Associations of TNF-α -308 G>A and TNF-ß 252 A>G with Physical Function and BNP-Rugao Longevity and Ageing Study.

OBJECTIVES: To explore the associations of TNF-α -308 G>A (rs1800629) and TNF-ß 252 A>G (rs909253) with physical function and plasma B-type natriuretic peptide (BNP). METHODS: Data of 1747 community-dwelling elders from the ageing arm of the Rugao Longevity and Ageing Study was used. Physical function was measured by handgrip strength, Timed Up and Go (TUG) test and 5-meter walking test (5MWT). RESULTS: AA genotype of the TNF-α -308 G>A was associated with higher mean time of TUG test and 5MWT (multivariable adjusted ß=5.75 and 5.70, respectively, p<0.05), compared with GG genotype. For the TNF-ß 252 A>G polymorphism, GG genotype was associated with higher mean time of TUG test and 5MWT (multivariable adjusted ß=1.55 and 0.83, respectively, p<0.05) and lower handgrip strength (multivariable adjusted ß=-0.69, p<0.05), compared with AA genotype. Further, GG was associated with greater odds of low handgrip strength (OR=1.47, 95% CI=1.06-2.04), low speed of TUG test (OR=1.87, 95% CI=1.20-2.01) and elevated BNP (OR=1.30, 95% CI=1.08-1.84). GG also interacted with elevated BNP to be associated with greater odds of low handgrip strength and 5MWT. CONCLUSIONS: TNF-ß 252 A>G was associated with physical function measurements, plasma BNP level, and odds of elevated BNP in an elderly population. TNF-ß 252 A>G also interacted with elevated BNP to be associated with greater odds of physical function measurements.