PMID- 20600447 OWN - NLM STAT- MEDLINE DCOM- 20110131 LR - 20100827 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 71 IP - 9 DP - 2010 Sep TI - Tumor necrosis factor-alpha polymorphisms and expression in Guillain-Barre syndrome. PG - 905-10 LID - 10.1016/j.humimm.2010.06.013 [doi] AB - Tumor necrosis factor-alpha (TNF-alpha) polymorphisms with increased expression is associated with many autoimmune and inflammatory diseases. Possible role of TNF-alpha polymorphism in the pathogenesis of Guillain-Barre syndrome (GBS) largely remains unknown. We investigated polymorphisms in the promoter region of TNF-alpha gene and its expression in GBS patients and healthy controls. TNF-alpha (-308 G>A, -857 C>T, and -863 C>A) polymorphisms in 140 GBS patients and 206 healthy controls were studied using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and allele specific-PCR. TNF-alpha level in serum by ELISA was determined in 60 patients and an equal number of controls. Prevalence of TNF-alpha -308 G > A polymorphic A allele was associated with increased risk of GBS (p < 0.001; OR = 2.58, 95% CI = 1.61-4.14). Heterozygous genotype (G/A) had an association with acute motor axonal neuropathy (p < 0.001; OR = 4.23, 95% CI = 2.00-8.95) and variant genotype A/A with both axonal subtypes, acute motor axonal neuropathy (p = 0.015, OR = 7.00, 95% CI = 1.46-33.57) and acute motor sensory axonal neuropathy (p = 0.017; OR = 7.73, 95% CI = 1.44-41.37). Variant genotype T/T of TNF-alpha -857 C>T polymorphism was also significantly associated with acute motor axonal neuropathy (p = 0.034; OR = 3.93, 95% CI = 1.11-13.91). Patients with A and T alleles had higher TNF-alpha level in serum. TNF-alpha -308 G > A and -857 C>T (only T/T) polymorphisms with increased TNF-alpha level may predict susceptibility to axonal subtypes of GBS. CI - Copyright 2010 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Prasad, Kashi N AU - Prasad KN AD - Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. knprasad@sgpgi.ac.in FAU - Nyati, Kishan K AU - Nyati KK FAU - Verma, Avantika AU - Verma A FAU - Rizwan, Arshi AU - Rizwan A FAU - Paliwal, Vimal K AU - Paliwal VK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100619 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Female MH - Gene Frequency/genetics MH - Genotype MH - Guillain-Barre Syndrome/blood/classification/diagnosis/*genetics MH - Heterozygote MH - Homozygote MH - Humans MH - Male MH - Middle Aged MH - Polymorphism, Single Nucleotide/*genetics MH - Tumor Necrosis Factor-alpha/blood/*genetics EDAT- 2010/07/06 06:00 MHDA- 2011/02/01 06:00 CRDT- 2010/07/06 06:00 PHST- 2010/03/26 00:00 [received] PHST- 2010/06/09 00:00 [revised] PHST- 2010/06/11 00:00 [accepted] PHST- 2010/07/06 06:00 [entrez] PHST- 2010/07/06 06:00 [pubmed] PHST- 2011/02/01 06:00 [medline] AID - S0198-8859(10)00156-4 [pii] AID - 10.1016/j.humimm.2010.06.013 [doi] PST - ppublish SO - Hum Immunol. 2010 Sep;71(9):905-10. doi: 10.1016/j.humimm.2010.06.013. Epub 2010 Jun 19.