Evidence map›Paper›PMID 38965465›Full record

ArticleBMC immunology2024

NLRP3 (rs10754558) gene polymorphism and tumor necrosis factor alpha as predictors for disease activity and response to methotrexate and adalimumab in psoriasis.

Fatma Z Kamel, Heba Allah Mohamed Hoseiny, Aya A El Shahawy, Ghada Boghdadi, Alia A El Shahawy

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Article in BMC immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Fatma Z KamelDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Heba Allah Mohamed HoseinyDepartment of Dermatology and Venerology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Aya A El ShahawyDepartment of Clinical Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ghada BoghdadiDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Alia A El ShahawyDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt. aliaabdelmonem@yahoo.com.ORCID 0000-0001-7013-9209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsoriasis has a global prevalence of 1-3%, with variations observed across different ethnic groups and geographical areas. Disease susceptibility and response to anti-tumor necrosis factor-α (TNFα) drugs suggest different genetic regulatory mechanisms which may include NLR family pyrin domain containing 3 (NLRP3) polymorphism. Evaluation of the NLRP3 gene polymorphism, the serum level of CRP and TNFα in psoriasis patients and assessment of the NLRP3 (rs10754558) gene polymorphism, CRP and TNFα with disease severity and their role as biomarkers for response to Methotrexate and Adalimumab in psoriasis. The study had a total of 75 patients diagnosed with psoriasis vulgaris, who were compared to a control group of 75 healthy individuals.

resultsThere was a highly significant difference in NLRP3 genotypes and alleles distribution between psoriasis patients and controls (P = 0.002,0.004). The heterozygote genotype GC (OR = 3.67,95%CI:1.75-7.68, P = 0.0006), was linked with increased risk of psoriasis. Additionally, The GC genotype was significantly associated with nonresponse to psoriasis therapy (OR = 11.7,95%CI:3.24-42.28, P = 0.0002). Regarding serum CRP and TNFα levels, there was a highly statistically significant difference between psoriasis patients and controls (P < 0.0001), and there was also a highly statistically significant difference between responders and non-responders in psoriasis patients regarding PASI 50 (P < 0.0001).

conclusionsThe NLRP3 (rs10754558) genotypes GC was associated with the severe form of psoriasis and with nonresponse to psoriasis medication. Therefore, NLRP3 (rs10754558) gene polymorphism is an important prognostic biomarker in psoriasis patients. The serum TNFα can be used as a predictor for response to therapy in psoriasis patients. More research for evaluation of role of the NLRP3 gene polymorphism in the genetic risks and treatment outcomes associated with psoriasis is still required.

Indexed as

AdalimumabMethotrexateNLR Family, Pyrin Domain-Containing 3 ProteinPolymorphism, Single NucleotidePsoriasisTumor Necrosis Factor-alphaAdultAllelesBiomarkersC-Reactive ProteinFemaleGene FrequencyGenetic Predisposition to DiseaseGenotypeHumansMaleAdalimumabBiomarkersC-Reactive ProteinMethotrexateNLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanTumor Necrosis Factor-alphaBiological agentsNLRP3PsoriasisTNF

Identifiers

PMID38965465
PMCPMC11223426

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.