PMID- 23466425 OWN - NLM STAT- MEDLINE DCOM- 20140318 LR - 20220321 IS - 1943-3654 (Electronic) IS - 0020-1324 (Linking) VI - 58 IP - 8 DP - 2013 Aug TI - Genetic polymorphism of transforming growth factor beta1 and tumor necrosis factor alpha is associated with asthma and modulates the severity of asthma. PG - 1343-50 LID - 10.4187/respcare.02187 [doi] AB - BACKGROUND: The role of transforming growth factor beta1 (TGF-beta1) and tumor necrosis factor alpha (TNF-alpha) in asthma is unclear. The aim of this study was to assess the relationships among polymorphisms, clinical phenotypes, and the serum levels of TGF-beta1 and TNF-alpha. METHODS: Polymorphisms of promoter of TGF-beta1 (C-509T locus) and TNF-alpha (G-308 A locus; rs 1800629) in 217 asthmatic patients and 110 healthy controls were evaluated. Pulmonary function, total immunoglobulin E (IgE), specific IgE antibodies, total eosinophil counts, TGF-beta1, and TNF-alpha were assessed. RESULTS: The genetic polymorphisms of TGF-beta1 promoter and TNF-alpha were significantly associated with asthma. Subjects with more severe asthma had higher serum levels of TGF-beta1 and TNF-alpha. In asthmatic subjects the TGF-beta1 of atopic subjects was higher than those without atopy. All studied subjects (asthma plus control) were divided into 4 groups by mean value of TGF-beta1 or TNF-alpha. The high values of TGF-beta1 or TNF-alpha were defined by higher than the mean values of the studied subjects of TGF-beta1 (392.42 pg/mL) and TNF-alpha (55.86 pg/mL). The FEV1 of the group with high TGF-beta1 plus low TNF-alpha was lower than that in the group with low TGF-beta1 plus low TNF-alpha. The lowest FEV1 was in the group with high TNF-alpha and high TGF-beta1. CONCLUSIONS: The genetic polymorphisms of TGF-beta1 and TNF-alpha are associated with asthma. TGF-beta1 modulates atopy. Both TGF-beta1 and TNF-alpha modulate clinical severity and airway obstruction, in an additive manner. FAU - Chiang, Chi-Huei AU - Chiang CH AD - Division of Pulmonary Immunology and Infectious Diseases, Chest Department, Taipei Veterans General Hospital, Taipei, Taiwan. chiang1990@gmail.com FAU - Chuang, Chiao-Hui AU - Chuang CH FAU - Liu, Shiou-Ling AU - Liu SL FAU - Shen, Horng-Der AU - Shen HD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130306 PL - United States TA - Respir Care JT - Respiratory care JID - 7510357 RN - 0 (Transforming Growth Factor beta1) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Airway Obstruction/genetics MH - Asthma/*genetics MH - Female MH - Humans MH - Male MH - Middle Aged MH - Phenotype MH - Polymorphism, Genetic MH - Polymorphism, Restriction Fragment Length MH - Severity of Illness Index MH - Transforming Growth Factor beta1/blood/*genetics MH - Tumor Necrosis Factor-alpha/blood/*genetics MH - Young Adult OTO - NOTNLM OT - asthma OT - phenotype OT - transforming growth factor beta1 OT - tumor necrosis factor EDAT- 2013/03/08 06:00 MHDA- 2014/03/19 06:00 CRDT- 2013/03/08 06:00 PHST- 2013/03/08 06:00 [entrez] PHST- 2013/03/08 06:00 [pubmed] PHST- 2014/03/19 06:00 [medline] AID - respcare.02187 [pii] AID - 10.4187/respcare.02187 [doi] PST - ppublish SO - Respir Care. 2013 Aug;58(8):1343-50. doi: 10.4187/respcare.02187. Epub 2013 Mar 6.