Tumour necrosis factor-alpha polymorphism and secretion in myasthenia gravis.

Abstract:

:The mechanism behind the association between MHC genes and myasthenia gravis (MG) is not fully understood. In the present study we studied the associations with polymorphisms at HLA-DR3, HLA-B8 and TNF-alpha genes in Swedish patients and healthy individuals. The TNF-alpha-308 allele 2 was associated with female patients having disease onset before the age 40 and with thymic hyperplasia. Analysis of strongest associations between MG and alleles close to TNF-alpha indicated that the association of TNF-alpha was possibly stronger than for HLA-DR3 and nearly the same as for HLA-B8. Peripheral blood mononuclear cells from patients positive for TNF-alpha -308 allele 2 had higher secretion of TNF-alpha when stimulated by anti-CD3 antibodies. Our results indicate that a subgroup of MG patients who have been previously shown to be associated with MHC genes may have a higher inducible TNF-alpha level in vivo, thus resulting the pathological changes in the thymus and the early onset of MG.

journal_name

J Neuroimmunol

authors

Huang DR,Pirskanen R,Matell G,Lefvert AK

doi

10.1016/s0165-5728(98)00253-7

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

165-71

issue

1-2

eissn

0165-5728

issn

1872-8421

pii

S0165-5728(98)00253-7

journal_volume

94

pub_type

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