1997
DOI: 10.1128/iai.65.3.1003-1006.1997
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Scarring trachoma is associated with polymorphism in the tumor necrosis factor alpha (TNF-alpha) gene promoter and with elevated TNF-alpha levels in tear fluid

Abstract: Tumor necrosis factor alpha (TNF-␣) may play a central role in the disease pathogenesis which occurs as a consequence of chlamydial infection. To investigate the importance of TNF-␣ gene promoter polymorphisms and TNF-␣ levels in tear fluid in scarring trachoma, a large matched-pair case-control study was performed in The Gambia. The-308A allele was present in a higher proportion of patients (28.4%) than controls (18.4%), with an increasing association for homozygotes (2 for trend, P ‫؍‬ 0.032; allele frequenc… Show more

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Cited by 185 publications
(64 citation statements)
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“…In our study, the frequency of the TNF2 allele reached only 11.7%, which is in agreement with previous studies performed in different Argentine subpopulations [32][33][34] and it is also similar to what had been reported in studies in Chilean, French and Chinese populations. However, it is very different from Caucasian and other Asian populations where the presence of the allele reached frequencies of up to 23% [35][36][37][38][39][40][41][42][43][44][45][46] (Table 3). In particular, the Argentinean population is the result of genetic admixture processes involving three continental contributors: Native Americans, western Africans and Europeans (mainly Spaniards and Italians), although the African component detected in different studies was very low (< 4%).…”
Section: Discussionmentioning
confidence: 75%
“…In our study, the frequency of the TNF2 allele reached only 11.7%, which is in agreement with previous studies performed in different Argentine subpopulations [32][33][34] and it is also similar to what had been reported in studies in Chilean, French and Chinese populations. However, it is very different from Caucasian and other Asian populations where the presence of the allele reached frequencies of up to 23% [35][36][37][38][39][40][41][42][43][44][45][46] (Table 3). In particular, the Argentinean population is the result of genetic admixture processes involving three continental contributors: Native Americans, western Africans and Europeans (mainly Spaniards and Italians), although the African component detected in different studies was very low (< 4%).…”
Section: Discussionmentioning
confidence: 75%
“…As it has been documented in other situations, it may reflect either a primary phenomenon [26] or a secondary phenomenon linked to the intensity of the inflammation [27]. An increased TNF2 frequency has been described in several infectious diseases associated with high production of TNF-a [28,29]. Moreover, TNF2 allele has been associated with increased TNF-a transcription [19] and also production by isolated peripheral blood mononuclear cells [20] as well as in a whole blood cell culture model [21], although these associations were not always found [30,31].…”
Section: Discussionmentioning
confidence: 92%
“…However, other reporter gene studies have not been able to reproduce the effect of this polymorphism on up-regulation of TNF-a production [14,15]. In addition, Conway et al [16] found that scarring trachoma was also associated both with TNFA-308.2 polymorphism and with elevated TNF-a levels in tear fluid; however, detection of TNF-a in tear fluid samples was not associated with particular TNFA promoter genotypes.…”
Section: Discussionmentioning
confidence: 99%