Rheumatology Advance Access originally published online on March 27, 2006
Rheumatology 2006 45(10):1194-1196; doi:10.1093/rheumatology/kel062
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Lack of genetic association of the Toll-like receptor 4 (TLR4) Asp299Gly and Thr399Ile polymorphisms with spondylarthropathies in a Hungarian population
1National Institute of Rheumatology and Physiotherapy, and 2Musculoskeletal Molecular Biology Research Group, Hungarian Academy of Sciences, Budapest, Hungary.
Correspondence to: G. Poór, 1st Department of Rheumatology and Metabolic Osteology, National Institute of Rheumatology and Physiotherapy, Frankel Leó u. 38-40, H-1023 Budapest, Hungary. E-mail: orfireum{at}axelero.hu
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Abstract |
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Objectives. Bacteria have long been suggested as aetiological factors in the genetically susceptible host in spondylarthropathies, including ankylosing spondylitis (AS) and reactive arthritis (ReA). Variability of the Toll-like receptor 4 (TLR4) gene has been shown to play a role in the inflammatory response to certain bacterial infections. We investigated whether TLR4 Asp299Gly and Thr399Ile polymorphisms contribute to the genetic background of spondylarthropathies in a cohort of Hungarian patients with AS and ReA.
Methods. DNA was obtained from patients with AS (n=138), ReA (n=91) and ethnically matched healthy controls (n=140). Genotyping was carried out by polymerase chain reaction–restriction fragment length polymorphism analysis and the results were confirmed by direct sequencing.
Results. No significant differences in allele or genotype frequencies were observed between controls and either the AS patients or the ReA patients. Clinical characteristics of these groups were unrelated to the presence of any of these polymorphisms.
Conclusions. Toll-like receptor 4 Asp299Gly and Thr399Ile polymorphisms do not contribute to disease susceptibility in either AS or ReA. Functional abnormalities of the TLR4 signalling pathway suggested in spondylarthropathies seem not to be genetically determined by these two common polymorphisms.
KEY WORDS: Toll-like receptor 4, Polymorphism, Ankylosing spondylitis, Reactive arthritis
Submitted 17 October 2005;
revised version accepted 31 January 2006.
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