PMID- 27692393 OWN - NLM STAT- MEDLINE DCOM- 20181026 LR - 20181026 IS - 2255-5021 (Electronic) IS - 2255-5021 (Linking) VI - 56 IP - 5 DP - 2016 Sep-Oct TI - Clinical characteristics and frequency of TLR4 polymorphisms in Brazilian patients with ankylosing spondylitis. PG - 432-440 LID - S2255-5021(16)30046-3 [pii] LID - 10.1016/j.rbre.2016.07.004 [doi] AB - OBJECTIVES: Innate immunity is involved in the physiopathology of ankylosing spondylitis (AS), with the participation of Gram-negative bacteria, modulation of human leukocyte antigen (HLA) B27 and the involvement of pattern recognition receptors, such as Toll-like receptors (TLRs). The aim of this study was to investigate the clinical characteristics and frequency of TLR4 polymorphisms (Asp299Gly and Thr 399Ile) in a cohort of Brazilian patients with AS. METHODS: A cross-sectional study was carried out involving 200 patients with a diagnosis of AS and a healthy control group of 200 individuals. Disease activity, severity and functional capacity were measured. The study of TLR4 polymorphisms was performed using the restriction fragment length polymorphism method. HLA-B27 was analyzed by conventional polymerase chain reaction. The IBM SPSS Statistics 20 program was used for the statistical analysis, with p-values less than 0.05 considered significant. RESULTS: Mean age and disease duration were 43.1+/-12.7 and 16.6+/-9.2 years, respectively. The sample was predominantly male (71%) and non-Caucasian (52%). A total of 66% of the group of patients were positive for HLA-B27. The sample of patients was characterized by moderate functional impairment and a high degree of disease activity. No significant association was found between the two TLR4 polymorphisms and susceptibility to AS. CONCLUSIONS: TLR4 polymorphisms 399 and 299 were not more frequent in patients with AS in comparison to the health controls and none of the clinical variables were associated with these polymorphisms. CI - Copyright (c) 2016 Elsevier Editora Ltda. All rights reserved. FAU - Machado, Natalia Pereira AU - Machado NP AD - Divisao de Reumatologia, Departamento de Medicina, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil. FAU - Nogueira, Eliana AU - Nogueira E AD - Divisao de Nefrologia, Departamento de Medicina, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil. FAU - Oseki, Karen AU - Oseki K AD - Divisao de Reumatologia, Departamento de Medicina, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil. FAU - Ebbing, Pamela Carolina Cruz AU - Ebbing PC AD - Divisao de Reumatologia, Departamento de Medicina, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil. FAU - Origassa, Clarice Silvia Taemi AU - Origassa CS AD - Divisao de Nefrologia, Departamento de Medicina, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil. FAU - Mohovic, Tatiane AU - Mohovic T AD - Divisao de Nefrologia, Departamento de Medicina, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil. FAU - Camara, Niels Olsen Saraiva AU - Camara NO AD - Divisao de Nefrologia, Departamento de Medicina, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil. FAU - Pinheiro, Marcelo de Medeiros AU - Pinheiro MM AD - Divisao de Reumatologia, Departamento de Medicina, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP, Brazil. Electronic address: mpinheiro@uol.com.br. LA - eng LA - por PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160805 PL - Brazil TA - Rev Bras Reumatol Engl Ed JT - Revista brasileira de reumatologia JID - 101672232 RN - 0 (HLA-B27 Antigen) RN - 0 (TLR4 protein, human) RN - 0 (Toll-Like Receptor 4) SB - IM MH - Adult MH - Brazil MH - Case-Control Studies MH - Cross-Sectional Studies MH - Female MH - Genetic Predisposition to Disease MH - HLA-B27 Antigen/*genetics MH - Humans MH - Male MH - Polymorphism, Restriction Fragment Length/*genetics MH - Spondylitis, Ankylosing/*genetics MH - Toll-Like Receptor 4/*genetics OTO - NOTNLM OT - Ankylosing spondylitis OT - Espondilite anquilosante OT - HLA-B27 OT - Polimorfismos em TLR-4 OT - TLR-4 polymorphisms EDAT- 2016/10/04 06:00 MHDA- 2018/10/27 06:00 CRDT- 2016/10/04 06:00 PHST- 2016/02/10 00:00 [received] PHST- 2016/05/01 00:00 [accepted] PHST- 2016/10/04 06:00 [entrez] PHST- 2016/10/04 06:00 [pubmed] PHST- 2018/10/27 06:00 [medline] AID - S2255-5021(16)30046-3 [pii] AID - 10.1016/j.rbre.2016.07.004 [doi] PST - ppublish SO - Rev Bras Reumatol Engl Ed. 2016 Sep-Oct;56(5):432-440. doi: 10.1016/j.rbre.2016.07.004. Epub 2016 Aug 5.