Influence of IL-18 and IL-10 Polymorphisms on Tacrolimus Elimination in Chinese Lung Transplant Patients

الملخص EN

Aims.

The influence of interleukin-10 (IL-10) and interleukin-18 (IL-18) polymorphisms on tacrolimus pharmacokinetics had been described in liver and kidney transplantation.

The expression of cytokines varied in different kinds of transplantation.

The influence of IL-10 and IL-18 genetic polymorphisms on the pharmacokinetic parameters of tacrolimus remains unclear in lung transplantation.

Methods.

51 lung transplant patients at Shanghai Pulmonary Hospital were included.

IL-18 polymorphisms (rs5744247 and rs1946518), IL-10 polymorphisms (rs1800896, rs1800872, and rs3021097), and CYP3A5 rs776746 were genotyped.

Dose-adjusted trough blood concentrations (C/D ratio, mg/kg body weight) in lung transplant patients during the first 4 postoperative weeks were calculated.

Results.

IL-18 rs5744247 allele C and rs1946518 allele A were associated with fast tacrolimus metabolism.

Combined analysis showed that the numbers of low IL-18 mRNA expression alleles had positive correlation with tacrolimus C/D ratios in lung transplant recipients.

The influence of IL-18 polymorphisms on tacrolimus C/D ratios was observed in CYP3A5 expresser recipients, but not in CYP3A5 nonexpresser recipients.

No clinical significance of tacrolimus C/D ratios difference of IL-10 polymorphisms was found in our data.

Conclusions.

IL-18 polymorphisms may influence tacrolimus elimination in lung transplantation patients.