The TNFA gene product TNF- is a cytokine promoting an immune response after bacterial infections. An excessive production of the cytokine is thought to be connected with Helicobacter pylori-induced disorders like gastritis, peptic ulcer disease (PUD), intestinal metaplasia, or even gastric cancer. The synthesis of TNF-a is controlled at transcriptional level and dependent on single nucleotide polymorphisms (SNPs) of TNFA promoter region. SNPs assembled in haplotype have been implicated as potential risk factors for various autoimmune and infectious diseases. The aim of this study was to determine the frequencies of TNFA haplotypes composed of the four common single-nucleotide polymorphisms of the gene (-1031C>T: rs1799964, -863C>A: rs1800630, 857C>T: rs1799724, -308G>A: rs1800629) in peptic ulcer patients and to assess the significance of the haplotypes as the risk factors of H. pylori infection development. 203 peptic ulcer patients were genotyped using polymerase chain reaction-restriction fragment length polymorphism method. Haplotypes and degree of linkage disequilibrium (LD) were inferred with PHASE 2.1 and EMLD software. There was no statistically significant difference in haplotype frequencies between the H. pylori-infected and -uninfected peptic ulcer cases (p=0.62). Analogous association was also absent in the subgroups: peptic ulcer woman (p=0.69), peptic ulcer men (p=0.17). The locus pairs -308_-857, -863_-1031, and -857_-1031 was found to be in very strong LD , -308_-1031 and -857 and -863 in strong LD, and -308_-863 in modest LD. TNFA haplotype structure is not connected with individual differences in susceptibility to development of H. pylori infection in peptic ulcer patients. Address for correspondence: Dr. Aleksandra Salagacka Medical University of Lodz Musuynskiego 1, 90-151, Lodz, Poland Telephone/Fax: +48 42 677 91 30 E-mail: aleksandra.salagacka@umed.lodz.pl INTRODUCTION Tumour necrosis factor-alpha (TNF-) is a cytokine known for having the multitude of functions. One of the most prominent is to promote of immune response after bacterial infections. In gastric mucosa infected by Helicobacter pylori TNF- prompts recruitment of mononuclear cells and neutrophils into the gastric lamina propria (Crabtree 1991; Huseyinov 1999). An excessive production of the cytokine could also exert some pathogenic effects (Beutler 1993) and is thought to be connected with H. pylori-induced disorders like gastritis, peptic ulcer disease (PUD), intestinal metaplasia, or even gastric cancer (Goto 2003; Shanks 2009). The synthesis of TNF- is controlled at transcriptional level in a cell typeand stimulus-specific manner involving different transcription factors to a promoter region of the TNFA encoding TNF- (Falvo 2010). An important role in the regulation of TNFA expression is attributed to single nucleotide polymorphisms (SNPs) of promoter region of the gene. Accordingly, these genetic variations are implicated as potential risk factors for various autoimmune and infectious diseases. To date, SNPs at positions -238, -308, -857, 863, -1031 of TNFA have been investigated in various populations afflicted by PUD or other H. pylori-induced disorders (Lee 2005; Lu 2005; Lee 2004; Wilschanski 2007; Kim 2006; Machado 2003). Unfortunately, studies focused on determining the importance of individual TNFA loci have produced non-significant or conflicting results. However, some evidence has supported the hypothesis that effects exerts by these SNPs could be observed or are more pronounced when the polymorphisms are researched and analysed concomitantly. Studies by Lu et al. (2005) conducted in Taiwanese revealed that risk of ulceration after H. pylori infection was higher for carriers of both -1031C or -863A allele of TNFA than for individuals having only one of the mentioned alleles. Similarly, the risk of gastric ulcers among Japanese was found to be greatest in simultaneous carriers of so called ‘high-producer’ alleles of TNFA -857/-863/-1031 than when the presence of these particular alleles was stated individually (Sugimoto 2007). 10 ALEKSANDRA SALAGACKA, MARTA ZEBROWSKA, AGNIESZKA JELEN ET AL Some research results could imply the best approach to investigate the relevancy of TNFA variations, in the development of gastroduodenal diseases, is to explore haplotype structure of TNFA gene. Although Chakravorty et al. (2008) did not stated any connection between single TNFA loci (-308, -857, -863, -1031) and H. pylorimediated duodenal ulcer, the researchers found the TNFA haplotype -308G_-857C_-863A_-1031T in H. pylori-infected duodenal ulcer individuals was significantly more frequent than in the infected but ulcer-free cases. Thus far, haplotype analysis of the gene has been applied in the studies on type 1 diabetes (Stayoussef 2010), gastric cancer (Canedo 2008), iron deficiency anemia (Atkinson 2008), Behcet’s disease (Park 2006), schizophrenia (Saviouk 2005), juvenile oligoarthritis (Zeggini 2002), hepatitis C virus infection (Thio 2004), and some others. Recently, the researchers investigated association between individual -308G>A or -1031T>C SNPs of TNFA and peptic ulcer risk in Poles (Salagacka 2014). In this study the researchers conducted haplotype analysis of TNFA combining mentioned genotyping data and newly obtained for -308 locus and two further -857 and -863 loci of TNFA. The aim of presented research was to estimate the TNFA haplotype structure and its significance in development peptic ulcer disease in Polish population.