Genetic risk factors for infection in patients with early rheumatoid arthritis
| Autor: | Laura B. Hughes, Lindsey A. Criswell, Michael F. Seldin, Larry W. Moreland, Jeffrey C. Edberg, Robert P. Kimberly, S. L. Bridges, T. M. Beasley |
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| Rok vydání: | 2004 |
| Předmět: |
Male
Genotype medicine.medical_treatment Immunology Single-nucleotide polymorphism FCGR2A Biology Polymorphism Single Nucleotide Receptors Tumor Necrosis Factor Etanercept Arthritis Rheumatoid Risk Factors Genetics medicine Humans Genetic Predisposition to Disease Prospective Studies Lymphotoxin-alpha Genetics (clinical) Aged Tumor Necrosis Factor-alpha Receptors IgG Age Factors FCGR3A Odds ratio Middle Aged medicine.disease TNF inhibitor Methotrexate Rheumatoid arthritis Immunoglobulin G Urinary Tract Infections Female medicine.drug |
| Zdroj: | Genes and immunity. 5(8) |
| ISSN: | 1466-4879 |
| Popis: | We analyzed clinical and genetic factors contributing to infections in 457 subjects with early rheumatoid arthritis (RA) enrolled in a prospective, 1-year clinical trial of methotrexate and the TNF inhibitor etanercept. Subjects were genotyped for the following single nucleotide polymorphisms (SNPs): (TNF -308, -238, and + 488); lymphotoxin-alpha (LTA) (LTA + 249, + 365, and + 720); and Fc gamma receptors FCGR2A 131 H/R; FCGR3A 176 F/V; and FCGR3B NA 1/2 and genotypes were correlated with infections. At least one URI was noted in 52% of subjects (99/191) with the NA2/NA2 genotype of the neutrophil-specific FCGR3B gene, compared to 42% (77/181) of those with the NA1/NA2 genotype and 39% (23/59) of those with the NA1/NA1 genotype (P = 0.038). Urinary tract infection (UTI) was associated with the TNF -238 A (odds ratio(OR) 2.56, 95% confidence interval (CI) 1.05-6.25) and LTA +365 C (OR 1.73, 95% CI 1.07-2.79) alleles, and marginally with the FCGR3A F allele (OR 1.72, 95% CI 0.99-3.00). There was a striking linear correlation between UTI and the number of risk alleles defined by these three SNPs (P0.001), suggesting an additive effect on susceptibility. These findings have important implications for the role of genetics in susceptibility to bacterial and viral infections. |
| Databáze: | OpenAIRE |
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