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10.1371/journal.pone.0194693

http://scihub22266oqcxt.onion/10.1371/journal.pone.0194693
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suck abstract from ncbi


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pmid29579081
      PLoS+One 2018 ; 13 (3 ): e0194693
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  • Genetics in TNF-TNFR pathway: A complex network causing spondyloarthritis and conditioning response to anti-TNF? therapy #MMPMID29579081
  • Aita A ; Basso D ; Ramonda R ; Moz S ; Lorenzin M ; Navaglia F ; Zambon CF ; Padoan A ; Plebani M ; Punzi L
  • PLoS One 2018[]; 13 (3 ): e0194693 PMID29579081 show ga
  • OBJECTIVES: We investigated whether polymorphisms (SNPs) in the promoter region of TNFA, or in the autoinflammatory TNFRSF1A and MEFV genes, concur with HLA-B27 in enhancing the risk of Spondyloarthritis (SpA) and/or in predicting the response to anti-TNF? treatment. METHODS: 373 controls and 137 SpA (82 with Psoriatic Arthritis-PsA and 55 with Ankylosing Spondylitis- AS; 98/137 under TNF? inhibitor therapy) from the Veneto Region (Italy) were studied. TNFA polymorphisms (-1031T>C;-857C>T;-376G>A;-308G>A;-238G>A) and HLA-B27 were assayed by RT-PCR. Direct sequencing of MEFV (exons 2,3,5 and 10) and TNFRSF1A (exons 2,3,4 and 6) genes were performed. RESULTS: HLA-B27 was associated with AS (?2 = 120.1; p = 0.000). Only the TNFA -1031T>C was singly associated with SpA, and the haplotype C/G, resulting from -1031T>C/-308G>A combination, was significantly associated with a reduced risk of SpA (OR: 0.67, CI: 0.46-0.97; p = 0.035). Two SNPs were identified in TNFRSF1A, the R92Q (Minor allele frequency-MAF = 0.034) and c.625+10A>G (MAF = 0.479). None of them was associated with SpA (p>0.05). The TNFRSF1A c.625+10 G allele was associated with late response to anti-TNF? therapy (p = 0.031). Twenty-one SNPs were identified in MEFV gene, 10 with a known potential functional significance. Variant alleles were extremely rare in our population (MAF<0.025) except for R202Q (MAF = 0.27). None was associated with SpA diagnosis (p>0.05). CONCLUSION: TNFRSF1A and MEFV gene SNPs are not associated with SpA in the North-East of Italy. AS risk appears to depend not only on HLA-B27, but also on the protective TNFA haplotype -1031C/-308G. The TNFRSF1A c.625+10A>G impacts on the response to anti-TNF? therapy.
  • |Adult [MESH]
  • |Alleles [MESH]
  • |Antibodies, Monoclonal/*therapeutic use [MESH]
  • |Arthritis, Psoriatic/drug therapy [MESH]
  • |Biomarkers/analysis [MESH]
  • |Female [MESH]
  • |HLA-B27 Antigen/genetics/metabolism [MESH]
  • |Haplotypes [MESH]
  • |Humans [MESH]
  • |Italy [MESH]
  • |Logistic Models [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Odds Ratio [MESH]
  • |Polymorphism, Single Nucleotide [MESH]
  • |Promoter Regions, Genetic [MESH]
  • |Pyrin/genetics [MESH]
  • |Receptors, Tumor Necrosis Factor, Type I/genetics [MESH]
  • |Spondylitis, Ankylosing/*drug therapy/genetics [MESH]
  • |Tumor Necrosis Factor-alpha/*genetics/immunology [MESH]


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