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Do common genetic variants in endotoxin signaling pathway contribute to predisposition to alcoholic liver cirrhosis?
Clin. Chem. Lab. Med. 47, 398-404 (2009)
Background: Tumor necrosis factor-alpha (TNF-alpha) and interleukin-1 beta (IL-1b), produced by endotoxin-activated Kupffer cells, play a key role in the pathogenesis of alcoholic liver cirrhosis (ALC). Alleles TNFA-238A, IL1B-31T and variant IL1RN*2 of repeat polymorphism in the gene encoding the IL-1 receptor antagonist increase production of TNF-alpha and IL-1b, respectively. Alleles CD14-159T, TLR4 c.896G and TLR4 c.1196T modify activation of Kupffer cells by endotoxin. We confirmed the published associations between these common variants and genetic predisposition to ALC by means of a large case-control association study conducted on two Central European populations. Methods: The study population comprised a Czech sample of 198 ALC patients and 370 controls (MONICA project), and a German sample of 173 ALC patients and 331 controls (KORA-Augsburg), and 109 heavy drinkers without liver disease. Results: Single locus analysis revealed no significant difference between patients and controls in all tested loci. Diplotype [IL1RN*2/*2; IL1B-31T+] was associated with increased risk of ALC in the pilot study, but not in the validation samples. Conclusions: Although cytokine mediated immune reactions play a role in the pathogenesis of ALC, hereditary susceptibility caused by variants in the corresponding genes is low in Central European populations.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
alcoholic; genetic; interleukin-1 beta; liver cirrhosis; polymorphism; tumor necrosis factor-alpha; necrosis-factor-alpha; promoter polymorphism; japanese patients; deficient mice; receptor gene; risk-factor; in-vitro; disease; injury; association
ISSN (print) / ISBN
1434-6621
e-ISSN
1437-4331
Quellenangaben
Volume: 47,
Issue: 4,
Pages: 398-404
Publisher
de Gruyter
Non-patent literature
Publications
Reviewing status
Peer reviewed