Chronic obstructive pulmonary disease (
COPD) is considered a complex
genetic disorder and it is expected that many genes play a role in the pathogenesis of this disease. Previous studies have reported that several variations within the
interleukin (IL)-18 gene promoter region have been associated with different inflammatory diseases such as
asthma. However, the association of
IL-18 promoter polymorphisms with
COPD has not been studied yet. We then performed a prospective case-control study to explore this association in male smokers of Chinese Han people. Our study recruited 112
COPD cases and 105 healthy controls matched for age. The genotyping of
IL-18 promoter polymorphisms (-607 C/A and -137 G/C) was performed using TaqMan single nucleotide polymorphism genotyping assays. The frequencies of the alleles and genotypes in patients and controls were compared. We found that the frequency of
IL-18 -607 C allele was significantly increased in patients with
COPD (odds ratio (OR) = 1.48, 95% confidence interval (CI) = 1.01-2.15, P = 0.04). The frequency of
IL-18 -607 C allele was significantly higher in the
GOLD (Global initiative for
Obstructive Lung Disease) 3-4 group compared with the
GOLD 1-2 group (OR=2.06, 95% CI = 1.21-3.51, P = 0.01). There were no significant differences in the frequencies of the alleles and genotypes of
IL-18 -137 G/C polymorphism between the patients and healthy smokers or between
GOLD 3-4 group and
GOLD 1-2 group. Our study revealed that the
IL-18 -607 C/A polymorphism was associated with
COPD susceptibility and severity of airflow limitation in male smokers of Chinese Han people.