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</script>Polymorphisms spanning the TNFR2 and TACE genes do not contribute towards variable anti-TNF treatment response
pmid: 20300049
Polymorphisms spanning the TNFR2 and TACE genes do not contribute towards variable anti-TNF treatment response
The introduction of tumour necrosis factor antagonists (anti-TNF) has greatly improved the treatment of rheumatoid arthritis, however, a significant proportion of patients fail to respond to therapy. We hypothesized that variants spanning the type 2 TNF receptor (TNFR2) and the TNF cleavage enzyme (TACE) genes contribute towards the observed variation in patient response (defined as the absolute change in 28-joint count disease activity score). Twenty-nine single nucleotide polymorphisms (SNPs) were genotyped in a large cohort of patients (n=602) and analysed by multivariate linear regression. Three SNPs (rs520916, rs652625, rs597519) mapping upstream of TNFR2 showed borderline evidence for association (P<0.1) across the complete cohort and, more so, in the etanercept-treated subgroup. However, the evidence of association was neither replicated in an independent cohort (n=377) nor strengthened after combined analysis (n=979). We conclude that common SNPs spanning the TNFR2 and TNF cleavage enzyme (TACE) genes do not have a major effect on the response to anti-TNF therapy in rheumatoid arthritis patients.
- Newcastle University United Kingdom
- University of Salford United Kingdom
- University of Leeds United Kingdom
- University of Sheffield United Kingdom
- University of Newcastle Australia Australia
Male, TACE, Models, Genetic, TNFRSF1B, Tumor Necrosis Factor-alpha, Chromosome Mapping, Reproducibility of Results, ADAM17 Protein, Polymorphism, Single Nucleotide, Arthritis, Rheumatoid, Cohort Studies, ADAM Proteins, Gene Expression Regulation, Pharmacogenetics, Multivariate Analysis, Antitumour necrosis factor therapy response, Humans, Receptors, Tumor Necrosis Factor, Type II, Regression Analysis, Female, Polymorphism, Rheumatoid arthritis
Male, TACE, Models, Genetic, TNFRSF1B, Tumor Necrosis Factor-alpha, Chromosome Mapping, Reproducibility of Results, ADAM17 Protein, Polymorphism, Single Nucleotide, Arthritis, Rheumatoid, Cohort Studies, ADAM Proteins, Gene Expression Regulation, Pharmacogenetics, Multivariate Analysis, Antitumour necrosis factor therapy response, Humans, Receptors, Tumor Necrosis Factor, Type II, Regression Analysis, Female, Polymorphism, Rheumatoid arthritis
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