PMID- 20070603 OWN - NLM STAT- MEDLINE DCOM- 20100618 LR - 20161125 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 75 IP - 3 DP - 2010 Mar TI - The role of tumor necrosis factor alpha G-308A polymorphisms in the course of pulmonary sarcoidosis. PG - 262-8 LID - 10.1111/j.1399-0039.2009.01437.x [doi] AB - This study was designed to evaluate the relationship between the presence of tumor necrosis factor (TNF) polymorphisms, human leukocyte antigen (HLA)-DRB1*03 linkage and the prognosis of sarcoidosis. In a retrospective case-control study, TNF-alpha G-308A, TNF-alpha G-238A, lymphotoxin-alpha (LTA) and HLA-DRB1*03 were genotyped in 625 sarcoidosis patients. These patients were classified into 298 patients with persistent disease and 327 patients with non-persistent disease using chest X-ray (CXR) appearances and lung function parameters after at least 2 years of follow-up. The TNF-alpha-308A variant allele was observed in 25.5% of patients with persistent disease compared with 44.0% of patients with non-persistent disease. The corresponding odds ratio (OR) was 0.43 with a 95% confidence interval (CI) of 0.30-0.61. A strong linkage was found between TNF-alpha G-308A and HLA-DRB1*03 (OR = 0.03, 95% CI: 0.02-0.05). For TNF-alpha G-238A and LTA NcoI A252G, there were no statistically significant differences in the distribution of genotypes between the groups with and without persistent disease. The data indicate that presence of a TNF-alpha-308A variant allele and HLA-DRB1*03 were associated with a favorable prognosis. Because of the strong linkage between TNF-alpha G-308A and HLA-DRB1*03, genotyping of one simple and less expensive TNF-alpha single nucleotide polymorphism can be used to predict the prognosis of pulmonary sarcoidosis in clinical practice. FAU - Wijnen, P A AU - Wijnen PA AD - Department of Clinical Chemistry, Maastricht University Medical Centre, Maastricht, The Netherlands. FAU - Nelemans, P J AU - Nelemans PJ FAU - Verschakelen, J A AU - Verschakelen JA FAU - Bekers, O AU - Bekers O FAU - Voorter, C E AU - Voorter CE FAU - Drent, M AU - Drent M LA - eng PT - Journal Article DEP - 20100111 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Lymphotoxin-alpha) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Alleles MH - Case-Control Studies MH - Genotype MH - HLA Antigens/genetics MH - HLA-DR Antigens/genetics MH - HLA-DRB1 Chains MH - Histocompatibility Antigens Class I/genetics MH - Humans MH - Lymphotoxin-alpha/genetics MH - Odds Ratio MH - *Polymorphism, Genetic MH - Polymorphism, Single Nucleotide MH - Radiography MH - Sarcoidosis/genetics MH - Sarcoidosis, Pulmonary/diagnostic imaging/*genetics MH - Tumor Necrosis Factor-alpha/*genetics MH - X-Rays EDAT- 2010/01/15 06:00 MHDA- 2010/06/19 06:00 CRDT- 2010/01/15 06:00 PHST- 2010/01/15 06:00 [entrez] PHST- 2010/01/15 06:00 [pubmed] PHST- 2010/06/19 06:00 [medline] AID - TAN1437 [pii] AID - 10.1111/j.1399-0039.2009.01437.x [doi] PST - ppublish SO - Tissue Antigens. 2010 Mar;75(3):262-8. doi: 10.1111/j.1399-0039.2009.01437.x. Epub 2010 Jan 11.