PMID- 22128242 OWN - NLM STAT- MEDLINE DCOM- 20120402 LR - 20221207 IS - 1090-0535 (Electronic) IS - 1090-0535 (Linking) VI - 17 DP - 2011 TI - The role of toll-like receptor variants in acute anterior uveitis. PG - 2970-7 AB - PURPOSE: Acute anterior uveitis (AAU) is the most common form of uveitis; however, while it is presumed to have an immunological basis, the precise underlying etiology remains elusive. Toll-like receptors (TLRs) have a key role in linking innate and adaptive immunity, thereby forming a molecular bridge between microbial triggers and the development of AAU. The purpose of this study was to investigate the role of TLR2 and TLR4 gene polymorphisms in the pathogenesis of AAU. METHODS: The study comprised 225 confirmed cases of idiopathic or human leukocyte antigen (HLA) B27 (subtypes B*2701-2759; HLA-B27)-related AAU and 2,534 population-based controls from the Blue Mountains Eye Study. All participants were of Anglo-Celtic descent. Blood samples were collected for DNA extraction and genotyping. A total of 16 single nucleotide polymorphisms (SNPs) were selected for analysis and either directly genotyped or imputed to cover the common variations within the TLR genes. Data were analyzed at the allelic, genotypic and haplotypic levels. RESULTS: Control subjects were significantly older than case subjects (p<0.0001). There was no significant difference in the gender composition between the case and control cohorts (p=0.18). One TLR2 SNP (rs11938228) was found to be associated with AAU at the allelic level (OR=1.28; p=0.017); however this association did not remain following adjustment for age and sex (p=0.067). None of the SNPs at the TLR4 locus were found to differ significantly between cases or controls, irrespective of adjustment for age and gender. CONCLUSIONS: This study has confirmed that common TLR variants of moderate effect size do not predispose to AAU, undermining the implication of reported mutations in the selective perturbations of TLR expression and function evident in AAU. FAU - Pratap, Divya S AU - Pratap DS AD - Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia. FAU - Lim, Lyndell L AU - Lim LL FAU - Wang, Jie Jin AU - Wang JJ FAU - Mackey, David A AU - Mackey DA FAU - Kearns, Lisa S AU - Kearns LS FAU - Stawell, Richard J AU - Stawell RJ CN - Wellcome Trust Case Control Consortium 2 FAU - Burdon, Kathryn P AU - Burdon KP FAU - Mitchell, Paul AU - Mitchell P FAU - Craig, Jamie E AU - Craig JE FAU - Hall, Anthony J AU - Hall AJ FAU - Hewitt, Alex W AU - Hewitt AW LA - eng GR - 085475/08/Z/Wellcome Trust/United Kingdom GR - 085475/B/08/Z/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111116 PL - United States TA - Mol Vis JT - Molecular vision JID - 9605351 RN - 0 (HLA-B27 Antigen) RN - 0 (TLR2 protein, human) RN - 0 (TLR4 protein, human) RN - 0 (Toll-Like Receptor 2) RN - 0 (Toll-Like Receptor 4) SB - IM MH - Acute Disease MH - Aged MH - Alleles MH - Australia/epidemiology MH - DNA Mutational Analysis MH - Female MH - Gene Frequency MH - Genotype MH - HLA-B27 Antigen/*genetics/immunology MH - Haplotypes MH - Humans MH - Linkage Disequilibrium MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - Polymorphism, Single Nucleotide MH - Toll-Like Receptor 2/*genetics/immunology MH - Toll-Like Receptor 4/*genetics/immunology MH - Uveitis, Anterior/ethnology/*genetics/immunology MH - *White People PMC - PMC3224833 EDAT- 2011/12/01 06:00 MHDA- 2012/04/03 06:00 PMCR- 2011/01/01 CRDT- 2011/12/01 06:00 PHST- 2011/10/14 00:00 [received] PHST- 2011/11/08 00:00 [accepted] PHST- 2011/12/01 06:00 [entrez] PHST- 2011/12/01 06:00 [pubmed] PHST- 2012/04/03 06:00 [medline] PHST- 2011/01/01 00:00 [pmc-release] AID - 320 [pii] AID - 2011MOLVIS0463 [pii] PST - ppublish SO - Mol Vis. 2011;17:2970-7. Epub 2011 Nov 16.