PMID- 20514989 OWN - NLM STAT- MEDLINE DCOM- 20100708 LR - 20220317 IS - 0895-3988 (Print) IS - 0895-3988 (Linking) VI - 23 IP - 2 DP - 2010 Apr TI - Association of TNF-alpha-238G/A and 308 G/A gene polymorphisms with pulmonary tuberculosis among patients with coal worker's pneumoconiosis. PG - 137-45 LID - 10.1016/S0895-3988(10)60043-8 [doi] AB - OBJECTIVES: Tumor necrosis factor-alpha (TNF-alpha) may play an important role in host's immune response to mycobacterium tuberculosis (M. tuberculosis) infection. This study was to investigate the association of TNF-alpha gene polymorphism with pulmonary tuberculosis (TB) among patients with coal worker's pneumoconiosis (CWP). METHODS: A case-control study was conducted in 113 patients with confirmed CWP complicated with pulmonary TB and 113 non-TB controls with CWP. They were matched in gender, age, job, and stage of pneumoconiosis. All participants were interviewed with questionnaires and their blood specimens were collected for genetic determination with informed consent. The TNF-alpha gene polymorphism was determined with polymerase chain reaction of restriction fragment length polymorphism (PCR-RFLP). Frequency of genotypes was assessed for Hardy-Weinberg equilibrium by chi-square test or Fisher's exact probability. Factors influencing the association of individual susceptibility with pulmonary TB were evaluated with logistic regression analysis. Gene-environment interaction was evaluated by a multiplicative model with combined OR. All data were analyzed using SAS version 8.2 software. RESULTS: No significant difference in frequency of the TNF-alpha-308 genotype was found between CWP complicated with pulmonary TB and non-TB controls (chi2 = 5.44, P = 0.07). But difference in frequency of the TNF-alpha-308 A allele was identified between them (chi2 = 5.14, P = 0.02). No significant difference in frequencies of the TNF-alpha-238 genotype and allele (P = 0.23 and P = 0.09, respectively) was found between cases and controls either, with combined (GG and AA) OR of 3.96 (95% confidence interval of 1.30-12.09) at the -308 locus of the TNF-alpha gene, as compared to combination of the TNF-alpha-238 GG and TNF-alpha-308 GG genotypes. Multivariate-adjusted odds ratio of the TNF-alpha-238 GG and TNF-alpha-308 GA genotypes was 1.98 (95% CI of 1.06-3.71) for risk for pulmonary TB in patients with CWP. There was a synergic interaction between the TNF-alpha-308 GG genotype and body mass index (OR = 4.92), as well as an interaction between the TNF-alpha-308 GG genotype and history of BCG immunization or history of TB exposure. And, the interaction of the TNF-alpha-238 GG genotype and history of BCG immunization or TB exposure with risk for pulmonary TB in them was also indicated. CONCLUSIONS: TNF-alpha-308 A allele is associated with an elevated risk for pulmonary TB, whereas TNF-alpha-238 A allele was otherwise. FAU - Fan, Hong-Min AU - Fan HM AD - School of Basic Medicine, Peking Union Medical College, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Beijing 100005, China. FAU - Wang, Zhuo AU - Wang Z FAU - Feng, Fu-Min AU - Feng FM FAU - Zhang, Kong-Lai AU - Zhang KL FAU - Yuan, Ju-Xiang AU - Yuan JX FAU - Sui, Hong AU - Sui H FAU - Qiu, Hong-Yan AU - Qiu HY FAU - Liu, Li-Hua AU - Liu LH FAU - Deng, Xiao-Juan AU - Deng XJ FAU - Ren, Jing-Xue AU - Ren JX LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Biomed Environ Sci JT - Biomedical and environmental sciences : BES JID - 8909524 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Aged MH - Aged, 80 and over MH - Anthracosis/*complications MH - Case-Control Studies MH - Environmental Exposure MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic MH - Tuberculosis, Pulmonary/*genetics MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 2010/06/03 06:00 MHDA- 2010/07/09 06:00 CRDT- 2010/06/03 06:00 PHST- 2010/06/03 06:00 [entrez] PHST- 2010/06/03 06:00 [pubmed] PHST- 2010/07/09 06:00 [medline] AID - S0895-3988(10)60043-8 [pii] AID - 10.1016/S0895-3988(10)60043-8 [doi] PST - ppublish SO - Biomed Environ Sci. 2010 Apr;23(2):137-45. doi: 10.1016/S0895-3988(10)60043-8.