Abstract OBJECTIVE: To study the relationship of tumor necrosis factor-alpha (TNF-α)-308G/A gene polymorphisms with Henoch-Sch-nlein purpura nephritis (HSPN) in children. METHODS: Using the direct DNA sequencing method, polymorphisms in the TNF-α promoter region (-308) were genotyped in 110 Han children with Henoch-Sch-nlein purpura (HSP group), including 52 children with nephritis and 58 children without nephritis. Plasma TNF-α levels were measured using ELISA. Ninety ethnically matched healthy children were used as the control group. RESULTS: There were no significant differences in the polymorphisms of TNF-α (-308G/A) between the HSP and control groups (P>0.05). The GA genotype (29% vs 10%) and A allele frequency (18% vs 7%) in HSP children with nephritis (HSPN) were more common than in those without nephritis (P<0.05). Plasma TNF-α levels in HSPN children with GA+AA genotype (7.1±2.3 pg/mL) were significantly higher than those with GG genotype (5.7±1.5 pg/mL) (P<0.05). CONCLUSIONS: TNF-α-308GA genotype and A allele may contribute to the increased risk for the development of nephritis in children with HSP.
WANG Jian-Jun,SHI Yan-Ping,HUANG Yue et al. Association of tumor necrosis factor-alpha gene polymorphisms with Henoch-Sch-nlein purpura nephritis in children[J]. CJCP, 2013, 15(2): 88-90.
WANG Jian-Jun,SHI Yan-Ping,HUANG Yue et al. Association of tumor necrosis factor-alpha gene polymorphisms with Henoch-Sch-nlein purpura nephritis in children[J]. CJCP, 2013, 15(2): 88-90.
[2]Touma Z, Farra C, Hamda A, Shamseddeen W, Uthman I, Hourani H, et al. TNF polymorphisms in patients with Behcet disease: a meta-analysis[J]. Arch Med Res, 2010, 41(2): 142-146.
[3]Farid TM, Abd EI Baky AM, Khalefa ES, Talaat AA, Mohamed AA, Gheita TA, et al. Association of tumor necrosis factor-alpha gene polymorphisms with juvenile systemic lupus erythematosus nephritis in a cohort of egyptian patients[J]. Iran J Kidney Dis, 2011, 5(6): 392-397.
[4]Lin YJ, Chen RH, Wan L, Sheu JC, Huang CM, Lin CW, et al. Association of TNF-alpha gene polymorphisms with systemic lupus erythematosus in Taiwanese patients[J]. Lupus, 2009, 18(11): 974-979.
[5]Mills JA, Michel BA, Bloch DA, Calabrese LH, Hunder GG, Arend WP, et al. The American College of Rheumatology 1990 criteria for the classification of Henoch-Sch-nlein purpura[J]. Arthritis Rheum, 1990, 33(8): 1114-1121.
[7]Cuenca J, Pérez CA, Aguirre AJ, Schiattino I, Aguillón JC. Genetic polymorphism at position-308 in the promoter region of the tumor necrosis factor (TNF): implications of its allelic distribution on susceptibility or resistance to diseases in the Chilean population[J]. Biol Res, 2001, 34(3-4): 237-241.
[8]Kroeger KM, Carville KS, Abraham LJ. The -308 tumor necrosis factor-alpha promoter polymorphism effects transcription[J]. Mol Immunol, 1997, 34(5): 391-399.