Article Text

Download PDFPDF
Interleukin‐10 and Fas polymorphisms and susceptibility for (pre)neoplastic cervical disease
  1. M. ZOODSMA*,
  2. I. M. NOLTE,,
  6. E. G.E. DE VRIES§,
  7. G. J. TE MEERMAN and
  8. A. G.J. VAN DER ZEE*
  1. *Department of Gynecology, University Medical Center Groningen, Groningen, The Netherlands
  2. Department of Medical Biology, University Medical Center Groningen, Groningen, The Netherlands
  3. Department of Groningen Bioinformatics Centre, University Medical Center Groningen, Groningen, The Netherlands
  4. §Department of Medical Oncology, University Medical Center Groningen, Groningen, The Netherlands
  5. Department of Medical Genetics, University Medical Center Groningen, Groningen, The Netherlands
  1. Address correspondence and reprint requests to: Ate G.J. van der Zee, MD, PhD, Department of Gynecology, University Medical Center Groningen, University of Groningen Hanzeplein 1, P.O. Box 30.001, 9700 RB Groningen, The Netherlands. Email: a.g.j.van.der.zee{at}


Infection with oncogenic types of human papillomavirus (HPV) is the main causal factor of cervical cancer and its precursor lesion (cervical intraepithelial neoplasia [CIN]). Cellular immunity may be critical in the elimination of HPV-harboring cells. Interleukin-10, a T-helper type 2 cytokine, has a suppressive effect on cell-mediated immunity. Resistance to apoptosis through the Fas pathway might enable many cancers to escape the immune system. We examined in a large study population whether three polymorphisms in the IL-10 gene and a polymorphism at position − 670 of the Fas promotor affect susceptibility for cervical cancer or its precursor. In addition, it was studied whether these polymorphisms were causal and not merely associated by typing microsatellite markers in the region surrounding both genes. A total of 311 CIN, 695 cervical cancer patients, and 115 family-based and 586 unrelated controls were analyzed. Association analysis revealed an increased CIN (II–III) (OR 1.44 [1.06–1.97]) and squamous cell carcinoma of the cervix (OR 1.35 [1.04–1.75]) for individuals heterozygous for the A-allele of the IL-10 − 592 polymorphism. In contrast to previous findings, no association was found for the IL-10 − 1082 polymorphism. While an increased risk for adenocarcinoma (AC) in heterozygotes (OR 1.59 [1.02–2.48]) was observed. Our study shows a possible role for the IL-10 gene in CIN and squamous cell cervical cancer susceptibility in the Caucasian population; simultaneously, there might be a role for the Fas gene in the development of AC of the cervix. Further investigations with a higher density of markers are necessary to find the causal mutation.

  • cervical cancer
  • CIN
  • Fas
  • IL-10
  • polymorphism
  • susceptibility

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.