PMID- 38041410 OWN - NLM STAT- MEDLINE DCOM- 20240319 LR - 20240320 IS - 1097-0096 (Electronic) IS - 0091-2751 (Linking) VI - 52 IP - 3 DP - 2024 Mar-Apr TI - Association of the TNF-alpha-308G>A gene polymorphism with left ventricular geometry and functional abnormalities in obstructive sleep apnea subjects. PG - 241-248 LID - 10.1002/jcu.23624 [doi] AB - OBJECTIVE: Tumor necrosis factor-alpha (TNF-alpha) can induce left ventricular remodeling. In this study, we investigated whether the TNF-alpha-308G>A polymorphism is associated with left ventricular geometry (LVG) and left ventricular functional abnormalities in obstructive sleep apnea (OSA) subjects. METHODS: Two hundred and seventy-eight subjects were enrolled. Echocardiography and genetic data were assessed in all patients. Geometric patterns of the left ventricle were determined from the relative wall thickness and left ventricular mass index (LVMI). Genetic analysis for the TNF-alpha-308G>A SNP rs1800629 was identified by Sanger sequencing. The correlations of the TNF-alpha-308G>A polymorphism with LVG and left ventricular function were analyzed by difference analysis and logistic regression. RESULTS: The chi-square test showed that there were differences in genotype distributions among the four groups (p = 0.033), such that the frequency of GA+AA genotypes was significantly higher in the concentric hypertrophy group than in the normal geometry group (p < 0.05). Independent sample T tests showed that the GA+AA genotypes had higher IVST, LVPWT, LVMI, E/e' values, and lower e' values than those of the GG genotype (p < 0.05). Logistic regression analysis showed that the TNF-alpha-308G>A polymorphism was independently correlated with eccentric hypertrophy (OR = 2.456, p = 0.047) and concentric hypertrophy (OR = 2.456, p = 0.047). CONCLUSION: In OSA patients, the TNF-alpha-308G>A polymorphism was linked to LVG and abnormal left ventricular diastolic function, suggesting that the TNF-alpha-308G>A polymorphism may have an important influence on LVG alterations. CI - (c) 2023 Wiley Periodicals LLC. FAU - Chen, Shuqiong AU - Chen S AUID- ORCID: 0009-0006-0672-8619 AD - Department of Ultrasound, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Wang, Jian AU - Wang J AD - Department of Ultrasound, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Shui, Wen AU - Shui W AD - Department of Ultrasound, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Xing, Xueqing AU - Xing X AD - Department of Ultrasound, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Zhang, Zhenxia AU - Zhang Z AD - Department of Respiratory, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. FAU - Hou, Ran AU - Hou R AD - Department of Ultrasound, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China. LA - eng GR - 82371989/National Natural Science Foundation of China/ GR - 202204041101045/Shanxi Province Science and Technology Cooperation and Exchange Special Project/ PT - Journal Article DEP - 20231201 PL - United States TA - J Clin Ultrasound JT - Journal of clinical ultrasound : JCU JID - 0401663 RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (TNF protein, human) SB - IM MH - Humans MH - Heart Ventricles/diagnostic imaging MH - Hypertrophy, Left Ventricular MH - Polymorphism, Genetic MH - *Sleep Apnea, Obstructive/genetics/complications MH - *Tumor Necrosis Factor-alpha/genetics OTO - NOTNLM OT - echocardiography OT - gene polymorphism OT - left ventricular geometry OT - obstructive sleep apnea OT - tumor necrosis factor-alpha EDAT- 2023/12/02 06:41 MHDA- 2024/03/19 06:44 CRDT- 2023/12/02 03:38 PHST- 2023/11/18 00:00 [revised] PHST- 2023/10/08 00:00 [received] PHST- 2023/11/22 00:00 [accepted] PHST- 2024/03/19 06:44 [medline] PHST- 2023/12/02 06:41 [pubmed] PHST- 2023/12/02 03:38 [entrez] AID - 10.1002/jcu.23624 [doi] PST - ppublish SO - J Clin Ultrasound. 2024 Mar-Apr;52(3):241-248. doi: 10.1002/jcu.23624. Epub 2023 Dec 1.