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MIF-173G/C (rs755622) polymorphism as a risk factor for acute lymphoblastic leukemia development in children
Mohamed Sharaf-Eldein1, Doaa Elghannam2, Camelia Abdel-Malak1
1Department of Biochemistry, Faculty of Sciences, Damietta University, New Damietta, Egypt.
Background:
Macrophage inhibitory factor (MIF) is a pro-inflammatory cytokine modulating monocyte motility and a pleiotropic regulator of different biological and cellular processes. The MIF-173G/C (rs755622) polymorphism is found in the promoter region and affects its activity. The present study investigated the MIF polymorphism as a risk factor for the development of acute lymphoblastic leukemia (ALL) in Egyptian children.
Methods:
We analyzed the MIF-173G/C (rs755622) polymorphism in 180 ALL cases and 150 healthy control children by amplification of the gene using a polymerase chain reaction followed by restriction endonuclease digestion and running on an agarose gel for visualization of the product.
Results:
We found a significant incidence of the homozygous polymorphic (CC) genotype and the combined polymorphic genotypes (GC + CC) in ALL patients compared to healthy controls (p = 0.001 and p = 0.007, respectively), whereas the wild-type genotype (GG) was more common in healthy controls (p = 0.006). Multivariate logistic regression analysis adjustment for MIF different genotypes and other potential risk factors such as age, sex and parental smoking indicated that the CC genotype is the only significant risk factor for the test (p = 0.02). We also noted that, by increasing the C-allele representation within the gene [GC, CC], there was an increase in total leukocytic count (p = 0.09 and p = 0.001, respectively) that may reflect the bad prognostic impact of the polymorphic allele, although further studies are needed.
Conclusions:
The results of the present study indicate that the MIF-173G/C (rs755622) polymorphism is a risk factor for childhood ALL development with respect to both homozygous and combined polymorphic genotypes. In addition, the increased leukocytic count in synchronization with the increased representation of the polymorphic C-allele may reflect its bad prognostic impact.
Insights
The MIF-173G/C polymorphism is a risk factor for childhood acute lymphoblastic leukemia (ALL) in Egyptian children. The CC genotype and increased C-allele representation are linked to higher white blood cell counts, suggesting a poorer prognosis.
Area of Science:
- Genetics and Molecular Biology
- Immunology
- Pediatric Oncology
Background:
- Macrophage inhibitory factor (MIF) is a pro-inflammatory cytokine involved in various biological processes.
- The MIF-173G/C (rs755622) polymorphism in the promoter region influences MIF gene activity.
- This polymorphism has been investigated for its potential role in disease development.
Purpose of the Study:
- To investigate the MIF-173G/C (rs755622) polymorphism as a risk factor for acute lymphoblastic leukemia (ALL) in Egyptian children.
- To assess the association between MIF genotypes and ALL development.
- To explore the prognostic implications of the MIF polymorphism in childhood ALL.
Main Methods:
- Genotyping of the MIF-173G/C (rs755622) polymorphism using polymerase chain reaction (PCR) and restriction endonuclease digestion.
- Analysis of 180 Egyptian children with ALL and 150 healthy controls.
- Agarose gel electrophoresis for product visualization.
Main Results:
- A significant association was found between the homozygous polymorphic (CC) genotype and combined polymorphic genotypes (GC + CC) of MIF-173G/C and ALL development.
- The wild-type (GG) genotype was more prevalent in healthy controls.
- Multivariate analysis identified the CC genotype as a significant risk factor for ALL (p=0.02).
- Increased C-allele representation correlated with higher total leukocytic counts, suggesting a potential negative prognostic impact.
Conclusions:
- The MIF-173G/C (rs755622) polymorphism, particularly the CC genotype and combined polymorphic genotypes, is a risk factor for childhood ALL in the Egyptian population.
- The association of the polymorphic C-allele with increased leukocytic count may indicate a poorer prognosis in childhood ALL.
- Further research is warranted to confirm the prognostic significance of this polymorphism.
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