PMID- 24139907 OWN - NLM STAT- MEDLINE DCOM- 20141028 LR - 20181202 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 102 IP - 2 DP - 2013 Nov TI - Tumor necrosis factor-alpha (TNF-alpha) -863C/A promoter polymorphism is associated with type 2 diabetes in Tunisian population. PG - e24-8 LID - S0168-8227(13)00336-7 [pii] LID - 10.1016/j.diabres.2013.09.015 [doi] AB - AIMS: Tumor necrosis factor alpha (TNFalpha) plays a key role in orchestrating the complex events involved in inflammation and immunity. Accordingly, TNF alpha has been implicated in a wide range of autoimmune and infectious diseases, but also in conditions such as obesity and insulin resistance. The aim of the present study was to investigate the association between the -863C/A polymorphism in the promoter of the TNFalpha gene and type 2 diabetes in the Tunisian population. METHODS: The polymorphism -863C/A in the TNFalpha gene was determined in 211 type 2 diabetes patients and 345 healthy controls using the Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP) analysis. RESULTS: A significant difference in genotype distribution and allele frequency was observed between patients and controls. Patients with type 2 diabetes had significantly higher frequency of the CA+AA genotypes compared to controls [35.5% vs. 22.3%; OR (95%CI), 1.91 (1.31-2.8); p=0.001]. The type 2 diabetes patient group showed a significant higher frequency of the A allele compared to the controls (0.19 vs. 0.11; p=0.001). After adjustment by a stepwise logistic regression method, hypertension, dyslipidemia, and CA+AA genotype were found to be significantly associated with T2D. CONCLUSION: The present study showed a significant and independent association between the -863C/A polymorphism of the TNFalpha gene and type 2 diabetes in the Tunisian population. CI - Copyright (c) 2013 Elsevier Ireland Ltd. All rights reserved. FAU - Kallel, Amani AU - Kallel A AD - University of Tunis El Manar, la Rabta Hospital, LR99ES11 "Biochimie Clinique", 1007 Tunis, Tunisia. FAU - Ftouhi, Bochra AU - Ftouhi B FAU - Jemaa, Zeineb AU - Jemaa Z FAU - Mahjoubi, Imen AU - Mahjoubi I FAU - Feki, Moncef AU - Feki M FAU - Slimane, Hedia AU - Slimane H FAU - Jemaa, Riadh AU - Jemaa R FAU - Kaabachi, Naziha AU - Kaabachi N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131001 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Aged MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/epidemiology/*genetics MH - Female MH - Gene Frequency MH - Genotype MH - Humans MH - Insulin Resistance/genetics MH - Logistic Models MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - *Polymorphism, Genetic MH - Polymorphism, Restriction Fragment Length MH - Promoter Regions, Genetic/*genetics MH - Tumor Necrosis Factor-alpha/*genetics/metabolism MH - Tunisia/epidemiology OTO - NOTNLM OT - Single nucleotide polymorphism OT - TNFalpha OT - Type 2 diabetes EDAT- 2013/10/22 06:00 MHDA- 2014/10/29 06:00 CRDT- 2013/10/22 06:00 PHST- 2013/02/14 00:00 [received] PHST- 2013/05/09 00:00 [revised] PHST- 2013/09/22 00:00 [accepted] PHST- 2013/10/22 06:00 [entrez] PHST- 2013/10/22 06:00 [pubmed] PHST- 2014/10/29 06:00 [medline] AID - S0168-8227(13)00336-7 [pii] AID - 10.1016/j.diabres.2013.09.015 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2013 Nov;102(2):e24-8. doi: 10.1016/j.diabres.2013.09.015. Epub 2013 Oct 1.