Abstract
Single-nucleotide polymorphisms (SNPs) within the tumour necrosis factor alpha (TNF-α) gene on chromosome 6p21.3 have been associated with many autoimmune diseases; however, results have been conflicting and accurate allele frequencies have never been established in a UK Caucasian population. The aim of this study was to assess the frequency of 22 known TNF-α SNPs in a UK Caucasian control population and investigate association of all polymorphisms with >5% minor allele frequency in a large case–control data set of patients with Graves' disease (GD). Eight of the 22 SNPs had minor allele frequencies >5% and were investigated further. The other 14 SNPs were present in the UK population at frequencies ranging from 0 to 4.7%. A significant increase of the A allele of the −238 SNP was seen in GD patients when compared with control subjects (9.6 vs 6.8%, respectively; P=0.003) and mirrored in the genotype distribution (P=0.009). Furthermore, association of the –238 SNP appears not to be due to linkage disequilibrium of the known HLA-DRB1*03 associations with GD. This study has established accurate allele frequencies of TNF-α SNPs in a UK population and provides preliminary evidence for association of the TNF-α gene with GD.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 6 digital issues and online access to articles
$119.00 per year
only $19.83 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Vanderpump PJ, Tunbridge WMG . The Epidemiology of Autoimmune Thyroid Disease. Humana Press: New Jersey, 1999.
Stenszky V, Kozma L, Balazs C, Rochlitz S, Bear JC, Farid NR . The genetics of Graves' disease: HLA and disease susceptibility. J Clin Endocrinol Metab 1985; 61: 735–740.
Kung AW . Life events, daily stresses and coping in patients with Graves' disease. Clin Endocrinol (Oxf) 1995; 42: 303–308.
McIver B, Morris JC . The pathogenesis of Graves' disease. Endocrinol Metab Clin N Am 1998; 27: 73–89.
Valtonen VV, Ruutu P, Varis K, Ranki M, Malkamaki M, Makela PH . Serological evidence for the role of bacterial infections in the pathogenesis of thyroid diseases. Acta Med Scand 1986; 219: 105–111.
Badenhoop K, Walfish PG, Rau H et al. Susceptibility and resistance alleles of human leukocyte antigen (HLA) DQA1 and HLA DQB1 are shared in endocrine autoimmune disease. J Clin Endocrinol Metab 1995; 80: 2112–2117.
Heward JM, Allahabadia A, Daykin J et al. Linkage disequilibrium between the human leukocyte antigen class II region of the major histocompatibility complex and Graves' disease: replication using a population case control and family-based study. J Clin Endocrinol Metab 1998; 83: 3394–3397.
Ueda H, Howson JM, Esposito L et al. Association of the T-cell regulatory gene CTLA4 with susceptibility to autoimmune disease. Nature 2003; 423: 506–511.
Yanagawa T, Mangklabruks A, Chang YB et al. Human histocompatibility leukocyte antigen-DQA1*0501 allele associated with genetic susceptibility to Graves' disease in a Caucasian population. J Clin Endocrinol Metab 1993; 76: 1569–1574.
Vaidya B, Imrie H, Perros P et al. The cytotoxic T lymphocyte antigen-4 is a major Graves' disease locus. Hum Mol Genet 1999; 8: 1195–1199.
Tomer Y, Barbesino G, Greenberg DA, Concepcion E, Davies TF . Mapping the major susceptibility loci for familial Graves' and Hashimoto's diseases: evidence for genetic heterogeneity and gene interactions. J Clin Endocrinol Metab 1999; 84: 4656–4664.
Sakai K, Shirasawa S, Ishikawa N et al. Identification of susceptibility loci for autoimmune thyroid disease to 5q31–q33 and Hashimoto's thyroiditis to 8q23–q24 by multipoint affected sib-pair linkage analysis in Japanese. Hum Mol Genet 2001; 10: 1379–1386.
Nedwin GE, Naylor SL, Sakaguchi AY et al. Human lymphotoxin and tumor necrosis factor genes: structure, homology and chromosomal localization. Nucleic Acids Res 1985; 13: 6361–6373.
Spriggs DR, Deutsch S, Kufe DW . Genomic structure, induction, and production of TNF-alpha. Immunol Ser 1992; 56: 3–34.
Uglialoro AM, Turbay D, Pesavento PA et al. Identification of three new single nucleotide polymorphisms in the human tumor necrosis factor-alpha gene promoter. Tissue Antigens 1998; 52: 359–367.
Brinkman BM, Huizinga TW, Kurban SS et al. Tumour necrosis factor alpha gene polymorphisms in rheumatoid arthritis: association with susceptibility to, or severity of, disease? Br J Rheumatol 1997; 36: 516–521.
Louis E, Peeters M, Franchimont D et al. Tumour necrosis factor (TNF) gene polymorphism in Crohn's disease (CD): influence on disease behaviour? Clin Exp Immunol 2000; 119: 64–68.
Fong KY, Howe HS, Tin SK, Boey ML, Feng PH . Polymorphism of the regulatory region of tumour necrosis factor alpha gene in patients with systemic lupus erythematosus. Ann Acad Med Singapore 1996; 25: 90–93.
Ackerman HC, Ribas G, Jallow M et al. Complex haplotypic structure of the central MHC region flanking TNF in a West African population. Genes Immun 2003; 4: 476–486.
Fong CL, Siddiqui AH, Mark DF . Identification and characterization of a novel repressor site in the human tumor necrosis factor alpha gene. Nucleic Acids Res 1994; 22: 1108–1114.
Bayley JP, de Rooij H, van den Elsen PJ, Huizinga TW, Verweij CL . Functional analysis of linker-scan mutants spanning the −376, −308, −244, and −238 polymorphic sites of the TNF-alpha promoter. Cytokine 2001; 14: 316–323.
Boehm BO, Kuhnl P, Manfras BJ et al. HLA-DRB3 gene alleles in Caucasian patients with Graves' disease. Clin Invest 1992; 70: 956–960.
Ito M, Tanimoto M, Kamura H et al. Association of HLA antigen and restriction fragment length polymorphism of T cell receptor beta-chain gene with Graves' disease and Hashimoto's thyroiditis. J Clin Endocrinol Metab 1989; 69: 100–104.
Jacob CO, Fronek Z, Lewis GD, Koo M, Hansen JA, McDevitt HO . Heritable major histocompatibility complex class II-associated differences in production of tumor necrosis factor alpha: relevance to genetic predisposition to systemic lupus erythematosus. Proc Natl Acad Sci USA 1990; 87: 1233–1237.
Wall JD, Pritchard JK . Haplotype blocks and linkage disequilibrium in the human genome. Nat Rev Genet 2003; 4: 587–597.
Stumpf MP, Goldstein DB . Demography, recombination hotspot intensity, and the block structure of linkage disequilibrium. Curr Biol 2003; 13: 1–8.
Phillips MS, Lawrence R, Sachidanandam R et al. Chromosome-wide distribution of haplotype blocks and the role of recombination hot spots. Nat Genet 2003; 33: 382–387.
Daly MJ, Rioux JD, Schaffner SF, Hudson TJ, Lander ES . High-resolution haplotype structure in the human genome. Nat Genet 2001; 29: 229–232.
Knight JC, Udalova I, Hill AV et al. A polymorphism that affects OCT-1 binding to the TNF promoter region is associated with severe malaria. Nat Genet 1999; 22: 145–150.
Matsuzaka Y, Makino S, Nakajima K et al. New polymorphic microsatellite markers in the human MHC class III region. Tissue Antigens 2001; 57: 397–404.
Pritchard JK . Are rare variants responsible for susceptibility to complex diseases? Am J Hum Genet 2001; 69: 124–137.
Wright AF, Hastie ND . Complex genetic diseases: controversy over the Croesus code. Genome Biol 2001; 2 (COMMENT2007).
Ioannidis JP, Ntzani EE, Trikalinos TA, Contopoulos-Ioannidis DG . Replication validity of genetic association studies. Nat Genet 2001; 29: 306–309.
Collins JE, Heward JM, Carr-Smith J, Daykin J, Franklyn JA, Gough SC . Association of a rare thyroglobulin gene microsatellite variant with autoimmune thyroid disease. J Clin Endocrinol Metab 2003; 88: 5039–5042.
Zimmerman PA, Guderian RH, Nutman TB . A new TNFA promoter allele identified in South American Blacks. Immunogenetics 1996; 44: 485–486.
Skoog T, van't Hooft FM, Kallin B et al. A common functional polymorphism (C → A substitution at position −863) in the promoter region of the tumour necrosis factor-alpha (TNF-alpha) gene associated with reduced circulating levels of TNF-alpha. Hum Mol Genet 1999; 8: 1443–1449.
Day CP, Grove J, Daly AK, Stewart MW, Avery PJ, Walker M . Tumour necrosis factor-alpha gene promoter polymorphism and decreased insulin resistance. Diabetologia 1998; 41: 430–434.
Richardson A, Sisay-Joof F, Ackerman H et al. Nucleotide diversity of the TNF gene region in an African village. Genes Immun 2001; 2: 343–348.
Kaijzel EL, Bayley JP, van Krugten MV et al. Allele-specific quantification of tumor necrosis factor alpha (TNF) transcription and the role of promoter polymorphisms in rheumatoid arthritis patients and healthy individuals. Genes Immun 2001; 2: 135–144.
Bunce M, O'Neill CM, Barnardo MC et al. Phototyping: comprehensive DNA typing for HLA-A, B, C, DRB1, DRB3, DRB4, DRB5 & DQB1 by PCR with 144 primer mixes utilizing sequence-specific primers (PCR-SSP). Tissue Antigens 1995; 46: 355–367.
Mathews JD . Statistical aspects of immunogenetic association with disease. In: Simons MJ, Tait BD (eds). Detection of Immune-associated Genetic Markers of Human Disease. Churchill Livingstone: London, 1984, pp 106–136.
Ardlie KG, Kruglyak L, Seielstad M . Patterns of linkage disequilibrium in the human genome. Nat Rev Genet 2002; 3: 299–309.
Acknowledgements
We acknowledge the Wellcome Trust and the special Trustees of the former United Birmingham Hospitals for their support. We thank J Carr-Smith, J Daykin, A Daly (University of Birmingham), M Armitage (Royal Bournemouth Hospital), A Hattersley (Royal Devon & Exeter Hospital), and PM Dodson (Birmingham Heartlands Hospital) for their help in recruiting patients for this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Simmonds, M., Heward, J., Howson, J. et al. A systematic approach to the assessment of known TNF-α polymorphisms in Graves' disease. Genes Immun 5, 267–273 (2004). https://doi.org/10.1038/sj.gene.6364066
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.gene.6364066
Keywords
This article is cited by
-
Gene polymorphisms of pro-inflammatory cytokines may affect the risk of Graves' disease: a meta-analysis
Journal of Endocrinological Investigation (2021)
-
TNFα gene polymorphisms in the pathogenesis of acne vulgaris
Archives of Dermatological Research (2011)
-
Genetic susceptibility to Graves’ ophthalmopathy: the role of polymorphisms in proinflammatory cytokine genes
Eye (2010)
-
The TNFalpha gene relates to clinical phenotype in alpha-1-antitrypsin deficiency
Respiratory Research (2008)
-
Tumor Necrosis Factor-α Gene Polymorphism Correlates with Cardiovascular Disease in Patients with End-Stage Renal Disease
Molecular Diagnosis & Therapy (2007)