The 4G/5G Polymorphism of Plasminogen Activator Inhibitor Type 1 is a Predictor of Moderate-to-Severe Thyroid Eye Disease

Monika Katko,1 Erika Galgoczi,1 Annamaria Erdei,1 Annamaria Gazdag,1 Eszter Berta,1 Miklos Bodor,1 Ildiko Seres,2 Ildiko Hircsu,1 Arpad Badics,1 Bernadett Ujhelyi,3 Livia Sira,1 Harjit Pal Bhattoa,4 Endre V Nagy1 1Division of Endocrinology, Department of Internal Medicine, Faculty of Medicine, Unive...

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Autores principales: Katko M, Galgoczi E, Erdei A, Gazdag A, Berta E, Bodor M, Seres I, Hircsu I, Badics A, Ujhelyi B, Sira L, Bhattoa HP, Nagy EV
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:a0259d76a65c4987aca2af35bdb7aa382021-12-02T14:41:40ZThe 4G/5G Polymorphism of Plasminogen Activator Inhibitor Type 1 is a Predictor of Moderate-to-Severe Thyroid Eye Disease1178-7031https://doaj.org/article/a0259d76a65c4987aca2af35bdb7aa382021-05-01T00:00:00Zhttps://www.dovepress.com/the-4g5g-polymorphism-of-plasminogen-activator-inhibitor-type-1-is-a-p-peer-reviewed-fulltext-article-JIRhttps://doaj.org/toc/1178-7031Monika Katko,1 Erika Galgoczi,1 Annamaria Erdei,1 Annamaria Gazdag,1 Eszter Berta,1 Miklos Bodor,1 Ildiko Seres,2 Ildiko Hircsu,1 Arpad Badics,1 Bernadett Ujhelyi,3 Livia Sira,1 Harjit Pal Bhattoa,4 Endre V Nagy1 1Division of Endocrinology, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary; 2Division of Metabolic Diseases, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary; 3Department of Ophthalmology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary; 4Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Debrecen, HngaryCorrespondence: Endre V NagyDivision of Endocrinology, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, 98 Nagyerdei krt, Debrecen, 4032, HungaryTel +36-30-337-1244Email nagy@internal.med.unideb.huIntroduction: Thyroid eye disease (TED) is an autoimmune disease of the orbits. Once developed, complete cure is rare. Plasminogen activator inhibitor type 1 (PAI-1) contributes to remodeling of connective tissue and has a central role in the pathogenesis of TED. We aimed to test if the 4G/5G polymorphism of PAI-1 is a predictor of the development of moderate-to-severe TED.Methods: A total of 185 patients with Graves’ disease, 87 of them with TED, 98 without TED, as well as 201 healthy controls, were studied. Genomic DNA was isolated from peripheral blood samples. The 4G/5G polymorphism of the PAI-1 gene was analyzed by allele-specific PCR, and the distribution of genotypes was calculated in each group. Plasma PAI-1 and thyroid hormone levels were measured by ELISA and ECLIA, respectively.Results: The 4G/4G genotype was associated with the development of moderate-to-severe TED (OR = 2.54; 95% CI: 1.26– 5.14; p < 0.01). The 4G/5G polymorphism of PAI-1 was not a predictor of plasma PAI-1 levels.Conclusion: The 4G/4G genotype of PAI-1 is a risk factor for the development of moderate-to-severe TED. Patients with Graves’ disease who harbor this genotype may be candidates for special attention towards the development of TED.Keywords: thyroid eye disease, Graves’ disease, PAI-1, 4G/5G polymorphism, risk factorKatko MGalgoczi EErdei AGazdag ABerta EBodor MSeres IHircsu IBadics AUjhelyi BSira LBhattoa HPNagy EVDove Medical Pressarticlethyroid eye diseasegraves’ diseasepai-14g/5g polymorphismrisk factorPathologyRB1-214Therapeutics. PharmacologyRM1-950ENJournal of Inflammation Research, Vol Volume 14, Pp 1883-1890 (2021)
institution DOAJ
collection DOAJ
language EN
topic thyroid eye disease
graves’ disease
pai-1
4g/5g polymorphism
risk factor
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
spellingShingle thyroid eye disease
graves’ disease
pai-1
4g/5g polymorphism
risk factor
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
Katko M
Galgoczi E
Erdei A
Gazdag A
Berta E
Bodor M
Seres I
Hircsu I
Badics A
Ujhelyi B
Sira L
Bhattoa HP
Nagy EV
The 4G/5G Polymorphism of Plasminogen Activator Inhibitor Type 1 is a Predictor of Moderate-to-Severe Thyroid Eye Disease
description Monika Katko,1 Erika Galgoczi,1 Annamaria Erdei,1 Annamaria Gazdag,1 Eszter Berta,1 Miklos Bodor,1 Ildiko Seres,2 Ildiko Hircsu,1 Arpad Badics,1 Bernadett Ujhelyi,3 Livia Sira,1 Harjit Pal Bhattoa,4 Endre V Nagy1 1Division of Endocrinology, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary; 2Division of Metabolic Diseases, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary; 3Department of Ophthalmology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary; 4Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Debrecen, HngaryCorrespondence: Endre V NagyDivision of Endocrinology, Department of Internal Medicine, Faculty of Medicine, University of Debrecen, 98 Nagyerdei krt, Debrecen, 4032, HungaryTel +36-30-337-1244Email nagy@internal.med.unideb.huIntroduction: Thyroid eye disease (TED) is an autoimmune disease of the orbits. Once developed, complete cure is rare. Plasminogen activator inhibitor type 1 (PAI-1) contributes to remodeling of connective tissue and has a central role in the pathogenesis of TED. We aimed to test if the 4G/5G polymorphism of PAI-1 is a predictor of the development of moderate-to-severe TED.Methods: A total of 185 patients with Graves’ disease, 87 of them with TED, 98 without TED, as well as 201 healthy controls, were studied. Genomic DNA was isolated from peripheral blood samples. The 4G/5G polymorphism of the PAI-1 gene was analyzed by allele-specific PCR, and the distribution of genotypes was calculated in each group. Plasma PAI-1 and thyroid hormone levels were measured by ELISA and ECLIA, respectively.Results: The 4G/4G genotype was associated with the development of moderate-to-severe TED (OR = 2.54; 95% CI: 1.26– 5.14; p < 0.01). The 4G/5G polymorphism of PAI-1 was not a predictor of plasma PAI-1 levels.Conclusion: The 4G/4G genotype of PAI-1 is a risk factor for the development of moderate-to-severe TED. Patients with Graves’ disease who harbor this genotype may be candidates for special attention towards the development of TED.Keywords: thyroid eye disease, Graves’ disease, PAI-1, 4G/5G polymorphism, risk factor
format article
author Katko M
Galgoczi E
Erdei A
Gazdag A
Berta E
Bodor M
Seres I
Hircsu I
Badics A
Ujhelyi B
Sira L
Bhattoa HP
Nagy EV
author_facet Katko M
Galgoczi E
Erdei A
Gazdag A
Berta E
Bodor M
Seres I
Hircsu I
Badics A
Ujhelyi B
Sira L
Bhattoa HP
Nagy EV
author_sort Katko M
title The 4G/5G Polymorphism of Plasminogen Activator Inhibitor Type 1 is a Predictor of Moderate-to-Severe Thyroid Eye Disease
title_short The 4G/5G Polymorphism of Plasminogen Activator Inhibitor Type 1 is a Predictor of Moderate-to-Severe Thyroid Eye Disease
title_full The 4G/5G Polymorphism of Plasminogen Activator Inhibitor Type 1 is a Predictor of Moderate-to-Severe Thyroid Eye Disease
title_fullStr The 4G/5G Polymorphism of Plasminogen Activator Inhibitor Type 1 is a Predictor of Moderate-to-Severe Thyroid Eye Disease
title_full_unstemmed The 4G/5G Polymorphism of Plasminogen Activator Inhibitor Type 1 is a Predictor of Moderate-to-Severe Thyroid Eye Disease
title_sort 4g/5g polymorphism of plasminogen activator inhibitor type 1 is a predictor of moderate-to-severe thyroid eye disease
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/a0259d76a65c4987aca2af35bdb7aa38
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