Skip to main content
Log in

High expression of TNF alpha is associated with −308 and −238 TNF alpha polymorphisms in knee osteoarthritis

  • Original Article
  • Published:
Clinical and Experimental Medicine Aims and scope Submit manuscript

Abstract

Knee osteoarthritis (OA) is a common chronic degenerative disease characterized by the loss of articular cartilage components due to an imbalance between extracellular matrix destruction and repair. The proinflammatory cytokines involved in OA, TNFα and IL1β, are considered the major implicated. The aim of this study was to investigate the relationship between TNFα −308 and −238 polymorphisms with messenger RNA (mRNA) and soluble TNFα expression in knee OA patients and healthy subjects (HS). Case–control study involved 50 knee OA patients classified according to 1986 ACR Classification Criteria, as well as 100 HS. The Western Ontario and McMaster Universities Osteoarthritis Index and Lequesne disability index were applied to OA patients. The −308 and −238 polymorphisms were determined by polymerase chain reaction–restriction fragment length polymorphism technique. The TNFα mRNA expression was quantified by real-time PCR using TaqMan method. The sTNFα levels were measured by enzyme-linked immunosorbent assay. The TNFα mRNA expression in knee OA patients was higher than in HS (1.56-fold). In addition, the TNFα mRNA expression was higher in carriers of G allele in the knee OA group for both polymorphisms. The sTNFα levels were increased in G/G versus G/A genotypes in both studied polymorphisms (p < 0.05). However, the TNFα −308 and −238 genotypes did not show statistical differences between groups. The G allele of TNFα −308 and −238 polymorphisms is associated with high mRNA and soluble expression in knee OA patients. However, it is not a marker of susceptibility in Western Mexico. Further studies are necessary to confirm these findings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Orita S, Koshi T, Mitsuka T, Miyagi M, Inoue G, Arai G, Ishikawa T, Hanaoka E, Yamashita K, Yamashita M, Eguchi Y, Toyone T, Takahashi K, Ohtori S (2011) Associations between proinflammatory cytokines in the synovial fluid and radiographic grading and pain-related scores in 47 consecutive patients with osteoarthritis of the knee. BMC Musculoskelet Disord 12(1):144

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  2. Kapoor M, Martel-Pelletier J, Lajeunesse D, Pelletier JP, Fahmi H (2011) Role of proinflammatory cytokines in the pathophysiology of osteoarthritis. Nat Rev Rheumatol 7(1):33–42

    CAS  PubMed  Google Scholar 

  3. Pociot F, Briant L, Jongeneel CV, Mölvig J, Worsaae H, Abbal M, Thomsen M, Nerup J, Cambon-Thomsen A (1993) Association of tumor necrosis factor (TNF) and class II major histocompatibility complex alleles with the secretion of TNF-alpha and TNF-beta by human mononuclear cells: a possible link to insulin-dependent diabetes mellitus. Eur J Immunol 23:224–231

    Article  CAS  PubMed  Google Scholar 

  4. Turner DM, Grant SC, Lamb WR, Brenchley PE, Dyer PA, Sinnott PJ, Hutchinson IV (1995) A genetic marker of high TNF-alpha production in heart transplant recipients. Transplantation 60:1113–1117

    Article  CAS  PubMed  Google Scholar 

  5. Wilson AG, Symons JA, Mcdowell TL, McDevitt HO, Duff GW (1997) Effects of a polymorphism in the human tumor necrosis factor alpha promoter on transcriptional activation. Proc Natl Acad Sci USA 94(7):3195–3199

    Article  CAS  PubMed  Google Scholar 

  6. Uglialoro AM, Turbay D, Pesavento PA, Delgado JC, McKenzie FE, Gribben JG, Hartl D, Yunis EJ, Goldfeld AE (1998) Identification of three new single nucleotide polymorphisms in the human tumor necrosis factor-alpha gene promoter. Tissue Antigens 52:359–367

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Helmig S, Aliahmadi N, Stephan P, Döhrel J, Schneider J (2011) TNF-α −308 genotypes are associated with TNF-α and TGF-β1 mRNA expression in blood leucocytes of humans. Cytokine 53(3):306–310

    Article  CAS  PubMed  Google Scholar 

  8. Bellamy N, Buchanan WW, Goldsmith CH (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15:1833–1840

    CAS  PubMed  Google Scholar 

  9. Lequesne MG, Mery C, Samson M, Gerard P (1987) Indexes of severity for osteoarthritis of the hip and knee. Validation—value in comparison with other assessment test. Scand J Rheumatol 65:85–89

    Article  CAS  Google Scholar 

  10. Gorodezky C, Alaez C, Vázquez-García MN, de la Rosa G, Infante E, Balladares S, Toribio R, Pérez-Luque E, Muñoz L (2001) The genetic structure of Mexican Mestizos of different locations: tracking back their origins through MHC genes, blood groups systems, and microsatellites. Hum Immunol 62:979–991

    Article  CAS  PubMed  Google Scholar 

  11. Miller SA, Dykes DD, Polesky HF (1988) A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res 16:1215

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Verity DH, Wallace GR, Vaughan RW, Kondeatis E, Madanat W, Zureikat H, Fayyad F, Marr JE, Kanawati CA, Stanford MR (1999) HLA and tumour necrosis factor (TNF) polymorphisms in ocular Behcet’s disease. Tissue Antigens 54:264–272

    Article  CAS  PubMed  Google Scholar 

  13. Fargion S, Valenti L, Dongiovanni P, Scaccabarozzi A, Fracanzani AL, Taioli E, Mattioli M, Sampietro M, Fiorelli G (2001) Tumor necrosis factor alpha promoter polymorphisms influence the phenotypic expression of hereditary hemochromatosis. Blood 97:3707–3712

    Article  CAS  PubMed  Google Scholar 

  14. Oregón-Romero E, Vázquez-Del Mercado M, Ruiz-Quezada SL, Navarro-Hernández RE, Rangel-Villalobos H, Martínez-Bonilla G, Bernard-Medina AG, Armendáriz-Borunda J, García-Bañuelos J, Muñoz-Valle JF (2008) Tumor necrosis factor α −308 and −238 polymorphism in rheumatoid arthritis: association with messenger RNA expression and sTNF-α. J Investig Med 56(7):937–943

    PubMed  Google Scholar 

  15. Chomiczyki P, Sacchi N (1987) Single step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Annal Biochem 162:156–159

    Article  Google Scholar 

  16. Moos V, Rudwaleit M, Herzog V, Höhlig K, Sieper J, Müller B (2000) Association of genotypes affecting the expression of interleukin-1beta or interleukin-1 receptor antagonist with osteoarthritis. Arthritis Rheum 43(11):2417–2422

    Article  CAS  PubMed  Google Scholar 

  17. de Maat MP, Bladbjerg EM, Hjelmborg JB, Bathum L, Jespersen J, Christensen K (2004) Genetic influence on inflammation variables in the elderly. Arterioscler Thromb Vasc Biol 24(11):2168–2173

    Article  PubMed  Google Scholar 

  18. Rodríguez-Carreón AA, Zúñiga J, Hernández-Pacheco G, Rodríguez-Pérez JM, Pérez-Hernández N, Montes de Oca JV, Cardiel MH, Granados J, Vargas-Alarcón G (2005) Tumor necrosis factor-alpha −308 promoter polymorphism contributes independently to HLA alleles in the severity of rheumatoid arthritis in Mexicans. J Autoimmun 24(1):63–68

    Article  PubMed  Google Scholar 

  19. Berdeli A, Tabel Y, Celik HA, Ozyürek R, Dogrusoz B, Aydin HH (2006) Lack of association between TNFalpha gene polymorphism at position −308 and risk of acute rheumatic fever in Turkish patients. Scand J Rheumatol 35(1):44–47

    Article  CAS  PubMed  Google Scholar 

  20. Merza M, Farnia P, Anoosheh S, Varahram M, Kazampour M, Pajand O, Saeif S, Mirsaeidi M, Masjedi MR, Velayati AA, Hoffner S (2009) The NRAMPI, VDR and TNF-alpha gene polymorphisms in Iranian tuberculosis patients: the study on host susceptibility. Braz J Infect Dis 13(4):252–256

    Article  CAS  PubMed  Google Scholar 

  21. Liu C, Wang J, Zhou S, Wang B, Ma X (2010) Association between −238 but not −308 polymorphism of Tumor necrosis factor alpha (TNF-alpha)v and unexplained recurrent spontaneous abortion (URSA) in Chinese population. Reprod Biol Endocrinol 8:114

    Article  PubMed Central  PubMed  Google Scholar 

  22. Sezgin M, Barlas IO, Ankarali HC, Altintaş ZM, Türkmen E, Gökdoğan T, Sahin G, Erdal ME (2008) Tumour necrosis factor alpha −308G/A gene polymorphism: lack of association with knee osteoarthritis in a Turkish population. Clin Exp Rheumatol 26(5):763–768

    CAS  PubMed  Google Scholar 

  23. Haddy N, Sass C, Maumus S, Marie B, Droesch S, Siest G, Lambert D, Visvikis S (2005) Biological variations, genetic polymorphism and familial resemblance of TNF-α and IL-6 concentrations: STANISLAS cohort. Eur J Hum Genet 13:109–117

    Article  CAS  PubMed  Google Scholar 

  24. Orita S, Ishikawa T, Miyagi M, Ochiai N, Inoue G, Eguchi Y, Kamoda H, Arai G, Suzuki M, Sakuma Y, Oikawa Y, Toyone T, Aoki Y, Takahashi K, Ohtori S (2012) Percutaneously absorbed NSAIDs attenuate local production of proinflammatory cytokines and suppress the expression of c-Fos in the spinal cord of a rodent model of knee osteoarthritis. J Orthop Sci 17(1):77–86

    CAS  PubMed  Google Scholar 

  25. Lee YH, Ji JD, Bae SC, Song GG (2010) Associations between tumor necrosis factor-alpha (TNF-alpha) −308 and −238 G/A polymorphisms and shared epitope status and responsiveness to TNF-alpha blockers in rheumatoid arthritis: a metaanalysis update. J Rheumatol 37(4):740–746

    Article  CAS  PubMed  Google Scholar 

  26. Ozen S, Alikasifoglu M, Bakkaloglu A, Duzova A, Jarosova K, Nemcova D, Besbas N, Vencovsky J, Tuncbilek E (2002) Tumour necrosis factor alpha G → A −238 and G → A −308 polymorphisms in juvenile idiopathic arthritis. Rheumatology (Oxford) 41(2):223–227

    Article  CAS  Google Scholar 

  27. Sousa E, Caetano-Lopes J, Pint P, Pimentel F, Teles J, Canhão H, Rodrigues A, Resende C, Mourão AF, Ribeiro C, Pinto TL, Rosa CM, da Silva JA, Branco J, Ventura F, Queiroz MV, Fonseca JE (2009) Ankylosing spondylitis susceptibility and severity–contribution of TNF gene promoter polymorphisms at positions −238 and −308. Ann N Y Acad Sci 1173:581–588

    Article  CAS  PubMed  Google Scholar 

  28. Pan HF, Leng RX, Wang C, Qin WZ, Chen LL, Zha ZQ, Tao JH, Ye DQ (2011) Association of TNF-α promoter −308 A/G polymorphism with susceptibility to systemic lupus erythematosus: a meta-analysis. Rheumatol Int. doi:10.1007/s00296-011-1924-9

    Google Scholar 

  29. Lisker R, Ramírez E, González-Villalpando C, Stern MP (1995) Racial admixture in a mestizo population from Mexico City. Am J Hum Biol 7(2):213–216

    Article  Google Scholar 

  30. Rangel-Villalobos H, Muñoz-Valle JF, González-Martín A, Gorostiza A, Magaña MT, Páez-Riberos LA (2008) Genetic admixture, relatedness, and structure patterns among Mexican populations revealed by the Y-chromosome. Am J Phys Anthropol 135(4):448–461

    Article  CAS  PubMed  Google Scholar 

  31. Vignon E, Balblanc JC, Mathieu P, Louisot P, Richard M (1993) Metalloprotease activity, phospholipase A2 activity and cytokine concentration in osteoarthritis synovial fluids. Osteoarthr Cartil 1(2):115–120

    CAS  PubMed  Google Scholar 

  32. Smith MD, Triantafillou S, Parker A, Youssef PP, Coleman M (1997) Synovial membrane inflammation and cytokine production in patients with early osteoarthritis. J Rheumatol 24(2):365–371

    CAS  PubMed  Google Scholar 

  33. Lefebvre V, Peeters-Joris C, Vaes G (1990) Modulation by interleukin 1 and tumor necrosis factor alpha of production of collagenase, tissue inhibitor of metalloproteinases and collagen types in differentiated and dedifferentiated articular chondrocytes. Biochim Biophys Acta 1052(3):366–378

    Article  CAS  PubMed  Google Scholar 

  34. Reboul P, Pelletier JP, Tardif G, Cloutier JM, Martel-Pelletier J (1996) The new collagenase, collagenase-3, is expressed and synthesized by human chondrocytes but not by synoviocytes. A role in osteoarthritis. J Clin Invest 97(9):2011–2019

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  35. Westacott CI, Barakat AF, Wood L, Perry MJ, Neison P, Bisbinas I, Armstrong L, Millar AB, Elson CJ (2000) Tumor necrosis factor alpha can contribute to focal loss of cartilage in osteoarthritis. Osteoarthr Cartil 8(3):213–221

    Article  CAS  PubMed  Google Scholar 

  36. Stannus O, Jones G, Cicuttini F, Parameswaran V, Quinn S, Burgess J, Ding C (2010) Circulating levels of IL-6 and TNF-α are associated with knee radiographic osteoarthritis and knee cartilage loss in older adults. Osteoarthr Cartil 18(11):1441–1447

    Article  CAS  PubMed  Google Scholar 

  37. Orita S, Koshi T, Mitsuka T, Miyagi M, Inoue G, Arai G, Ishikawa T, Hanaoka E, Yamashita K, Yamashita M, Eguchi Y, Toyone T, Takahashi K, Ohtori S (2011) Associations between proinflammatory cytokines in the synovial fluid and radiographic grading and pain-related scores in 47 consecutive patients with osteoarthritis of the knee. BMC Musculskelet Disord 12:144

    Article  CAS  Google Scholar 

Download references

Acknowledgments

This work was supported by Grant No. 69235 to JFMV of the CONACYT (Fondo Sectorial Secretaría de Salud-IMSS-ISSSTE CONACYT, México-Universidad de Guadalajara) and Grant No. 147778 of the Fondo Mixto CONACYT-Gobierno del Estado de Guerrero 2010-01.

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to José Francisco Muñoz-Valle.

Additional information

José Francisco Muñoz-Valle and Edith Oregón-Romero contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Muñoz-Valle, J.F., Oregón-Romero, E., Rangel-Villalobos, H. et al. High expression of TNF alpha is associated with −308 and −238 TNF alpha polymorphisms in knee osteoarthritis. Clin Exp Med 14, 61–67 (2014). https://doi.org/10.1007/s10238-012-0216-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10238-012-0216-3

Keywords

Navigation