PMID- 10488740 OWN - NLM STAT- MEDLINE DCOM- 20000131 LR - 20190826 IS - 0001-2815 (Print) IS - 0001-2815 (Linking) VI - 54 IP - 2 DP - 1999 Aug TI - Significant association of a single nucleotide polymorphism in the tumor necrosis factor-alpha (TNF-alpha) gene promoter with human narcolepsy. PG - 138-45 AB - Narcolepsy is a sleep disorder in which multiple factors, including environmental and genetic factors, are involved. A genetic factor strongly associated with the disorder has been found in the human leukocyte antigen (HLA) class II region: the haplotype, DRB1*1501-DQB1*0602, predisposes to narcolepsy. No susceptibility genes other than the HLA-haplotype have been found. In this paper, we performed an association study of the tumor necrosis factor-alpha (TNF-alpha) gene located in the HLA class III region with human narcolepsy, in which we examined the known single-nucleotide polymorphisms (SNPs) in the promoter region in 49 narcoleptic patients, who were all positive for DRBI*1501, and 111 healthy control individuals. The results indicated that the frequency of the genotype at position -857 (-857SNP) was significantly different between the patients and controls, and the allele frequencies of 857SNP revealed that the frequency of -857T was significantly increased in the patients as compared with that in the controls (P=0.0068). In addition, haplotypes presumed from HLA-DRB1, -857SNP and HLA-B loci suggested that -857T was mainly associated with DRB1 alleles other than DRB1*1501: the significant increase in frequency of -857T in the patients was not caused by allelic association with DRB1*1501. Therefore, it is conceivable that the TNF-alpha with 857T was associated with narcolepsy independently of the strong association of DRB1*1501 with the disorder. Altogether, the data presented here lead us to propose that TNF-alpha could be a new susceptibility gene in human narcolepsy. FAU - Hohjoh, H AU - Hohjoh H AD - Department of Human Genetics, Graduate School of Medicine, University of Tokyo, Japan. hohjohh@m.tokyo.ac.jp FAU - Nakayama, T AU - Nakayama T FAU - Ohashi, J AU - Ohashi J FAU - Miyagawa, T AU - Miyagawa T FAU - Tanaka, H AU - Tanaka H FAU - Akaza, T AU - Akaza T FAU - Honda, Y AU - Honda Y FAU - Juji, T AU - Juji T FAU - Tokunaga, K AU - Tokunaga K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (Nucleotides) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Alleles MH - Female MH - Histocompatibility Testing MH - Humans MH - Male MH - Narcolepsy/*genetics MH - Nucleotides/*genetics/isolation & purification MH - Polymerase Chain Reaction MH - Polymorphism, Genetic/*genetics MH - Polymorphism, Restriction Fragment Length MH - Polymorphism, Single-Stranded Conformational MH - Promoter Regions, Genetic/*genetics MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 1999/09/17 00:00 MHDA- 1999/09/17 00:01 CRDT- 1999/09/17 00:00 PHST- 1999/09/17 00:00 [pubmed] PHST- 1999/09/17 00:01 [medline] PHST- 1999/09/17 00:00 [entrez] AID - 10.1034/j.1399-0039.1999.540204.x [doi] PST - ppublish SO - Tissue Antigens. 1999 Aug;54(2):138-45. doi: 10.1034/j.1399-0039.1999.540204.x.