The polymorphism -863C/A in tumour necrosis factor-α gene contributes an independent association to gout

S. J. Chang*, P. C. Tsai, C. J. Chen, H. M. Lai, Y. C. Ko

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

26 Scopus citations

Abstract

Objective. To investigate the associations between polymorphisms in the promoter of the tumour necrosis factor-α (TNF-α) gene and gout. Methods. The polymorphisms -308G/A and -863C/A in the TNF-α gene were determined in 106 gout patients and 159 healthy controls among male Taiwanese using the Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP) method. The biochemical markers, including Glutamic-oxaloacetic transaminase (GOT), Glutamic-pyruvic transaminase (GPT), uric acid, creatinine, total cholesterol (TC), triglycerides (TG), body mass index (BMI) and hypertension, as well as alcohol consumption were measured. Results. The gout patients had 9.43%(10/106) with genotype AA at polymorphism -863C/A showing a significantly higher fraction than controls (0.63% 1/159, P < 0.001). The crude results also showed that the gout patients had significantly higher portions of abnormal GOT, GPT, creatinine, TC, TG, alcohol consumption, hypertension and hyperuricaemia than controls (P < 0.05), but the -308G/A, BMI and genotype CA at -863C/A did not show the same significant difference (P < 0.05). After adjustment by a stepwise logistic regression method, the hyperuricaemia, creatinine, GPT, TG and alcohol consumption as well as genotype AA at polymorphism -863C/A were found to be significantly associated with gout. Conclusion. The genotype AA at polymorphism -863C/A in a recessive model showed a significant association with developing gout independent of hyperuricaemia, abnormal creatinine, higher TG, GPT and alcohol consumption.

Original languageEnglish
Pages (from-to)1662-1666
Number of pages5
JournalRheumatology (United Kingdom)
Volume46
Issue number11
DOIs
StatePublished - 11 2007
Externally publishedYes

Keywords

  • Creatinine
  • Gout
  • Hyperuricaemia
  • Tumour necrosis factor

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