Association between Tumor Necrosis Factor-<i>α</i> Promoter -308 G/A Polymorphism and Early Onset Sepsis in Preterm Infants

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<p>Early-onset neonatal sepsis (EOS) is diagnosed during the first 7 days of neonatal life and is the major cause of morbidity and mortality among preterm infants. Genetic predisposition may have an impact on EOS susceptibility and outcome. The aim of our study was to explore the association between <i>TNF-α -308 G/A</i> or <i>IL-6 -174 G/C</i> gene polymorphism and the susceptibility and outcome of EOS in preterm infants. The study included 471 preterm infants: 282 with EOS (151 with culture proven sepsis and 131 with clinical sepsis) and 189 without infection (control group). <i>TNF-α -308</i> <i>G/A</i> and <i>IL-6 -174 G/C</i> were genotyped using Real-time RCR method. We observed significantly higher frequency of A allele of <i>TNF-α -308 G/A</i> polymorphism in blood culture proven EOS (p = 0.017) or clinical EOS (p = 0.025) compared with the control group. Logistic regression confirmed significant association between <i>TNF-α -308 GA+AA</i> genotypes and development of culture proven EOS (B = –0.718, p = 0.013) or clinical EOS (B = –0.602, p = 0.027). No significant differences in <i>IL6 -174G/C</i> alleles or genotypes distribution have been observed between culture proven EOS group, clinical EOS group and the control group. An association between <i>TNF-α -308</i> <i>G/A</i> or <i>IL-6 -174 G/C</i> genotypes and EOS lethal outcome was not observed (p = 0.652 and p = 0.384, respectively). According to our analysis of large cohort of preterm infants with clearly defined EOS groups, the <i>TNF-α -308 A</i> allele may be a risk factor for the EOS occurrence.</p>


  • The Tohoku Journal of Experimental Medicine

    The Tohoku Journal of Experimental Medicine 247(4), 259-264, 2019

    Tohoku University Medical Press


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