Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2008-3-27
pubmed:abstractText
Macrophage migration inflammatory factor (MIF) is a proinflammatory cytokine with a unique role as the physiologic counterregulator of the immunosuppressive effects of glucocorticoids. MIF has been implicated in the pathogenesis of glomerular inflammation. The MIF promoter contains a G/C polymorphism that is functionally relevant, with the C allele being associated with higher MIF production and linked to susceptibility to inflammatory diseases. We genotyped the MIF -173 polymorphism in 257 children with idiopathic nephrotic syndrome (INS) and 355 controls. Frequency of carriers of the high-producer MIF -173*C allele was higher in patients with INS (31.7%) than in controls (22.0%) [odds ratio (OR) 1.67, p = 0.006] The MIF -173 C allele was more frequent in steroid-resistant patients (43.5%) compared with steroid responders (22.8%) (OR 2.61, p = 0.0005). This difference was particularly evident in focal segmental glomerulosclerosis patients (OR 14.0, p = 0.002). No association with response to cyclosporin A was found. Carriers of the MIF -173*C allele had a significantly higher probability of end-stage renal disease (ESRD) compared with G/G homozygous patients within 5 years from onset (log rank 5.11 p = 0.024). These results underscore the role of MIF in INS disease progression and in the response to glucocorticoid treatment and suggest that screening of MIF genotype at disease onset may identify patients requiring a more aggressive therapeutic approach.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0931-041X
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
743-8
pubmed:meshHeading
pubmed-meshheading:18228042-Adolescent, pubmed-meshheading:18228042-Adult, pubmed-meshheading:18228042-Alleles, pubmed-meshheading:18228042-Child, pubmed-meshheading:18228042-Child, Preschool, pubmed-meshheading:18228042-Chromatography, High Pressure Liquid, pubmed-meshheading:18228042-Disease Progression, pubmed-meshheading:18228042-Female, pubmed-meshheading:18228042-Follow-Up Studies, pubmed-meshheading:18228042-Gene Frequency, pubmed-meshheading:18228042-Genetic Predisposition to Disease, pubmed-meshheading:18228042-Genotype, pubmed-meshheading:18228042-Glucocorticoids, pubmed-meshheading:18228042-Humans, pubmed-meshheading:18228042-Immunosuppressive Agents, pubmed-meshheading:18228042-Infant, pubmed-meshheading:18228042-Intramolecular Oxidoreductases, pubmed-meshheading:18228042-Macrophage Migration-Inhibitory Factors, pubmed-meshheading:18228042-Male, pubmed-meshheading:18228042-Nephrotic Syndrome, pubmed-meshheading:18228042-Polymorphism, Genetic, pubmed-meshheading:18228042-Prognosis
pubmed:year
2008
pubmed:articleTitle
Association of the macrophage migration inhibitory factor -173*C allele with childhood nephrotic syndrome.
pubmed:affiliation
Unità Operativa di Nefrologia e Dialisi, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy.
pubmed:publicationType
Journal Article, Comparative Study, Multicenter Study