A promoter polymorphism of tumor necrosis factor α associated with systemic lupus erythematosus in African-Americans

Objective. The polymorphic tumor necrosis factor α (TNFα) gene encodes a cytokine involved in inflammation, angiogenesis, and apoptosis. One polymorphic variant is associated with increased production of TNFα. This study examined the frequency of this polymorphic variant in African-American patients with systemic lupus erythematosus (SLE) compared with controls. Methods. We determined the gene frequency of the polymorphic variant of TNFα in an African-American SLE patient population and in a geographically matched African-American control population. Results. The gene frequency of the TNFα - 308A polymorphism was higher in the African-American SLE population than in the control population. This relationship was independent of major histocompatibility complex DR alleles. Conclusion. The TNFα - 308A polymorphism is associated with an increased risk of SLE in African- Americans.