Clock gene PERIOD3 polymorphism is associated with susceptibility to Graves’ disease but not to Hashimoto’s thyroiditis

ABSTRACT

Circadian disruption has been linked with immune-related morbidities including autoimmune diseases. PERIOD3 (PER3) clock gene is a key player in the mammalian circadian system. This study evaluated the possible association of PER3 rs2797685 (G/A) polymorphism and susceptibility of autoimmune thyroid diseases (AITD) and assessed if this SNP contributes to disease characteristics and serum levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α). The PER3 rs2797685 (G/A) polymorphism was assessed in 125 patients with AITD [Graves’ disease (GD), 69; Hashimoto’s thyroiditis (HT), 56] and 115 unrelated healthy controls. Subjects carrying at least one variant allele of PER3 rs2797685 (GA+AA) had increased risk for GD (OR 1.9, 95% CI 1–3.61, p= .05). There were no differences in the frequencies of genotypes and alleles of the PER3 rs2797685 polymorphism between HT patients and control subjects. No association was observed between genotypes of the studied SNP and any of the disease characteristics in GD and HT patients. The GA+AA genotype of PER3 rs2797685 was associated with lower levels of IL-6 in patients with Graves’ disease. There were no differences between genotypes of the studied SNP regarding TNF-α levels in GD, HT or control groups. In conclusion, this study provides the first evidence for a genetic association between GD and the PER3 gene, highlighting the possible relevance of polymorphisms in clock genes in the etiopathogenesis of AITD. However, functional studies to identify the underlying molecular mechanisms of this association are needed to translate these findings to clinical applications.

KEYWORDS:

• Circadian rhythm
• PER3
• polymorphism
• Graves’ disease
• Hashimoto’s thyroiditis

Authors’ contributions

This study was designed by AG. NH, SHO, SK, and FA acquired the clinical and laboratory data. Statistical analysis was performed by EK. The main text was written by NH, and all authors critically reviewed the manuscript and it has been revised in response to their suggestions. MA and SK were involved in the genetic polymorphism studies, as well.

Data availability statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Disclosure of interest

The authors report no conflict of interest.

Additional information

Funding

This study was supported by Hacettepe University Scientific Research Projects Coordination Unit [THD-2015-7683].