PMID- 11544442 OWN - NLM STAT- MEDLINE DCOM- 20010920 LR - 20190713 IS - 0041-1337 (Print) IS - 0041-1337 (Linking) VI - 72 IP - 4 DP - 2001 Aug 27 TI - Promoter-region alleles of the TNF-alpha and IL-10 genes have no effect on pretransplant alloantibody production. PG - 739-42 AB - BACKGROUND: The presence of high levels of alloantibodies are known to be a risk factor in renal graft outcome. Expression level polymorphisms in cytokine genes are also thought to have an effect on allograft outcome, but the studies examining this have been inconsistent. This may be due to center-specific differences in immunosuppressive protocols. Therefore, we studied the effects of these polymorphisms on pretransplant class I alloantibody production in nonexogenously immunosuppressed candidates. METHODS: Tumor necrosis factor-alpha (TNF-alpha) and interleukin-10 (IL-10) gene polymorphisms were assayed genotypically by PCR-SSP on 177 renal transplant candidates. Candidates with a peak goat antihuman immunoglobulin-enhanced T-cell panel reactive antibody (PRA) of >or=10% were considered to be positive for alloantibody (32% of 177 total). RESULTS: Previous transplants, transfusions, or pregnancies were all associated with alloantibody production, but TNF-alpha and IL-10 phenotypes were not. High levels of alloantibody production (peak PRA >50%) were also not effected by cytokine phenotype. CONCLUSIONS: These data suggest that differences in TNF-alpha and IL-10 phenotype do not effect a patient's likelihood of becoming sensitized by transfusions, pregnancies, and prior transplants. FAU - Hahn, A B AU - Hahn AB AD - Department of Surgery, Albany Medical College, New York 12208, USA. FAU - Kasten-Jolly, J C AU - Kasten-Jolly JC FAU - Constantino, D M AU - Constantino DM FAU - Graffunder, E AU - Graffunder E FAU - Conti, D J AU - Conti DJ LA - eng PT - Journal Article PL - United States TA - Transplantation JT - Transplantation JID - 0132144 RN - 0 (Isoantibodies) RN - 0 (Tumor Necrosis Factor-alpha) RN - 130068-27-8 (Interleukin-10) SB - IM MH - *Alleles MH - Female MH - Humans MH - Interleukin-10/*genetics MH - Isoantibodies/*biosynthesis MH - *Kidney Transplantation MH - Male MH - Phenotype MH - Polymorphism, Genetic MH - Promoter Regions, Genetic/*genetics MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 2001/09/07 10:00 MHDA- 2001/09/21 10:01 CRDT- 2001/09/07 10:00 PHST- 2001/09/07 10:00 [pubmed] PHST- 2001/09/21 10:01 [medline] PHST- 2001/09/07 10:00 [entrez] AID - 10.1097/00007890-200108270-00032 [doi] PST - ppublish SO - Transplantation. 2001 Aug 27;72(4):739-42. doi: 10.1097/00007890-200108270-00032.