Review Article

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

Table 3

TNF-α SNPs and RA anti-TNFα therapeutic response.

AuthorsNumber
of subjects
Evaluation timesDrug SNPs Findings

Padiukov et al. (2003)1233 monthsEtanercept−308A/GNonsignificant association between genotypes and response to treatment

Mugnier et al. (2003)5922 weeksInfliximab −308A/GPatients with −308G/G genotype are better infliximab responders than patients with −308A/A or A/G genotype

Khang et al. (2005)7012 weeksEtanercept−857C/T−857T allele is related to a significant better response to etanercept respect to the homozygotes CC allele

Fonseca et al. (2005)2256 weeksInfliximab−308A/GAfter 24.8 weeks of therapy the −308G/G patients had significantly better response than −308A/G subjects

Seitz et al. (2006)86 (54 RA, 10 psoriatic arthritis, 22 ankylosing spondylitis)24 weeksInfliximab (no. 63)
Etanercept (no. 13)
Adalimumab (no. 10)
−308A/GPatients with −308G/G genotype are better responders than those with A/A and A/G genotype independent of the treated rheumatic disease

Guis et al. (2007)866 months
12 months
Etanercept−308A/G−308G/G genotype is associated with a better response to etanercept respect to −308A/G genotype

Chatzikyriakidou et al. (2007)58Retrospective
study
Infliximab−857C/T
−308G/A
−238G/A 489G>A
No independent polymorphism predict patients’ response to anti-TNF-α therapy

Micheli-Richard et al. (2008)38012 months
(i) Adalimumab + methotrexate (no. 182)
(ii) Adalimumab + other modifier drug (no. 96)
(iii) Adalimumab (no. 102)
−238A/G
−308A/G
−857C/T
The −238G/G, −308G/G, −857C/C alleles are significantly associated with a lower response to treatment with ADA + MTX

Pinto et al. (2008)11330 weeks−308G/A
−238G/A
No association between genotypes and clinical response to therapy
Infliximab + MTX

Marotte et al. (2008)1986 monthsInfliximab + MTX−308A/GThe −308 SNP was not associated with the response to infliximab. The level of circulating TNF-α bioactivity is higher in −308A/A or A/G patients than that in G/G

Maxwell et al. (2008)10506 monthsEtanercept (no. 455)
Infliximab (no. 450)
−308A/G
−238A/G
The −308AA genotype is significantly associated with a poorer response to ETA with respect to −308GG. This result is not present for Infliximab. The −238GA genotype is associated with a poorer response to Infliximab but not ETA

Ongaro et al. (2008)1051 yearEtanercept (no. 55)
Infliximab (no. 40)
Adalimumab (no. 10)
−676G/T
−308A/G
No association was found between −308 genotype and clinical response.
The −676TG genotype is significantly associated with a lower response to anti-TNF therapy