PMID- 30595251 OWN - NLM STAT- MEDLINE DCOM- 20190206 LR - 20200225 IS - 2213-3763 (Electronic) IS - 0019-4832 (Print) IS - 0019-4832 (Linking) VI - 70 Suppl 3 IP - Suppl 3 DP - 2018 Dec TI - Tumor necrosis factor-alpha -308G/A gene polymorphism and novel biomarker profiles in patients with Takayasu arteritis. PG - S167-S172 LID - S0019-4832(18)30324-9 [pii] LID - 10.1016/j.ihj.2018.09.004 [doi] AB - BACKGROUND: Takayasu arteritis (TA) is an idiopathic chronic inflammatory disease of the aorta and its branches, leading to stenosis, occlusion, and aneurysmal dilatation. Tumor necrosis factor-alpha (TNF-alpha) is a cytokine with pleomorphic actions and plays a pivotal role in inflammation; the serum level of TNF-alpha is genetically determined. However, the literature lacks adequate information on the association of TNF-alpha polymorphisms with TA. Hence, the present study investigates the contribution of TNF-alpha polymorphism toward the complex etiology of TA. METHODS: A cross-sectional study was performed in 87 patients with TA and 90 controls. A promoter region polymorphism of TNF-alpha, rs1800629 G/A, or -308G/A was genotyped in all the study subjects followed by a case-control association study. Furthermore, to understand the biomarker profile, levels of specific markers such as erythrocyte sedimentation rate, serum high-sensitivity C-reactive protein, interleukin-18, interleukin-6, and TNF-alpha were measured in all the study subjects. RESULTS: All the inflammatory markers were significantly higher in the TA patients than in the controls. The genetic study (available for 57 TA patients and 36 controls) revealed that the TNF-alpha -308A allele was overrepresented in the TA patients (12% vs 7%). The TNF-alpha -308A allele correlated with the increased TNF-alpha levels, but it could not attain significance because of a small sample size. CONCLUSION: The TNF-alpha -308G/A polymorphism is associated with TNF-alpha levels in Indian population, which might have implications for clinical risk stratification and treatment. The different TNF-alpha gene promoter polymorphism might contribute to the molecular pathogenesis of TA. However, further study of the underlying mechanism is warranted. CI - Copyright (c) 2018 Cardiological Society of India. Published by Elsevier B.V. All rights reserved. FAU - Sarkar, Prattay Guha AU - Sarkar PG AD - GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India; Safdarjung Hospital and VMM College, India; Institute of Genomics and Integrative Biology, India. FAU - Gupta, Mohit Dayal AU - Gupta MD AD - GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India; Safdarjung Hospital and VMM College, India; Institute of Genomics and Integrative Biology, India. Electronic address: drmohitgupta@yahoo.com. FAU - Girish, M P AU - Girish MP AD - GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India; Safdarjung Hospital and VMM College, India; Institute of Genomics and Integrative Biology, India. FAU - Bansal, Ankit AU - Bansal A AD - GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India; Safdarjung Hospital and VMM College, India; Institute of Genomics and Integrative Biology, India. FAU - Kohli, Samantha AU - Kohli S AD - GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India; Safdarjung Hospital and VMM College, India; Institute of Genomics and Integrative Biology, India. FAU - Saijpaul, Rajni AU - Saijpaul R AD - GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India; Safdarjung Hospital and VMM College, India; Institute of Genomics and Integrative Biology, India. FAU - Tyagi, Sanjay AU - Tyagi S AD - GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India; Safdarjung Hospital and VMM College, India; Institute of Genomics and Integrative Biology, India. FAU - Pasha, Qadar AU - Pasha Q AD - GB Pant Institute of Post Graduate Medical Education and Research, New Delhi, India; Safdarjung Hospital and VMM College, India; Institute of Genomics and Integrative Biology, India. LA - eng PT - Journal Article DEP - 20181010 PL - India TA - Indian Heart J JT - Indian heart journal JID - 0374675 RN - 0 (Biomarkers) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-49-2 (DNA) SB - IM MH - Adolescent MH - Adult MH - Alleles MH - Biomarkers/metabolism MH - Child MH - Cross-Sectional Studies MH - DNA/*genetics MH - Female MH - *Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - *Polymorphism, Single Nucleotide MH - Takayasu Arteritis/*genetics/metabolism MH - Tumor Necrosis Factor-alpha/*genetics/metabolism MH - Young Adult PMC - PMC6310777 OTO - NOTNLM OT - Biomarkers OT - Gene polymorphism OT - Takayasu arteritis OT - Tumor necrosis factor-alpha EDAT- 2019/01/01 06:00 MHDA- 2019/02/07 06:00 PMCR- 2019/12/01 CRDT- 2019/01/01 06:00 PHST- 2018/05/17 00:00 [received] PHST- 2018/09/12 00:00 [revised] PHST- 2018/09/20 00:00 [accepted] PHST- 2019/01/01 06:00 [entrez] PHST- 2019/01/01 06:00 [pubmed] PHST- 2019/02/07 06:00 [medline] PHST- 2019/12/01 00:00 [pmc-release] AID - S0019-4832(18)30324-9 [pii] AID - 10.1016/j.ihj.2018.09.004 [doi] PST - ppublish SO - Indian Heart J. 2018 Dec;70 Suppl 3(Suppl 3):S167-S172. doi: 10.1016/j.ihj.2018.09.004. Epub 2018 Oct 10.