Association of TNF-α gene polymorphisms with systemic lupus erythematosus in Taiwanese patients

被引:35
作者
Lin, Y-J [1 ,2 ,3 ]
Chen, R-H [4 ,5 ]
Wan, L. [1 ,2 ,3 ]
Sheu, J. J-C [1 ,2 ]
Huang, C-M [6 ]
Lin, C-W [7 ]
Chen, S-Y [1 ,2 ]
Lai, C-H [8 ]
Lan, Y-C [9 ]
Hsueh, K-C [10 ]
Tsai, C-H [3 ]
Lin, T-H [1 ]
Huang, Y-M [1 ]
Chao, K. [1 ]
Chen, D-Y [1 ]
Tsai, F-J [1 ,2 ,3 ]
机构
[1] China Med Univ Hosp, Dept Med Res, Taichung, Taiwan
[2] China Med Univ, Grad Inst Chinese Med Sci, Taichung, Taiwan
[3] Asia Univ, Dept Biotechnol & Bioinformat, Taichung, Taiwan
[4] China Med Univ, China Med Univ Hosp, Dept Internal Med, Taichung, Taiwan
[5] China Med Univ, Coll Chinese Med, Sch Postbaccalaureate Chinese Med, Taichung, Taiwan
[6] China Med Univ Hosp, Div Rheumatol & Immunol, Taichung, Taiwan
[7] China Med Univ, Dept Med Lab Sci & Biotechnol, Taichung, Taiwan
[8] China Med Univ, Sch Med, Dept Microbiol, Taichung, Taiwan
[9] China Med Univ, Dept Hlth Risk Management, Taichung, Taiwan
[10] China Med Univ Hosp, Dept Pediat, Taichung, Taiwan
关键词
single nucleotide polymorphism; systemic lupus erythematosus; tumour necrosis factor-alpha; TUMOR-NECROSIS-FACTOR; RHEUMATOID-ARTHRITIS; HAPLOTYPE RECONSTRUCTION; PROMOTER POLYMORPHISMS; MULTIPLE-SCLEROSIS; DISEASE-ACTIVITY; SUSCEPTIBILITY; SLE; POPULATION; REGION;
D O I
10.1177/0961203309105361
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Tumour necrosis factor-alpha (TNF-alpha), an important proinflammatory cytokine, exerts a variety of physiological and pathogenic effects that lead to tissue destruction. Studies on the association of TNF-alpha genetic polymorphisms with systemic lupus erythematosus (SLE) have yielded inconclusive results. We investigated the association of TNF-alpha genetic polymorphisms (-1031T/C, -863C/A, -857T/C, -308A/G and +489A/G) with SLE in Taiwanese patients and controls. Our results indicate that 1) the frequency of the A-allele at -863 position was significantly higher in SLE patients (odds ratio = 1.46; 95% CI = 1.02-2.08); 2) the frequency of the A-allele at +489 position was significantly higher in SLE patients (odds ratio = 1.79; 95% CI = 1.21-2.65); 3) the AA or GA genotype frequencies at +489 position were significantly increased in SLE patients (AA genotype: odds ratio = 11.20; 95% CI = 1.36-92.55; GA genotype: odds ratio = 1.63; 95% CI = 1.03-2.58); 4) no significant association of TNF-alpha haplotypic distributions was observed, except for the haplotypes TCCGA, CACGA and CCCGG; and 5) the genotype frequency of the polymorphisms at -1031 was significantly different in patients with antinuclear antibodies (P = 0.022). The allele and genotype frequencies of the polymorphisms at -863 were not significantly different. The genotype frequency of the polymorphisms at -857 was significantly different in patients with haematological disorder (P = 0.025). The frequency of A allele of the polymorphisms at -308 was significantly increased in patients with malar rash (P = 0.033), discoid rash (P = 0.023), photosensitivity (P = 0.037), oral ulcers (P = 0.002) and serositis (P = 0.029). The genotype frequency of the polymorphisms at +489 was significantly different in patients with discoid rash and photosensitivity (data not shown; discoid rash, P = 0.031; photosensitivity, P = 0.044). These results suggest that TNF-alpha genetic polymorphisms contribute to SLE susceptibility in the Taiwanese population. Lupus (2009) 18, 974-979.
引用
收藏
页码:974 / 979
页数:6
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