Cb. Foster et al., Polymorphisms in inflammatory cytokines and Fc gamma receptors in childhood chronic immune thrombocytopenic purpura: a pilot study, BR J HAEM, 113(3), 2001, pp. 596-599
Inflammatory cytokines and low-affinity Fc gamma receptor (Fc gammaR) polym
orphisms were investigated in 37 children with chronic immune thrombocytope
nic purpura (cITP) and 218 controls. Genotype analysis included common vari
ants in the regulatory regions of cytokines, TNF, LTA, IL1RN, IL1A, IL1B, I
L4, IL6 and IL10, and structural variants of the low affinity Fc gamma Rs,
FCGR2A, FCGR3A and FCGR3B. Associations were observed for TNF (P = 0.0032),
LTA (P = 0.019), FCGR3A (P = 0.038) and FCGR3B (P = 0.0034). Two combinati
ons of genotypes (TNF and FCGR3A; P = 0.0003, and LTA and FCGR3B; P = 0.011
) were significantly associated with cITP, These results provide preliminar
y evidence that variant genotypes of Fc gamma Rs and cytokines contribute t
o cITP pathogenesis.