Review Article

TNF-α Polymorphisms in Juvenile Idiopathic Arthritis: Which Potential Clinical Implications?

Table 2

TNF-α SNPs and JIA therapeutic response.

Authors Population Drug (dosage) Evaluation time Number of subjectsJIA subtypePolymorphisms Findings

Systemic arthritis (no. 19)
FR− polyarthritis (no. 43)
FR+ polyarthritis (no. 12)
Persistent oligoarthritis (no. 5)
Extended oligoarthritis (no. 24)
Enthesitis-arthritis (no. 15)
Psoriatic arthritis (no. 8)
Non classified form (no. 11)
−163, −244, −376Not found
Schmeling et al. (2006)Caucasia
/Germany
Etanercept3 months,
6 months, every 6 months thereafter
(max 60 months)
137−238GG versus −238GA/AANo correlation
−308GG versus −308GA/AA−308GG genotype more frequently respond to etanercept therapy, especially in the FR− polyarthritis subgroup until 6 months of therapy.

Cimaz et al. (2007)Caucasian/ Italy(i) Infliximab
 (3 mg/kg)
(ii) Etanercept
  (0.4 mg/kg)
(iii) Adalimumab
  (24 mg/m²)
3 months107Systemic arthritis (no. 29)
FR− polyarthritis (no. 24)
FR+ polyarthritis (no. 5)
Persistent oligoarthritis (no. 4)
Extended oligoarthritis (no. 27)
Enthesitis-arthritis (no. 12)
Psoriatic arthritis (no. 6)
−238GG/GA/AA
−308GG/GA/AA
No association between SNPs and clinical response to drugs

Basic et al. (2010)Caucasian/ SerbiaEtanercept1 year66−308G/A−308GG SNP have response to drug significantly more frequently than −308AA SNP in polyarticular JIA