Objective. The aims of this study were to determine the frequency of a nucl
eotide transition from C to T, which leads to increased transcription of in
terleukin-1 beta (IL-1 beta) in patients with different grades of cervical
lesions, and to determine whether a correlation exists between the genotype
s and cervical lesions.
Methods. One hundred forty-seven DNA samples from patients with different g
rades of cervical lesions were compared with 100 healthy, age and sex-match
ed bone marrow donors. TaqI restriction digest of PCR products was used to
analyze the IL-1 beta +5887 C --> T mutation and the results were confirmed
using induced heteroduplex analysis with an induced heteroduplex generator
.
Results. The Pearson chi(2) test (Yate's correction) was used for statistic
al analysis. Patients with LSIL (n = 80) demonstrated a high frequency of a
llele T, previously associated with high IL-1 beta secretor phenotype, comp
ared to controls (P = 0.000012). A trend was also observed in patients with
HSIL (n = 28, P = 0.039).
Conclusions. We report for the first time a highly significant association
between high secretor IL-1 beta phenotypes (i.e., IL-1 beta +5887 CT or TT
genotypes) and LSIL. A less significant association exists with HSIL. The i
ntrinsic ability to produce variable amounts of IL-1 beta during different
clinical stages involving cervical lesions may be of immunological importan
ce in their pathogenesis. (C) 1999 Academic Press.