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277369

The Impact of rs767455 and rs1061622 Polymorphisms ‎on ‎Treatment Outcomes in Iraqi Ankylosing Spondylitis ‎Patients Taking ‎Etanercept

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Last updated: 03 Jan 2025

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Abstract

Background: Ankylosing spondylitis (AS) is inflammation of the sacroiliac joints and ‎spine, associated with clinical symptoms such as pain and stiffness in ‎the vertebral column, after which, in a considerable number of ‎individuals, new bone growth occurs. Objective: The current research study attempted to find out whether the ‎presence of SNPs in TNF receptor [TNFRSF1A ‎‎(rs767455), TNFRSF1B‎‎ (rs1061622)] encoding genes could influence ‎patients' outcomes to etanercept in a specimen of Iraqi AS patients. Patients and methods: Sixty patients with established AS receiving only etanercept were selected to be enrolled in this research with a mean age of 40.75 ± 8.67 years, 51 patients of them were males and only 9 patients were females. Patients were classed as "responders" if just obtained a BASDAI 50 clinical response and as "non-responders" if they can't achieve a BASDAI 50 clinical elaboration after at least 6 months treatment. After PCR products amplification of purified blood DNA, TNF receptor (TNFRSF1A and TNFRSF1B‎‎) genes SNPs were established by Sanger sequencing. Results: The analysis of this study expressed that there was a significant ‎incidence of TT genotype of rs1061622 (P = 0.022) in responder ‎group, whereas the TG genotype of the same SNP was considerably ‎present in the group that did not respond (P = 0.002). Finally, a ‎non-significant difference existed in alleles and genotypes frequency ‎between responder and non-responder groups of rs767455 SNP ‎in TNFRSF1A gene. Conclusions: The wild TT genotype of rs1061622 predicts etanercept responsiveness in ankylosing spondylitis patients. The TG genotype of the same SNP increases the probability of non-responding.  

DOI

10.21608/ejhm.2022.277369

Keywords

Ankylosing spondylitis, genetic polymorphism, TNFRSF1A‎‎, TNFRSF1B‎‎, Etanercept

Authors

First Name

Shaimaa S.

Last Name

Khudhur

MiddleName

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Affiliation

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Email

shaimaa.saleh@tu.edu.iq

City

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Orcid

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First Name

Eman S.

Last Name

Saleh

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Mohammed H.

Last Name

Alosami

MiddleName

-

Affiliation

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-12-31

Publish Date

2022-10-01

Page Start

7,831

Page End

7,839

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_277369.html

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https://ejhm.journals.ekb.eg/service?article_code=277369

Order

260

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Impact of rs767455 and rs1061622 Polymorphisms ‎on ‎Treatment Outcomes in Iraqi Ankylosing Spondylitis ‎Patients Taking ‎Etanercept

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Article

Created At

22 Jan 2023