Single nucleotide polymorphisms of cytokine-related genes and association with clinical outcome in a Chagas disease case-control study from Brazil
Mem. Inst. Oswaldo Cruz
; 113(6): e170489, 2018. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-894934
Biblioteca responsable:
BR1.1
ABSTRACT
BACKGROUND The severity of chronic chagasic cardiomyopathy (CCC), the most frequent clinical outcome of Chagas disease (CD), has been associated with cytokine-enriched heart tissue inflammation, and high serum levels of transforming growth factor (TGFβ), interferon-gamma (IFNγ), and tumour necrosis factor (TNF). Conversely, increased interleukin (IL)-10 serum concentrations have been associated with asymptomatic CD. Cytokines and cytokine-related gene polymorphisms may control cytokine expression and have been proposed to contribute to CCC outcomes. OBJECTIVES We evaluated the association of 13 cytokine-related genes (TGFB rs8179181, rs8105161, rs1800469; IL10 rs1800890, rs1800871, rs1800896; IFNG rs2430561; TNF rs1800629; BAT1 rs3853601; LTA rs909253, rs2239704; TNFR1 rs767455; TNFR2 rs1061624) with risk and progression of CCC. FINDINGS Four hundred and six seropositive patients from CD endemic areas in the state of Pernambuco, north-eastern Brazil, were classified as non-cardiopathic (A, 110) or cardiopathic (mild, B1, 163; severe, C, 133). We found no evidence of TGFB, IL10, TNF, or TNFR1/2 gene polymorphisms associated with CCC risk or progression. Only BAT1 rs3853601 −22G carriers (B1 vs. C OR = 0.5; p-value = 0.03) and IFNG rs2430561 +874AT (A vs. C OR = 0.7; p-value = 0.03; A vs. B1+C OR = 0.8; p-value = 0.02) showed a significant association with protection from cardiopathy in a logistic regression analysis with adjustment for gender and ethnicity; however, the association disappeared after performing adjustment for multiple testing. A systematic review of TNF rs1800629 −308G>A publications included five studies for meta-analysis (534 CCC and 472 asymptomatic patients) and showed no consensus in pooled odds ratio (OR) estimates for A allele or A carriers (OR = 1.4 and 1.5; p-values = 0.14 and 0.15, respectively). In CD patients, TNF serum levels were increased, but not affected by the TNF rs1800629 −308A allele. MAIN CONCLUSIONS Our data suggest no significant contribution of the analysed gene variants of cytokine-related molecules to development/severity of Chagas' heart disease, reinforcing the idea that parasite/host interplay is critical to CD outcomes.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
/
Enfermedades Desatendidas
Problema de salud:
Objetivo 9: Enfermedades no transmisibles y salud mental
/
Meta 3.3: Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles
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Meta 3.4: Reducir las muertes prematuras por enfermedades no transmisibles
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Enfermedad de Chagas
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Enfermedades Desatendidas
Base de datos:
LILACS
Asunto principal:
Estudios de Casos y Controles
/
Cardiomiopatía Chagásica
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Citocinas
/
Predisposición Genética a la Enfermedad
Tipo de estudio:
Estudio observacional
/
Factores de riesgo
Límite:
Humanos
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Mem. Inst. Oswaldo Cruz
Asunto de la revista:
Medicina Tropical
/
Parasitología
Año:
2018
Tipo del documento:
Artículo
/
Documento de proyecto
País de afiliación:
Brasil
Institución/País de afiliación:
Fundação Oswaldo Cruz-Fiocruz/BR