Refereed journal article or data article (A1)

Toll-like receptor 4 polymorphisms were associated with low serum pro-inflammatory cytokines in BCG osteitis survivors

List of Authors: Matti Korppi, Johanna Teräsjärvi, Eero Lauhkonen, Heini Huhtala, Kirsi Nuolivirta, Qiushui He

Publisher: WILEY

Publication year: 2019

Journal: Acta Paediatrica

Journal name in source: ACTA PAEDIATRICA

Journal acronym: ACTA PAEDIATR

Number of pages: 6

ISSN: 0803-5253

eISSN: 1651-2227


Aim: The aim of the study was to evaluate the association of Toll-like receptor 4 (TLR4) gene variations with osteitis risk after Bacillus Calmette-Guerin (BCG) vaccination given at birth and with serum cytokine levels measured in adulthood.

Methods: We determined the TLR4 rs4986790 single-nucleotide polymorphism (SNP) in 132 study subjects with BCG osteitis in infancy and compared the genotype distributions and allele frequencies between them and population controls. Serum concentrations of 11 cytokines measured in adulthood were compared between study subjects with the wild vs variant TLR4 rs4986790 genotype.

Results: The genotypes and allele frequencies of the TLR4 rs4986790 SNP did not differ between BCG osteitis cases and population controls. Instead, subjects with the variant genotype presented with lower serum interleukin (IL) concentrations of the pro-inflammatory IL-6, IL-17A and IL-12 cytokines and with marginally lower interferon-gamma concentrations, but with higher serum anti-inflammatory IL-4 concentration. The results concern also the TLR4 rs4986791, since these two SNPs are co-segregating in the Finnish population.

Conclusion: The findings suggest that TLR4 has no significant role in the emergence of osteitis after newborn BCG vaccination, but the variant genotypes of the TLR4 rs4986790 and rs4986791 may impair the production of pro-inflammatory cytokines.

Last updated on 2021-24-06 at 11:37