The Influence of TNFRSF1B, PADI4, and miRNA 499 Gene Polymorphisms on Susceptibility and Responsiveness to TNF Inhibitors in Patients with Rheumatoid Arthritis.

Background & Objective: Rheumatoid arthritis (RA) is a systemic autoimmune disease that causes joint deterioration. Over the past decade, the primary approach to treat RA has relied on biological medications. Despite confirming the effectiveness of this therapy, patients have shown significant diver...

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Publicado en:Journal of Advances in Medical & Biomedical Research Vol. 31; no. 147; pp. 381 - 391
Autores principales: Fadhil, Zainab Jumaah, Hassan Abbas, Ahmed Abdul-, Al-Osami, Mohammad Hadi
Formato: research tables/charts Journal Article
Publicado: Zanjan University of Medical Sciences & Health Services Jul/Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2023
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      pub: Zanjan University of Medical Sciences & Health Services
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        atl: The Influence of TNFRSF1B, PADI4, and miRNA 499 Gene Polymorphisms on Susceptibility and Responsiveness to TNF Inhibitors in Patients with Rheumatoid Arthritis.
      aug:
        au:
          Fadhil, Zainab Jumaah
          Hassan Abbas, Ahmed Abdul-
          Al-Osami, Mohammad Hadi
        affil: Dept. of Microbiology, College of Medicine, Al-Nahrain University, Kadhimiya, Iraq.
      sug:
        subj:
          Arthritis, Rheumatoid Drug Therapy
          Tumor Necrosis Factor Inhibitors Therapeutic Use
          Polymorphism, Genetic
          Disease Susceptibility
          MicroRNA Metabolism
          Receptors, Cell Surface Therapeutic Use
          Human
          Genotype
          Polymerase Chain Reaction
          Male
          Female
          Adult
          Arthritis, Rheumatoid Diagnosis
          Cytogenetic Analysis
          Data Analysis Software
          Descriptive Statistics
          Chi Square Test
          Middle Age
          Aged
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background & Objective: Rheumatoid arthritis (RA) is a systemic autoimmune disease that causes joint deterioration. Over the past decade, the primary approach to treat RA has relied on biological medications. Despite confirming the effectiveness of this therapy, patients have shown significant diversity in their clinical responses to treatment. This variability can be attributed to various genetic polymorphisms that influence the response to biological drugs. This study was conducted to investigate whether TNFRSF1B (rs1061622), PADI4 (rs1748033), and miRNA 499 (rs3746444) gene polymorphisms are associated with susceptibility and responsiveness to TNF-α inhibitors in RA patients. Materials & Methods: 100 RA patients (50 responders and 50 non-responders) and 100 apparently healthy subjects as the control group were studied. Genotyping of the polymorphisms was carried out using real-time polymerase chain reaction (PCR) with the TaqMan allelic discrimination assay. Results: The frequency of TG (P0.039) and GG genotypes of TNFRSF1B (rs1061622) were higher in RA patients than in the control group. At the alleles level the mutant G allele was significantly more frequent among patients than control group (P=0.018). For PADI4 (rs1748033), the mutant C allele was more frequent among patients than controls (P=0.041). Sub-dividing of patients into responders and nonresponders revealed that the mutant homozygous CC genotype of PADI4 (rs1748033) was significantly more frequent in non-responders than responders patients (P=0.046). AG genotype (P=0.016) and G allele (P=0.036) of miRNA 499a (rs3746444) were more frequent in non-responders than responders. Conclusion: Variant genotypes of TNFRII (Rs1061622) and PADI4 (rs1748033), may be associated with an increased risk of RA while PADI4 (rs1748033) and miRNA-499a (rs3746444) polymorphism may be associated with non-response to infliximab.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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