9.52 pg/ml, P = 0.021; CEA, 27.7 ± 25.7 vs. 157.7 ± 59.6 ng/ml, P = 0.012). The patients without the G allele had higher incidences of synchronous cancers of other origins (P = 0.003).

Conclusion

In conclusion, ethnicity affects the status of −174 G/C IL-6 polymorphism. This polymorphism status consequently influences the expressions of serum IL-6 and CEA and incidences of synchronous cancers of other origins.

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.

Similar content being viewed by others

References

  1. Chang KT, Huang CY, Tsai CM, Chiu CH, Lok YY. Role of IL-6 in neuroendocrine differentiation and chemosensitivity of non-small cell lung cancer. Am J Physiol Lung Cell Mol Physiol. 2005;289(3):L438.

    Article  PubMed  CAS  Google Scholar 

  2. Chang KT, Tsai CM, Chiou YC, Chiu CH, Jeng KS, Huang CY. IL-6 induces neuroendocrine dedifferentiation and cell proliferation in non-small cell lung cancer cells. Am J Physiol Lung Cell Mol Physiol. 2005;289(3):L446.

    Article  PubMed  CAS  Google Scholar 

  3. Yamaji H, Iizasa T, Koh E, Suzuki M, Otsuji M, Chang H, et al. Correlation between interleukin 6 production and tumor proliferation in non-small cell lung cancer. Cancer Immunol Immunother. 2004;53(9):786.

    Article  PubMed  CAS  Google Scholar 

  4. Shariat SF, Andrews B, Kattan MW, Kim J, Wheeler TM, Slawin KM. Plasma levels of interleukin-6 and its soluble receptor are associated with prostate cancer progression and metastasis. Urology. 2001;58(6):1008.

    Article  PubMed  CAS  Google Scholar 

  5. Abildgaard N, Glerup H, Rungby J, Bendix-Hansen K, Kassem M, Brixen K, et al. Biochemical markers of bone metabolism reflect osteoclastic and osteoblastic activity in multiple myeloma. Eur J Haematol. 2000;64(2):121.

    Article  PubMed  CAS  Google Scholar 

  6. Goydos JS, Brumfield AM, Frezza E, Booth A, Lotze MT, Carty SE. Marked elevation of serum interleukin-6 in patients with cholangiocarcinoma: validation of utility as a clinical marker. Ann Surg. 1998;227(3):398.

    Article  PubMed  CAS  Google Scholar 

  7. Kawano M, Hirano T, Matsuda T, Taga T, Horii Y, Iwato K, et al. Autocrine generation and requirement of BSF-2/IL-6 for human multiple myelomas. Nature. 1988;332(6159):83.

    Article  PubMed  CAS  Google Scholar 

  8. Scambia G, Testa U, Benedetti Panici P, Foti E, Martucci R, Gadducci A, et al. Prognostic significance of interleukin 6 serum levels in patients with ovarian cancer. Br J Cancer. 1995;71(2):354.

    PubMed  CAS  Google Scholar 

  9. Lu C, Sheehan C, Rak JW, Chambers CA, Hozumi N, Kerbel RS. Endogenous interleukin 6 can function as an in vivo growth-stimulatory factor for advanced-stage human melanoma cells. Clin Cancer Res. 1996;2(8):1417.

    PubMed  CAS  Google Scholar 

  10. Yanagawa H, Sone S, Takahashi Y, Haku T, Yano S, Shinohara T, et al. Serum levels of interleukin 6 in patients with lung cancer. Br J Cancer. 1995;71(5):1095.

    PubMed  CAS  Google Scholar 

  11. Eustace D, Han X, Gooding R, Rowbottom A, Riches P, Heyderman E. Interleukin-6 (IL-6) functions as an autocrine growth factor in cervical carcinomas in vitro. Gynecol Oncol. 1993;50(1):15.

    Article  PubMed  CAS  Google Scholar 

  12. Miki S, Iwano M, Miki Y, Yamamoto M, Tang B, Yokokawa K, et al. Interleukin-6 (IL-6) functions as an in vitro autocrine growth factor in renal cell carcinomas. FEBS Lett. 1989;250(2):607.

    Article  PubMed  CAS  Google Scholar 

  13. Oka M, Yamamoto K, Takahashi M, Hakozaki M, Abe T, Iizuka N, et al. Relationship between serum levels of interleukin 6, various disease parameters and malnutrition in patients with esophageal squamous cell carcinoma. Cancer Res. 1996;56(12):2776.

    PubMed  CAS  Google Scholar 

  14. Zhang GJ, Adachi I. Serum interleukin-6 levels correlate to tumor progression and prognosis in metastatic breast carcinoma. Anticancer Res. 1999;19(2B):1427.

    PubMed  CAS  Google Scholar 

  15. Wu CW, Wang SR, Chao MF, Wu TC, Lui WY, P'eng FK, et al. Serum interleukin-6 levels reflect disease status of gastric cancer. Am J Gastroenterol. 1996;91(7):1417.

    PubMed  CAS  Google Scholar 

  16. Mouawad R, Benhammouda A, Rixe O, Antoine EC, Borel C, Weil M, et al. Endogenous interleukin 6 levels in patients with metastatic malignant melanoma: correlation with tumor burden. Clin Cancer Res. 1996;2(8):1405.

    PubMed  CAS  Google Scholar 

  17. Berek JS, Chung C, Kaldi K, Watson JM, Knox RM, Martinez-Maza O. Serum interleukin-6 levels correlate with disease status in patients with epithelial ovarian cancer. Am J Obstet Gynecol. 1991;164(4):1038.

    PubMed  CAS  Google Scholar 

  18. Ueda T, Shimada E, Urakawa T. Serum levels of cytokines in patients with colorectal cancer: possible involvement of interleukin-6 and interleukin-8 in hematogenous metastasis. J Gastroenterol. 1994;29(4):423.

    Article  PubMed  CAS  Google Scholar 

  19. Belluco C, Nitti D, Frantz M, Toppan P, Basso D, Plebani M, et al. Interleukin-6 blood level is associated with circulating carcinoembryonic antigen and prognosis in patients with colorectal cancer. Ann Surg Oncol. 2000;7(2):133.

    Article  PubMed  CAS  Google Scholar 

  20. Nakagoe T, Tsuji T, Sawai T, Tanaka K, Hidaka S, Shibasaki S, et al. Increased serum levels of interleukin-6 in malnourished patients with colorectal cancer. Cancer Lett. 2003;202(1):109.

    Article  PubMed  CAS  Google Scholar 

  21. Nakagoe T, Tsuji T, Sawai T, Tanaka K, Hidaka S, Shibasaki S, et al. The relationship between circulating interleukin-6 and carcinoembryonic antigen in patients with colorectal cancer. Anticancer Res. 2003;23(4):3561.

    PubMed  CAS  Google Scholar 

  22. Esfandi F, Mohammadzadeh Ghobadloo S, Basati G. Interleukin-6 level in patients with colorectal cancer. Cancer Lett. 2006;244(1):76.

    Article  PubMed  CAS  Google Scholar 

  23. Schneider MR, Hoeflich A, Fischer JR, Wolf E, Sordat B, Lahm H. Interleukin-6 stimulates clonogenic growth of primary and metastatic human colon carcinoma cells. Cancer Lett. 2000;151(1):31.

    Article  PubMed  CAS  Google Scholar 

  24. Dansky-Ullmann C, Salgaller M, Adams S, Schlom J, Greiner JW. Synergistic effects of IL-6 and IFN-gamma on carcinoembryonic antigen (CEA) and HLA expression by human colorectal carcinoma cells: role for endogenous IFN-beta. Cytokine. 1995;7(2):118.

    Article  PubMed  CAS  Google Scholar 

  25. Fishman D, Faulds G, Jeffery R, Mohamed-Ali V, Yudkin JS, Humphries S, et al. The effect of novel polymorphisms in the interleukin-6 (IL-6) gene on IL-6 transcription and plasma IL-6 levels, and an association with systemic-onset juvenile chronic arthritis. J Clin Invest. 1998;102(7):1369.

    Article  PubMed  CAS  Google Scholar 

  26. Bonafe M, Olivieri F, Cavallone L, Giovagnetti S, Mayegiani F, Cardelli M, et al. A gender-dependent genetic predisposition to produce high levels of IL-6 is detrimental for longevity. Eur J Immunol. 2001;31(8):2357.

    Article  PubMed  CAS  Google Scholar 

  27. Olivieri F, Bonafe M, Cavallone L, Giovagnetti S, Marchegiani F, Cardelli M, et al. The −174 C/G locus affects in vitro/in vivo IL-6 production during aging. Exp Gerontol. 2002;37(2–3):309.

    Article  PubMed  CAS  Google Scholar 

  28. Yudkin JS, Kumari M, Humphries SE, Mohamed-Ali V. Inflammation, obesity, stress and coronary heart disease: is interleukin-6 the link? Atherosclerosis. 2000;148(2):209.

    Article  PubMed  CAS  Google Scholar 

  29. Pola R, Flex A, Gaetani E, Lago AD, Gerardino L, Pola P, et al. The −174 G/C polymorphism of the interleukin-6 gene promoter is associated with Alzheimer's disease in an Italian population [corrected]. NeuroReport. 2002;13(13):1645.

    Article  PubMed  CAS  Google Scholar 

  30. Pola R, Flex A, Gaetani E, Pola P, Bernabei R. The −174 G/C polymorphism of the interleukin-6 gene promoter and essential hypertension in an elderly Italian population. J Hum Hypertens. 2002;16(9):637.

    Article  PubMed  CAS  Google Scholar 

  31. Pola R, Gaetani E, Flex A, Aloi F, Papaleo P, Gerardino L, et al. −174 G/C interleukin-6 gene polymorphism and increased risk of multi-infarct dementia: a case–control study. Exp Gerontol. 2002;37(7):949.

    Article  PubMed  CAS  Google Scholar 

  32. Jahromi MM, Millward BA, Demaine AG. A polymorphism in the promoter region of the gene for interleukin-6 is associated with susceptibility to type 1 diabetes mellitus. J Interferon Cytokine Res. 2000;20(10):885.

    Article  PubMed  CAS  Google Scholar 

  33. Flex A, Gaetani E, Pola R, Santoliquido A, Aloi F, Papaleo P, et al. The −174 G/C polymorphism of the interleukin-6 gene promoter is associated with peripheral artery occlusive disease. Eur J Vasc Endovasc Surg. 2002;24(3):264.

    Article  PubMed  CAS  Google Scholar 

  34. Ferrari SL, Garnero P, Emond S, Montgomery H, Humphries SE, Greenspan SL. A functional polymorphic variant in the interleukin-6 gene promoter associated with low bone resorption in postmenopausal women. Arthritis Rheum. 2001;44(1):196.

    Article  PubMed  CAS  Google Scholar 

  35. Basso F, Lowe GD, Rumley A, McMahon AD, Humphries SE. Interleukin-6 −174 G>C polymorphism and risk of coronary heart disease in West of Scotland coronary prevention study (WOSCOPS). Arterioscler Thromb Vasc Biol. 2002;22(4):599.

    Article  PubMed  CAS  Google Scholar 

  36. Theodoropoulos G, Papaconstantinou I, Felekouras E, Nikiteas N, Karakitsos P, Panoussopoulos D, et al. Relation between common polymorphisms in genes related to inflammatory response and colorectal cancer. World J Gastroenterol. 2006;12(31):5037.

    PubMed  CAS  Google Scholar 

  37. Slattery ML, Wolff RK, Herrick JS, Caan BJ, Potter JD. IL6 genotypes and colon and rectal cancer. Cancer Causes Control. 2007;18(10):1095.

    Article  PubMed  Google Scholar 

  38. Landi S, Moreno V, Gioia-Patricola L, Guino E, Navarro M, de Oca J, et al. Association of common polymorphisms in inflammatory genes interleukin (IL)6, IL8, tumor necrosis factor alpha, NFKB1, and peroxisome proliferator-activated receptor gamma with colorectal cancer. Cancer Res. 2003;63(13):3560.

    PubMed  CAS  Google Scholar 

  39. Belluco C, Olivieri F, Bonafe M, Giovagnetti S, Mammano E, Scalerta R, et al. −174 G>C polymorphism of interleukin 6 gene promoter affects interleukin 6 serum level in patients with colorectal cancer. Clin Cancer Res. 2003;9(6):2173.

    PubMed  CAS  Google Scholar 

  40. Lim CS, Zheng S, Kim YS, Ahn C, Han JS, Kim S, et al. The −174 G to C polymorphism of interleukin-6 gene is very rare in Koreans. Cytokine. 2002;19(1):52.

    Article  PubMed  CAS  Google Scholar 

  41. Zhai R, Liu G, Yang C, Huang C, Wu C, Christiani DC. The G to C polymorphism at −174 of the interleukin-6 gene is rare in a Southern Chinese population. Pharmacogenetics. 2001;11(8):699.

    Article  PubMed  CAS  Google Scholar 

  42. Nakajima T, Ota N, Yoshida H, Watanabe S, Suzuki T, Emi M. Allelic variants in the interleukin-6 gene and essential hypertension in Japanese women. Genes Immun. 1999;1(2):115.

    Article  PubMed  CAS  Google Scholar 

  43. Hayakawa T, Takamura T, Hisada A, Abe T, Nomura G, Kobayashi K. IL-6 gene polymorphism −174 G/C does not contribute substantially to hyperlipidaemia and type II diabetes mellitus in Japanese men. Diabetologia. 2002;45(3):453.

    Article  PubMed  CAS  Google Scholar 

  44. Cox ED, Hoffmann SC, DiMercurio BS, Wesley RA, Harlan DM, Kirk AD, et al. Cytokine polymorphic analyses indicate ethnic differences in the allelic distribution of interleukin-2 and interleukin-6. Transplantation. 2001;72(4):720.

    Article  PubMed  CAS  Google Scholar 

  45. Olomolaiye O, Wood NA, Bidwell JL. A novel NlaIII polymorphism in the human IL-6 promoter. Eur J Immunogenet. 1998;25(2–3):267.

    PubMed  CAS  Google Scholar 

  46. Litovkin KV, Domenyuk VP, Bubnov VV, Zaporozhan VN. Interleukin-6 −174 G/C polymorphism in breast cancer and uterine leiomyoma patients: a population-based case control study. Exp Oncol. 2007;29(4):295.

    PubMed  CAS  Google Scholar 

  47. Duch CR, Figueiredo MS, Ribas C, Almeida MS, Colleoni GW, Bordin JO. Analysis of polymorphism at site −174 G/C of interleukin-6 promoter region in multiple myeloma. Braz J Med Biol Res. 2007;40(2):265.

    PubMed  CAS  Google Scholar 

  48. Terry CF, Loukaci V, Green FR. Cooperative influence of genetic polymorphisms on interleukin 6 transcriptional regulation. J Biol Chem. 2000;275(24):18138.

    Article  PubMed  CAS  Google Scholar 

  49. Pritts T, Hungness E, Wang Q, Robb B, Hershko D, Hasselgren PO. Mucosal and enterocyte IL-6 production during sepsis and endotoxemia—role of transcription factors and regulation by the stress response. Am J Surg. 2002;183(4):372.

    Article  PubMed  CAS  Google Scholar 

  50. Hirano T. Interleukin 6 and its receptor: ten years later. Int Rev Immunol. 1998;16(3–4):249.

    Article  PubMed  CAS  Google Scholar 

  51. Xing Z, Gauldie J, Cox G, Baumann H, Jordana M, Lei XF, et al. IL-6 is an antiinflammatory cytokine required for controlling local or systemic acute inflammatory responses. J Clin Invest. 1998;101(2):311.

    Article  PubMed  CAS  Google Scholar 

  52. Vanden Berghe W, Vermeulen L, De Wilde G, De Bosscher K, Boone E, Haegeman G. Signal transduction by tumor necrosis factor and gene regulation of the inflammatory cytokine interleukin-6. Biochem Pharmacol. 2000;60(8):1185.

    Article  PubMed  CAS  Google Scholar 

  53. Robb BW, Hershko DD, Paxton JH, Luo GJ, Hasselgren PO. Interleukin-10 activates the transcription factor C/EBP and the interleukin-6 gene promoter in human intestinal epithelial cells. Surgery. 2002;132(2):226.

    Article  PubMed  Google Scholar 

  54. Iacopetta B, Grieu F, Joseph D. The −174 G/C gene polymorphism in interleukin-6 is associated with an aggressive breast cancer phenotype. Br J Cancer. 2004;90(2):419.

    Article  PubMed  CAS  Google Scholar 

  55. Vairaktaris E, Yiannopoulos A, Vylliotis A, Yapijakis C, Derka S, Vassiliou S, et al. Strong association of interleukin-6 −174 G>C promoter polymorphism with increased risk of oral cancer. Int J Biol Markers. 2006;21(4):246.

    PubMed  CAS  Google Scholar 

  56. de Souza NC Nogueira, Brenna SM, Campos F, Syrjanen KJ, Baracat EC, Silva ID. Interleukin-6 polymorphisms and the risk of cervical cancer. Int J Gynecol Cancer. 2006;16(3):1278.

    Article  Google Scholar 

  57. Gangwar R, Mittal B, Mittal RD. Association of interleukin-6 −174 G>C promoter polymorphism with risk of cervical cancer. Int J Biol Markers. 2009;24(1):11.

    PubMed  CAS  Google Scholar 

  58. Heikkila K, Harris R, Lowe G, Rumley A, Yarnell J, Gallacher J, et al. Associations of circulating C-reactive protein and interleukin-6 with cancer risk: findings from two prospective cohorts and a meta-analysis. Cancer Causes Control. 2009;20(1):15.

    Article  PubMed  Google Scholar 

  59. Nusrat A, Sitaraman SV, Neish A. Interaction of bacteria and bacterial toxins with intestinal epithelial cells. Curr Gastroenterol Rep. 2001;3(5):392.

    Article  PubMed  CAS  Google Scholar 

  60. Abdul M, Hoosein N. Relationship of the interleukin-1 system with neuroendocrine and exocrine markers in human colon cancer cell lines. Cytokine. 2002;18(2):86.

    Article  PubMed  CAS  Google Scholar 

  61. Heinrich PC, Behrmann I, Haan S, Hermanns HM, Muller-Newen G, Schaper F. Principles of interleukin (IL)-6-type cytokine signalling and its regulation. Biochem J. 2003;374(Pt 1):1.

    Article  PubMed  CAS  Google Scholar 

  62. Cahill CM, Rogers JT. Interleukin (IL) 1beta induction of IL-6 is mediated by a novel phosphatidylinositol 3-kinase-dependent AKT/IkappaB kinase alpha pathway targeting activator protein-1. J Biol Chem. 2008;283(38):25900.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kun-Yun Yeh.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yeh, KY., Li, YY., Hsieh, LL. et al. The −174 G/C Polymorphism in Interleukin-6 (IL-6) Promoter Region is Associated with Serum IL-6 and Carcinoembryonic Antigen Levels in Patients with Colorectal Cancers in Taiwan. J Clin Immunol 30, 53–59 (2010). https://doi.org/10.1007/s10875-009-9324-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10875-009-9324-6

Keywords

Navigation