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Cytokine Gene Polymorphism in Idiopathic Nephrotic Syndrome Children
Authors:Tabrez Jafar  Suraksha Agrawal  Abbas Ali Mahdi  Raj Kumar Sharma  Shally Awasthi  G G Agarwal
Institution:(1) Department of Medical Genetics, SGPGIMS, Lucknow, UP, India;(2) Department of Biochemistry, CSMMU, Chhatrapati Shahuji Maharaj Medical University (Formerly King George Medical University), Chowk, Lucknow, UP, 226003, India;(3) Department of Nephrology, SGPGIMS, Lucknow, UP, India;(4) Department of Pediatrics, CSMMU, Lucknow, UP, India;(5) Department of Statistics, Lucknow University, Lucknow, UP, India;
Abstract:The pathogenesis of idiopathic nephrotic syndrome is not completely understood. We postulate that cytokine gene polymorphisms may influence susceptibility or clinical course in Idiopathic Nephrotic Syndrome. Polymorphisms of IL-4, IL-6, and TNF-α cytokines were investigated in 150 children with Idiopathic Nephrotic Syndrome and 569 healthy controls by using polymerase chain reaction and restriction fragment length polymorphism. On comparing patient with controls strong association were found for IL-6, TNF-α and IL-4 at allelic level (IL-6-G174C (G vs. C): P = <0.001; OR = 6.33, TNF-α-G308A (G vs. A): P = <0.001; OR = 1.99, IL-4-C590T (C vs. T): P = 0.048; OR = 1.38). Further when SR group was compared with SS group significant association was found at genotypic level in all the studied genetic polymorphisms. Studied cytokine gene polymorphisms may influence susceptibility to idiopathic nephrotic syndrome and might affect steroid response in INS patients.
Keywords:Idiopathic nephrotic syndrome  IL-6  IL-4  TNF-α  PCR  RFLP
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