Table 1.

Studies reporting genetic polymorphisms in immunoregulatory genes in patients with ITP

PublicationGenetic polymorphismsCohort
EthnicityITP typePatient numbers (patients with ITP; controls)
Cytokine and cytokine receptor gene polymorphisms 
Satoh et al20  TNFA (rs1800629 and rs1800629)•TNFB (rs909253)IL-1B (rs16944 and rs1143634) Asian (Japanese) Adult-onset, primary, and chronic 84; 56 
Chen et al44  IFNG (rs2430561)•IL-4 (IVS3) Asian (Chinese) Adult- and childhood-onset, acute, persistent, and chronic 196; 128 
Saitoh et al57  IL-17F (rs763780) Asian (Japanese) Adult-onset and chronic 102; 188 
Pehlivan et al43  TNFA (rs1800629)TGFB1 (rs1982073 and rs1800471)•IL-10 (rs1800896, rs1800871, and rs1800872)•IL-6 (rs1800796)•IL-1RA (VNTR)IFNG (rs2430561) Caucasian (Turkish) Adult-onset and chronic 71; 71 
Sarpatvari et al115  IL-10 (rs1800871 and rs1800872)•TNFA (rs1800629)TGFB1 (rs4803457)•IL-1A (rs1800587)•IL-4RA (rs1801275) Caucasian Adult-onset and primary 206; 618 
Zhan et al116  IL-23R (rs10889677, rs1884444, rs7517847, and rs11209032) Asian (Chinese) Adult-onset, primary, and acute 75; 81 
Li et al117  IL-18 (rs187238 and rs1946518) Asian (Chinese) Adult- and childhood-onset, primary, and chronic 181; 163 
Li et al118  IL-17F (rs763780) Asian (Chinese) Adult- and childhood-onset, primary, and chronic 165; 149 
El Ghannam et al119  IL-10 (rs1800896, rs1800871, and rs1800872) African (Egyptian) Adult-onset and chronic 62; 73 
Pavkovic et al87  IL-1B (rs16944)•TNFB (rs909253)TNFA (rs1800629) Caucasian (Macedonian) Adult-onset and primary 125; 120 
Liu et al23  IL-17A (rs2275913)•IL-17F (rs763780) Asian (Chinese) Adult-onset, primary, and chronic 146; 137 
Yadav et al120  TNFA (rs1800629)•TNFB (rs909253) Asian (Indian) Adult-onset and primary 80; 100 
Takahashi et al45  IFNG (rs2430561)•IFNGR (rs1327474)•IL-4 (rs2243250)•IL-4RA (rs1801275) Asian (Japanese) Adult-onset and chronic 126; 202 
Yadav et al121  IL-1B (rs1143627 and rs16944)•IL-1RA (VNTR) Asian (Indian) Adult-onset and primary 118; 100 
Li et al58  IL-2 (rs6822844) Asian (Chinese) Adult-onset and primary 312; 154 
Yu et al98  IL-18 (rs1946518)•IL-1B (rs16944) Asian (Chinese) Adult- and childhood-onset and primary 403; 336 
Tolba et al59  IL-17F (rs763780) African (Egyptian) Adult- and childhood-onset and primary 105; 112 
Nomura et al122  TNFA (rs1800629)•TGFB1 (rs1982073)IL-10 (rs1800896, rs1800871, and rs1800872)•IFNG (rs2430561) Asian (Japanese) Adult-onset 153; 70 
T-cell regulatory gene polymorphisms 
Du et al99  TIM3 (rs10053538, rs10515746, and rs1036199) Asian (Chinese) Adult- and childhood-onset, primary, acute, and chronic 187; 123 
Li et al58  DNAM1 (rs763361) Asian (Chinese) Adult-onset and primary 312; 154 
Kasamatsu et al28  PDCD1 (rs36084323 and rs11568821),•CTLA4 (rs733618, rs11571316, rs231775, and rs3087243) Asian (Japanese) Adult-onset and chronic 119; 223 
Abdelghafar et al79  CD40 (rs1883832 and rs4810485) African (Egyptian) Adult-onset and primary 101; 97 
Wang et al70  TIM3 (rs10515746)•CD28 (rs1980422)TNFSF4 (rs2205960)•CTLA4 (rs231779)•PDCD1 (rs36084323)•ICOS (rs6726035)•DNAM1 (rs763361)•LAG3 (rs870849) Asian (Chinese) Adult-onset and primary 307; 295 
Chen et al68  CTLA4 (rs11571315, rs733618, rs4553808, rs11571316, rs62182595, rs16840252, rs5742909, rs231775, and rs3087243)•CD28 (rs1879877, rs3181096, rs3181097, rs3181098, rs56228674, rs3116496, and rs3116496) Asian (Taiwanese) Adult-onset, primary, and secondary 32; 30 
Ellithy et al80  CD40 (rs1883832 and rs4810485) African (Egyptian) Adult-onset and chronic 50; 50 
FcγR gene polymorphisms 
Fujimoto et al25  FCGR2A (rs1801274)•FCGR3A (rs396991) Asian (Japanese) Adult-onset, primary, and chronic 104; 59 
Breunis et al26  FCGR2A (rs1801274)•FCGR2B (rs1050501)•FCGR3A (rs396991)FCGR3B HNA1a/HNA1b/HNA1c•FCGR2C (rs759550223) Caucasian Adult- and childhood-onset 116; 100 
Xu et al123  FCGR2B (rs1050501) Asian (Chinese) Adult- and childhood-onset, acute, and chronic 280; 243 
Xu et al124  FCGR2A (rs1801274)•FCGR3A (rs396991) Caucasian, Asian, and African Adult- and childhood-onset 741;1092 (meta-analysis) 
Audia et al88  FCGR2A (rs1801274)•FCGR2B (rs1050501)•FCGR3A (rs396991)FCGR3B HNA1a/HNA1b/HNA1c•FCGR2C (rs759550223) Caucasian Adult-onset and primary 216; 88 
Pavkovic et al87  FCGR2A (rs1801274)•FCGR3A (rs396991) Caucasian (Macedonian) Adult-onset, primary, and chronic 125; 120 
Li et al89  FCGR2A (rs1801274)•FCGR2B (rs1050501)•FCGR3A (rs396991) Caucasian and Asian Adult- and childhood-onset 1200; 1723 (meta-analysis) 
Polymorphisms in miscellaneous genes 
Pehlivan et al43  GP1A (rs1126643)•GP2 (VNTR)•GP3A (rs4918)•MBL2 (rs1800450) Caucasian (Turkish) Adult-onset and chronic 71; 71 
Basciano et al125  TUBB1 (rs6070697) — Adult-onset and chronic 191; 361 
Ge et al94  PTPN22 (rs2488457) Asian (Chinese) Adult- and childhood-onset, primary, acute, and chronic 191; 216 
Li et al58  CD24 (rs52812045)•FCRL3 (rs945635, rs7528684, rs3761959, and rs11264799)•IRF5 (rs2280714, rs2004640, and rs10954213)•ITGAM (rs1143679)•NLRP3 (rs4353135, rs35829419, and rs10754558)•CARD8 (rs2043211)•PTPN22 (rs33996649 and rs1310182)•SH2B3 (rs3184504)•STAT4 (rs10181656 and rs7574869)•TNFAIP3 (rs10499194, rs2230926, rs5029939, and rs6920220)•TRAF1 (rs10818488) Asian (Chinese) Adult-onset and primary 312; 154 
Yu et al98  NLRP3 (rs35829419)•CARD8 (rs2043211)•NFKB1 (rs28362491) Asian (Chinese) Adult- and childhood-onset and primary 403; 336 
Hassan et al96  TLR9 (rs352140) African (Egyptian) Adult-onset and primary 40; 40 
Zhang et al97  FOXP3 (rs5902434, rs3761548, and rs2232365) Asian (Chinese) Adult- and childhood-onset, primary, and chronic 329; 279 
Tian et al126  PTPN22 (rs2476601 and rs2488457) Caucasian, Asian, and African Adult- and childhood-onset, and primary 932; 2112 (meta-analysis) 
GWASs 
Xu et al101  GBE1/LINC02027 (rs117503120)TIMP3/SYN3 (rs5998634)TENM4 (rs4483616)OSBPL6 (rs16866133) Asian (Chinese) Adult-onset and primary 200; 200 
PublicationGenetic polymorphismsCohort
EthnicityITP typePatient numbers (patients with ITP; controls)
Cytokine and cytokine receptor gene polymorphisms 
Satoh et al20  TNFA (rs1800629 and rs1800629)•TNFB (rs909253)IL-1B (rs16944 and rs1143634) Asian (Japanese) Adult-onset, primary, and chronic 84; 56 
Chen et al44  IFNG (rs2430561)•IL-4 (IVS3) Asian (Chinese) Adult- and childhood-onset, acute, persistent, and chronic 196; 128 
Saitoh et al57  IL-17F (rs763780) Asian (Japanese) Adult-onset and chronic 102; 188 
Pehlivan et al43  TNFA (rs1800629)TGFB1 (rs1982073 and rs1800471)•IL-10 (rs1800896, rs1800871, and rs1800872)•IL-6 (rs1800796)•IL-1RA (VNTR)IFNG (rs2430561) Caucasian (Turkish) Adult-onset and chronic 71; 71 
Sarpatvari et al115  IL-10 (rs1800871 and rs1800872)•TNFA (rs1800629)TGFB1 (rs4803457)•IL-1A (rs1800587)•IL-4RA (rs1801275) Caucasian Adult-onset and primary 206; 618 
Zhan et al116  IL-23R (rs10889677, rs1884444, rs7517847, and rs11209032) Asian (Chinese) Adult-onset, primary, and acute 75; 81 
Li et al117  IL-18 (rs187238 and rs1946518) Asian (Chinese) Adult- and childhood-onset, primary, and chronic 181; 163 
Li et al118  IL-17F (rs763780) Asian (Chinese) Adult- and childhood-onset, primary, and chronic 165; 149 
El Ghannam et al119  IL-10 (rs1800896, rs1800871, and rs1800872) African (Egyptian) Adult-onset and chronic 62; 73 
Pavkovic et al87  IL-1B (rs16944)•TNFB (rs909253)TNFA (rs1800629) Caucasian (Macedonian) Adult-onset and primary 125; 120 
Liu et al23  IL-17A (rs2275913)•IL-17F (rs763780) Asian (Chinese) Adult-onset, primary, and chronic 146; 137 
Yadav et al120  TNFA (rs1800629)•TNFB (rs909253) Asian (Indian) Adult-onset and primary 80; 100 
Takahashi et al45  IFNG (rs2430561)•IFNGR (rs1327474)•IL-4 (rs2243250)•IL-4RA (rs1801275) Asian (Japanese) Adult-onset and chronic 126; 202 
Yadav et al121  IL-1B (rs1143627 and rs16944)•IL-1RA (VNTR) Asian (Indian) Adult-onset and primary 118; 100 
Li et al58  IL-2 (rs6822844) Asian (Chinese) Adult-onset and primary 312; 154 
Yu et al98  IL-18 (rs1946518)•IL-1B (rs16944) Asian (Chinese) Adult- and childhood-onset and primary 403; 336 
Tolba et al59  IL-17F (rs763780) African (Egyptian) Adult- and childhood-onset and primary 105; 112 
Nomura et al122  TNFA (rs1800629)•TGFB1 (rs1982073)IL-10 (rs1800896, rs1800871, and rs1800872)•IFNG (rs2430561) Asian (Japanese) Adult-onset 153; 70 
T-cell regulatory gene polymorphisms 
Du et al99  TIM3 (rs10053538, rs10515746, and rs1036199) Asian (Chinese) Adult- and childhood-onset, primary, acute, and chronic 187; 123 
Li et al58  DNAM1 (rs763361) Asian (Chinese) Adult-onset and primary 312; 154 
Kasamatsu et al28  PDCD1 (rs36084323 and rs11568821),•CTLA4 (rs733618, rs11571316, rs231775, and rs3087243) Asian (Japanese) Adult-onset and chronic 119; 223 
Abdelghafar et al79  CD40 (rs1883832 and rs4810485) African (Egyptian) Adult-onset and primary 101; 97 
Wang et al70  TIM3 (rs10515746)•CD28 (rs1980422)TNFSF4 (rs2205960)•CTLA4 (rs231779)•PDCD1 (rs36084323)•ICOS (rs6726035)•DNAM1 (rs763361)•LAG3 (rs870849) Asian (Chinese) Adult-onset and primary 307; 295 
Chen et al68  CTLA4 (rs11571315, rs733618, rs4553808, rs11571316, rs62182595, rs16840252, rs5742909, rs231775, and rs3087243)•CD28 (rs1879877, rs3181096, rs3181097, rs3181098, rs56228674, rs3116496, and rs3116496) Asian (Taiwanese) Adult-onset, primary, and secondary 32; 30 
Ellithy et al80  CD40 (rs1883832 and rs4810485) African (Egyptian) Adult-onset and chronic 50; 50 
FcγR gene polymorphisms 
Fujimoto et al25  FCGR2A (rs1801274)•FCGR3A (rs396991) Asian (Japanese) Adult-onset, primary, and chronic 104; 59 
Breunis et al26  FCGR2A (rs1801274)•FCGR2B (rs1050501)•FCGR3A (rs396991)FCGR3B HNA1a/HNA1b/HNA1c•FCGR2C (rs759550223) Caucasian Adult- and childhood-onset 116; 100 
Xu et al123  FCGR2B (rs1050501) Asian (Chinese) Adult- and childhood-onset, acute, and chronic 280; 243 
Xu et al124  FCGR2A (rs1801274)•FCGR3A (rs396991) Caucasian, Asian, and African Adult- and childhood-onset 741;1092 (meta-analysis) 
Audia et al88  FCGR2A (rs1801274)•FCGR2B (rs1050501)•FCGR3A (rs396991)FCGR3B HNA1a/HNA1b/HNA1c•FCGR2C (rs759550223) Caucasian Adult-onset and primary 216; 88 
Pavkovic et al87  FCGR2A (rs1801274)•FCGR3A (rs396991) Caucasian (Macedonian) Adult-onset, primary, and chronic 125; 120 
Li et al89  FCGR2A (rs1801274)•FCGR2B (rs1050501)•FCGR3A (rs396991) Caucasian and Asian Adult- and childhood-onset 1200; 1723 (meta-analysis) 
Polymorphisms in miscellaneous genes 
Pehlivan et al43  GP1A (rs1126643)•GP2 (VNTR)•GP3A (rs4918)•MBL2 (rs1800450) Caucasian (Turkish) Adult-onset and chronic 71; 71 
Basciano et al125  TUBB1 (rs6070697) — Adult-onset and chronic 191; 361 
Ge et al94  PTPN22 (rs2488457) Asian (Chinese) Adult- and childhood-onset, primary, acute, and chronic 191; 216 
Li et al58  CD24 (rs52812045)•FCRL3 (rs945635, rs7528684, rs3761959, and rs11264799)•IRF5 (rs2280714, rs2004640, and rs10954213)•ITGAM (rs1143679)•NLRP3 (rs4353135, rs35829419, and rs10754558)•CARD8 (rs2043211)•PTPN22 (rs33996649 and rs1310182)•SH2B3 (rs3184504)•STAT4 (rs10181656 and rs7574869)•TNFAIP3 (rs10499194, rs2230926, rs5029939, and rs6920220)•TRAF1 (rs10818488) Asian (Chinese) Adult-onset and primary 312; 154 
Yu et al98  NLRP3 (rs35829419)•CARD8 (rs2043211)•NFKB1 (rs28362491) Asian (Chinese) Adult- and childhood-onset and primary 403; 336 
Hassan et al96  TLR9 (rs352140) African (Egyptian) Adult-onset and primary 40; 40 
Zhang et al97  FOXP3 (rs5902434, rs3761548, and rs2232365) Asian (Chinese) Adult- and childhood-onset, primary, and chronic 329; 279 
Tian et al126  PTPN22 (rs2476601 and rs2488457) Caucasian, Asian, and African Adult- and childhood-onset, and primary 932; 2112 (meta-analysis) 
GWASs 
Xu et al101  GBE1/LINC02027 (rs117503120)TIMP3/SYN3 (rs5998634)TENM4 (rs4483616)OSBPL6 (rs16866133) Asian (Chinese) Adult-onset and primary 200; 200 

Genetic polymorphisms significantly associated with ITP susceptibility and/or severity are written in bold.

CARD8; caspase recruitment domain family member 8; FCGR2A, Fcγ receptor IIa; FCGR2B, Fcγ receptor IIb; FCGR2C, Fcγ receptor IIc; FCGR3A, Fcγ receptor IIIa; FCGR3B, Fcγ receptor IIIb; FCRL3, Fcγ receptor like 3; FOXP3, Forkhead box P3; GBE1, 1,4-α-glucan branching enzyme 1; GP1A, glycoprotein Ia; GP2, glycoprotein II; GP3A, glycoprotein IIIa; ICOS, inducible T-cell costimulator; IFNGR, interferon-γ receptor 1; IL-1A, interleukin-1α; IL-1RA, IL-1 receptor antagonist; IL-1B, IL-1β; IL-4RA, IL-4 receptor subunit α; IRF5, interferon regulatory factor 5; ITGAM, integrin subunit α M; LAG3, lymphocyte-activation gene 3; LINC02027, long intergenic nonprotein coding RNA 2027; MBL2, mannose binding lectin 2; NFκB1, nuclear factor κB subunit 1; NLRP3, NLR family pyrin domain containing 3; OSBPL6, oxysterol binding protein like 6; PDCD1, programmed cell death protein 1; PTPN22, protein tyrosine phosphatase nonreceptor type 22; SH2B3, SH2B adapter protein 1; STAT4, signal transducer and activator of transcription 4; SYN3, synapsin III; TENM4, teneurin transmembrane protein 4; TGFB1, transforming growth factor β1; TIM3 T-cell immunoglobulin and mucin domain containing 3; TIMP3, tissue inhibitor of metalloproteinase 3; TNFA, tumor necrosis factor α; TNFAIP3, TNF-α–induced protein 3; TLR9, Toll-like receptor 9; TNFB, tumor necrosis factor β; TNFRSF5, TNF receptor superfamily member 5; TNFSF4, TNF superfamily member 4; TRAF1, TNF receptor–associated factor 1; TUBB1, tubulin β1 class VI.

Close Modal

or Create an Account

Close Modal
Close Modal