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- Title
TNF and TNFR polymorphisms in severe sepsis and septic shock: a prospective multicentre study.
- Authors
Gordon, A C; Lagan, A L; Aganna, E; Cheung, L; Peters, C J; McDermott, M F; Millo, J L; Welsh, K I; Holloway, P; Hitman, G A; Piper, R D; Garrard, C S; Hinds, C J
- Abstract
Tumour necrosis factor (TNF) is an important pro-inflammatory cytokine produced in sepsis. Studies examining the association of individual TNF single nucleotide polymorphisms with sepsis have produced conflicting results. This study investigated whether common polymorphisms of the TNF locus and the two receptor genes, TNFRSF1A and TNFRSF1B, influence circulating levels of encoded proteins, and whether individual polymorphisms or extended haplotypes of these genes are associated with susceptibility, severity of illness or outcome in adult patients with severe sepsis or septic shock. A total of 213 Caucasian patients were recruited from eight intensive care units (ICU) in the UK and Australia. Plasma levels of TNF (P=0.02), sTNFRSF1A (P=0.005) and sTNFRSF1B (P=0.01) were significantly higher in those who died on ICU compared to those who survived. There was a positive correlation between increasing soluble receptor levels and organ dysfunction (increasing SOFA score) (sTNFRSF1A R=0.51, P<0.001; sTNFRSF1B R=0.53, P<0.001), and in particular with the degree of renal dysfunction. In this study, there were no significant associations between the selected candidate TNF or TNF receptor polymorphisms, or their haplotypes, and susceptibility to sepsis, illness severity or outcome. The influence of polymorphisms of the TNF locus on susceptibility to, and outcome from sepsis remains uncertain.Genes and Immunity (2004) 5, 631-640. doi:10.1038/sj.gene.6364136 Published online 4 November 2004
- Subjects
TUMOR necrosis factors; GENETIC polymorphisms; SEPSIS; CYTOKINES; SEPTIC shock
- Publication
Genes & Immunity, 2004, Vol 5, Issue 8, p631
- ISSN
1466-4879
- Publication type
Article
- DOI
10.1038/sj.gene.6364136