Cytokine Polymorphism Component Survey

Please provide the following contact information:
First name
Last name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail

I am interested in participating in the cytokine gene polymorphism component, and
will be able to submit cytokine typings or DNA for individuals of the following ethnic origin:

#Individuals
(at least 100 of
each ethnic group)		 Ethnic Origin

I will be able to contribute by submitting DNA only (typing not possible)
I will be able to provide typings of the individuals to be included in the workshop

I will be able to provide typing for the following cytokine genes (please click):

IL10       TGF-beta   TNF alpha  gamma-IFN
IL2        IL6        IL4R       IL1 alpha
IL1 beta   IL1R       IL1RA      IL13     
IL15       TOL-R

Other cytokine genes ?? (please specify)


For the phase I pre-workshop, I intend to use:

reagents from the University of Heidelberg
my own local reagents
local reagents plus the Heidelberg set
commerically available kits
other reagents


 

I would be interested in participating in the stem cell transplant-cytokine typing component.


I would be interested in participating in a disease association - cytokine typing component