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The role of TNF-α and PAI-1 gene polymorphisms in familial Mediterranean fever

  • Original Article
  • Published:
Modern Rheumatology

Abstract

Objectives

Familial Mediterranean fever (FMF) is one of the most serious inherited inflammatory disorders among Jewish, Armenian, Turkish and Arab populations. The imbalance between pro- and anti-inflammatory cytokines may play a role in its etiology. We have investigated whether tumor necrosis factor-alpha (TNF-α) and plasminogen activator inhibitor 1 (PAI-1) gene polymorphisms are associated with FMF and evaluated the relationship between these polymorphisms and genotypic manifestation of FMF.

Methods

We investigated single nucleotide polymorphisms of the TNF-α promoter at positions −308 G/A and the PAI-1 4G/5G gene polymorphism in peripheral blood leukocytes collected from 177 individuals with FMF with different genotype combinations. All of the polymorphisms of TNF-α and PAI-1 were detected by PCR and restriction fragment length polymorphism analysis.

Results

There were no association between the TNF-α/308 genotypes and mutations in FMF. In contrast, the PAI-1 4G/5G gene polymorphism may have a significant effect in FMF disease.

Conclusions

Screening with PAI-1 gene polymorphism tests may be beneficial for tracing future FMF patients. However, further investigations are needed to reach a conclusion on the association between PAI-1 polymorphisms and FMF.

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Correspondence to Munis Dundar.

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Dundar, M., Kiraz, A., Balta, B. et al. The role of TNF-α and PAI-1 gene polymorphisms in familial Mediterranean fever. Mod Rheumatol 23, 140–145 (2013). https://doi.org/10.1007/s10165-012-0687-9

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  • DOI: https://doi.org/10.1007/s10165-012-0687-9

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