Background:
To study the occurrence and prognosis of acute respiratory distress syndrome (ARDS) using single nucleotide polymorphisms (SNPs) of
TNF-α
rs1800629,
IL-6
rs1800796, and
MyD88
rs7744 loci in the TLR4/NF-κB pathway.
Methods:
Genotypes were analyzed for
TNF-α
rs1800629,
IL-6
rs1800796, and
MyD88
rs7744 loci. Plasma TNF-α and IL-6 levels and
MyD88
mRNA expression in peripheral blood mononuclear cells (PBMCs) of 300 ARDS patients and 300 non-ARDS patients (control group) were examined. The patients were followed up for 60 days, and the prognosis outcome was recorded.
Results:
The
TNF-α
rs1800629 locus A allele and the
IL-6
rs1800796 locus G allele were found to be risk factors for ARDS (adjusted OR = 1.452, 95% CI: 1.211–1.689,
P
< .001 and adjusted OR = 1.205, 95% CI: 1.058–1.358,
P
= .005, respectively). The G allele at
MyD88
rs7744 locus was a protective factor against ARDS (adjusted OR = 0.748, 95% CI: 0.631–0.876,
P
< .001). Compared with the other groups, homozygotes for
TNF-α
rs1800629,
IL-6
rs1800796, and
MyD88
rs7744 loci had higher expression levels, of which homozygotes for
TNF-α
rs1800629 and
IL-6
rs1800796 loci had lower 60-day survival rates, while
MyD88
rs7744 locus homozygotes had a higher 60-day survival rate.
Conclusion:
The effect of
TNF-α
rs1800629,
IL-6
rs1800796, and
MyD88
rs7744 SNPs on gene expression level is a likely cause of ARDS occurrence and poor prognosis.