PMID- 19278365 OWN - NLM STAT- MEDLINE DCOM- 20090612 LR - 20161018 IS - 1434-6621 (Print) IS - 1434-6621 (Linking) VI - 47 IP - 4 DP - 2009 TI - Do common genetic variants in endotoxin signaling pathway contribute to predisposition to alcoholic liver cirrhosis? PG - 398-404 LID - 10.1515/CCLM.2009.112 [doi] AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha) and interleukin-1beta (IL-1beta), produced by endotoxin-activated Kupffer cells, play a key role in the pathogenesis of alcoholic liver cirrhosis (ALC). Alleles TNFA -238A, IL1B -31T and variant IL1RN*2 of repeat polymorphism in the gene encoding the IL-1 receptor antagonist increase production of TNF-alpha and IL-1beta, respectively. Alleles CD14 -159T, TLR4 c.896G and TLR4 c.1196T modify activation of Kupffer cells by endotoxin. We confirmed the published associations between these common variants and genetic predisposition to ALC by means of a large case-control association study conducted on two Central European populations. METHODS: The study population comprised a Czech sample of 198 ALC patients and 370 controls (MONICA project), and a German sample of 173 ALC patients and 331 controls (KORA-Augsburg), and 109 heavy drinkers without liver disease. RESULTS: Single locus analysis revealed no significant difference between patients and controls in all tested loci. Diplotype [IL1RN 2/ 2; IL1B -31T+] was associated with increased risk of ALC in the pilot study, but not in the validation samples. CONCLUSIONS: Although cytokine mediated immune reactions play a role in the pathogenesis of ALC, hereditary susceptibility caused by variants in the corresponding genes is low in Central European populations. FAU - Petrasek, Jan AU - Petrasek J AD - Institute for Clinical and Experimental Medicine, Prague, Czech Republic. jan.petrasek@ikem.cz FAU - Hubacek, Jaroslav A AU - Hubacek JA FAU - Stickel, Felix AU - Stickel F FAU - Sperl, Jan AU - Sperl J FAU - Berg, Thomas AU - Berg T FAU - Ruf, Esther AU - Ruf E FAU - Wichmann, H-Erich AU - Wichmann HE FAU - Pfeufer, Arne AU - Pfeufer A FAU - Meitinger, Thomas AU - Meitinger T FAU - Trunecka, Pavel AU - Trunecka P FAU - Spicak, Julius AU - Spicak J FAU - Jirsa, Milan AU - Jirsa M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Endotoxins) SB - IM MH - Case-Control Studies MH - Endotoxins/*genetics/metabolism MH - Female MH - Genetic Predisposition to Disease/*genetics MH - Genetic Variation/*genetics MH - Genotype MH - Health MH - Humans MH - Liver Cirrhosis, Alcoholic/*genetics/metabolism MH - Male MH - *Signal Transduction EDAT- 2009/03/13 09:00 MHDA- 2009/06/13 09:00 CRDT- 2009/03/13 09:00 PHST- 2009/03/13 09:00 [entrez] PHST- 2009/03/13 09:00 [pubmed] PHST- 2009/06/13 09:00 [medline] AID - 10.1515/CCLM.2009.112 [doi] PST - ppublish SO - Clin Chem Lab Med. 2009;47(4):398-404. doi: 10.1515/CCLM.2009.112.