Single nucleotide polymorphisms in cytokine/chemokine genes are associated with severe infection, ulcer grade and amputation in diabetic foot ulcer.
Int J Biol Macromol
; 118(Pt B): 1995-2000, 2018 Oct 15.
Article
en En
| MEDLINE
| ID: mdl-30009916
ABSTRACT
Compared to other complications the genetics of diabetic foot ulcer is poorly studied. The Interleukin (IL)-6 (-174Gâ¯>â¯C/rs1800795), Tumor Necrosis Factor (TNF)-α (-308Gâ¯>â¯A/rs1800629) and (-238Gâ¯>â¯A/rs361525) and Stromal cell Derived Factor (SDF)-1 (+801Gâ¯>â¯A/rs1801157) are well characterized single nucleotide polymorphisms (SNPs) which were previously shown to be associated with Diabetic Foot Ulcer (DFU). In the present study, we looked at the association of these SNPs with foot microbial infection, Wagner's ulcer grade and treatment procedure, along with serum levels of these cytokines (intermediate phenotype) and other serum biomarkers (adiponectin, leptin, CRP and HOMA-IR) in subjects with DFU. Subjects with DFU (nâ¯=â¯270) were genotyped by PCR-RFLP and the serum levels of IL-6, TNF-α and SDF-1 were determined by ELISA. Microbial infections were determined by standard microbiological methods. Ulcer grade and treatment procedures were recorded. IL-6 (-174Gâ¯>â¯C), TNF-α (-308Gâ¯>â¯A) and SDF-1 (+801Gâ¯>â¯A) SNPs were associated with severe microbial infections. TNF-α (-308Gâ¯>â¯A) and (-238Gâ¯>â¯A) SNPs were associated with severe ulcer grades. SDF-1 (+801Gâ¯>â¯A) SNP was associated with major amputation even after adjusting for confounding variables. Identification of these SNPs in DFU subjects would help in identifying high risk individuals who need better treatment care.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pie Diabético
/
Quimiocinas
/
Polimorfismo de Nucleótido Simple
/
Amputación Quirúrgica
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Int J Biol Macromol
Año:
2018
Tipo del documento:
Article