Natural resistance-associated macrophage protein 1 (Nramp1) is a genetic lo
cus associated with innate resistance or susceptibility of murine hosts to
infection with intracellular pathogens such as Salmonella, Leishmania and M
ycobacterium, The human homologue of the Nramp1 gene, designated NRAMP1, ha
s been investigated as a candidate gene for genetic susceptibility to autoi
mmune diseases as well as infections. This study tries to determine whether
NRAMP1 polymorphisms are associated with susceptibility to rheumatoid arth
ritis in Koreans, The nine NRAMP1 polymorphisms (1 microsatellite, 1 variat
ion in 3' UTR, 5 silent substitution, 2 amino acid substitution) were typed
by PCR-RFLP in 74 patients with rheumatoid arthritis (RA) and 53 healthy c
ontrols in Koreans. The distribution of allele and genotype frequencies wer
e compared between patients and controls, Three NRAMP1 polymorphisms (823C/
T, D543N and 1729+55del4) were significantly associated with RA. In additio
n, there were significant differences in the genotype frequencies for 823C/
T, D543N and 1729+ 55del4 polymorphisms between RA patients and controls. G
enotypes of A/A homozygote for D543N and TGTG deletion homozygote for 172955del4 were only detected in the patient group. These data indicate that ge
netic polymorphisms of NRAMP1 might be associated with the susceptibility t
o rheumatoid arthritis in Koreans.