Association of TNF-alpha serum levels and TNFA promoter polymorphisms with risk of myocardial infarction.

Abstract:

:Elevated levels of tumor necrosis factor-alpha (TNF-alpha), and presence of polymorphisms of the TNFA gene have been implicated in cardiovascular disease pathogenesis. We explored the relationship between polymorphisms in the TNFA gene (-1031C/T, -863C/A -857T/C, -308G/A, -238G/A), protein levels of TNF-alpha and their association to myocardial infarction (MI) using a sample of 1213 post-MI patients and 1561 healthy controls. MI risk was higher among men with elevated TNF-alpha levels, with the highest compared to the lowest TNF-alpha quartile giving a 70% risk increase (OR [95% CI]: 1.7 [1.1; 2.6]). Obese subjects who also had elevated TNF-alpha levels were at even higher risk for MI (OR [95% CI]: 3.4 [2.1; 5.6]). Higher TNF-alpha levels were seen among smokers (but not among non-smokers) carrying the -857T allele. Furthermore, a rare haplotype occurred more frequently among the cases than the controls. Elevated TNF-alpha levels are associated with increased MI risk. Obese subjects with elevated TNF-a levels, and carriers of polymorphisms in or near TNFA are particularly susceptible to the hazards of smoking, results which may have implications for cardiovascular preventive measures.

journal_name

Atherosclerosis

journal_title

Atherosclerosis

authors

Bennet AM,van Maarle MC,Hallqvist J,Morgenstern R,Frostegård J,Wiman B,Prince JA,de Faire U

doi

10.1016/j.atherosclerosis.2005.09.022

keywords:

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

408-14

issue

2

eissn

0021-9150

issn

1879-1484

pii

S0021-9150(05)00637-4

journal_volume

187

pub_type

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