Single nucleotide polymorphisms in cytokine/chemokine genes are associated with severe infection, ulcer grade and amputation in diabetic foot ulcer
| Autor: | Umapathy Dhamodharan, Vivekanandhan Aravindhan, Rama Rajaram, Vijay Viswanathan, Valarmathi Srinivasan |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Genotype medicine.medical_treatment 030209 endocrinology & metabolism Single-nucleotide polymorphism 030204 cardiovascular system & hematology Polymorphism Single Nucleotide Biochemistry Gastroenterology Amputation Surgical 03 medical and health sciences 0302 clinical medicine Structural Biology Internal medicine medicine Humans Interleukin 6 Molecular Biology Adiponectin biology business.industry Interleukin General Medicine medicine.disease Diabetic foot Diabetic Foot Diabetic foot ulcer Cytokine Amputation biology.protein Female Chemokines business |
| Zdroj: | International Journal of Biological Macromolecules. 118:1995-2000 |
| ISSN: | 0141-8130 |
| DOI: | 10.1016/j.ijbiomac.2018.07.083 |
| Popis: | Compared to other complications the genetics of diabetic foot ulcer is poorly studied. The Interleukin (IL)-6 (-174G > C/rs1800795), Tumor Necrosis Factor (TNF)-α (-308G > A/rs1800629) and (-238G > A/rs361525) and Stromal cell Derived Factor (SDF)-1 (+801G > A/rs1801157) are well characterized single nucleotide polymorphisms (SNPs) which were previously shown to be associated with Diabetic Foot Ulcer (DFU). In the present study, we looked at the association of these SNPs with foot microbial infection, Wagner's ulcer grade and treatment procedure, along with serum levels of these cytokines (intermediate phenotype) and other serum biomarkers (adiponectin, leptin, CRP and HOMA-IR) in subjects with DFU. Subjects with DFU (n = 270) were genotyped by PCR-RFLP and the serum levels of IL-6, TNF-α and SDF-1 were determined by ELISA. Microbial infections were determined by standard microbiological methods. Ulcer grade and treatment procedures were recorded. IL-6 (-174G > C), TNF-α (-308G > A) and SDF-1 (+801G > A) SNPs were associated with severe microbial infections. TNF-α (-308G > A) and (-238G > A) SNPs were associated with severe ulcer grades. SDF-1 (+801G > A) SNP was associated with major amputation even after adjusting for confounding variables. Identification of these SNPs in DFU subjects would help in identifying high risk individuals who need better treatment care. |
| Databáze: | OpenAIRE |
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