title: Association of TLR4 Asp299Gly and Thr399Ile polymorphisms with Guillain-Barré syndrome in Northern Indian population.
abstract: Molecular mimicry between Campylobacter jejuni lipopolysaccharide and host gangliosides induces an immune response leading to axonal damage and Guillain-Barré syndrome (GBS). TLR polymorphisms are associated with many autoimmune diseases. The role of the TLR4 gene in GBS susceptibility largely remains unknown. We investigated TLR4 polymorphism in GBS. One hundred and twenty GBS patients and 150 healthy controls were included. TLR4 (Asp299Gly and Thr399Ile) genes were studied by PCR-RFLP. TLR4 (Asp299Gly) polymorphism was significantly associated with GBS (p, 0.045; OR, 8.75; 95% CI, 1.05-72.88); only acute motor axonal neuropathy (AMAN) was associated with Gly299Gly homozygote (p, 0.027; OR, 12.40; 95% CI, 1.33-115.77) and Thr399Ile (p, 0.019; OR, 3.42; 95% CI, 1.22-9.54) heterozygote, and TLR4-399Ile allele (p, 0.045; OR, 2.63; 95% CI, 1.02-6.75) compared to controls. In conclusion, TLR4 (Asp299Gly) polymorphism is associated with an increased susceptibility to GBS. Besides Asp299Gly, AMAN subtype is also associated with Thr399Ile polymorphism.
authors.affiliation: Department of Microbiology, Sanjay Gandhi Post-graduate Institute of Medical Sciences, Lucknow-226 014, Uttar Pradesh, India.
authors.forename: Kishan Kumar
authors.initials: KK
authors.lastname: Nyati
authors.forename: Kashi Nath
authors.initials: KN
authors.lastname: Prasad
authors.forename: Avantika
authors.initials: A
authors.lastname: Verma
authors.forename: Aloukick Kumar
authors.initials: AK
authors.lastname: Singh
authors.forename: Arshi
authors.initials: A
authors.lastname: Rizwan
authors.forename: Sushmita
authors.initials: S
authors.lastname: Sinha
authors.forename: Vimal Kumar
authors.initials: VK
authors.lastname: Paliwal
authors.forename: Sunil
authors.initials: S
authors.lastname: Pradhan
mesh_terms: D000328:Adult; D002169:Campylobacter Infections / Q000150:complications / Q000276:immunology; D016123:Campylobacter jejuni / Q000276:immunology; D016022:Case-Control Studies; D005260:Female; D020022:Genetic Predisposition to Disease / Q000235:genetics*; D005838:Genotype; D020275:Guillain-Barre Syndrome / Q000235:genetics* / Q000276:immunology; D006801:Humans; D007194:India; D008297:Male; D018716:Molecular Mimicry; D016133:Polymerase Chain Reaction; D012150:Polymorphism, Restriction Fragment Length; D020641:Polymorphism, Single Nucleotide; D051197:Toll-Like Receptor 4 / Q000235:genetics*
chemical_list: C495345:TLR4 protein, human; D051197:Toll-Like Receptor 4