RESUMEN
Single nucleotide polymorphisms within promoter or other regulatory sequences of cytokine genes mainly influence the level of production and secretion of proteins. A large amount of evidence has shown that cytokine gene variations alter graft survival length after kidney transplantation. We studied the association of gene polymorphisms in the interlekin-10 gene [IL10;-1082 G/A], interferon-gamma gene [IFNG; +874 T/A], transforming growth factor-beta gene [TGFB; +869 T/C], and tumor necrosis factor-alpha gene [TNFA;-308 A/G] with kidney allograft survival. The IL10 [-1082 G/A], IFNG [+874 T/A], TGFB [+869 T/C], and TNFA [-308 A/G] genotypes were determined in 32 kidney allograft recipients with graft rejection during the 1st posttransplant year and 52 without rejection in 5 posttransplant years, using allele-specific oligonucleotides-polymerase chain reaction method. The IFNG +874 A/T genotype showed a significantly higher frequency among kidney recipients of the rejection group than the control group [odds ratio, 2.64, 95% confidence interval, 1.03 to 6.74; P=.04]. Comparisons between the rejection and control groups in IL10 [-1082 G/A], IFNG [+874 T/A], TGFB [+869 T/C], and TNFA [-308 A/G] single nucleotide polymorphisms showed no significant difference. Based on the finding of this study, it seems polymorphisms in the genes that regulate IL-10, IFN-gamma, TGF-beta, and TNF-alpha cytokines do not play a major role in kidney allograft survival, and other potential factors in this regard should be considered