<A<em>b</em>stractText>Type 2 dia<em>b</em>etes is a pandemic disease characterized <em>b</em>y hyperglycemia, ineffective insulin use, and insulin resistance and affecting 1 in 11 people worldwide. Inflammation-related insulin resistance is thought to play an important role in the etiology of the disease. TLR4 is the central receptor of the natural immune system and has an important role as a trigger of the inflammatory response. The IRAK1 and TIRAP are mem<em>b</em>ers of the TLR4 pathway and involved in the TLR4-mediated inflammatory response. Genetic variants in the TLR4 gene or in the IRAK1 and TIRAP genes may have an important role in the development of insulin resistance and type 2 dia<em>b</em>etes <em>b</em>y disrupting the inflammatory response. In this direction, we aimed to investigate the relationship among TLR4 and IRAK1, TIRAP gene variants, and type 2 dia<em>b</em>etes and insulin resistance, and investigate how these variants affect inflammatory factors (TNF-α, IL-6, MCP-1, and IL-1<em>β</em>).</A<em>b</em>stractText><p><div>(<em>b</em>)SUBJECTS AND METHODS</<em>b</em>)</div>In our study, a total of seven variations on the genes of TLR4 (rs4986790, rs4986791), IRAK1 (rs1059703, rs3027898, rs7061789), and TIRAP (rs8177374, rs8177400) were genotyped <em>b</em>y the MassARRAY<sup>®</sup> Iplex GOLD SNP genotyping in 100 type 2 dia<em>b</em>etic patients and 100 non-dia<em>b</em>etic individual. The TLR4 rs4986790 and rs4986791 variation was confirmed <em>b</em>y PCR-RFLP method also. The serum <em>IL1</em>-<em>β</em>, IL6, MCP-1, and TNF-α levels were measured using enzyme-linked immunosor<em>b</em>ent assay kits.</p><A<em>b</em>stractText>As a result of our study, no correlation was found among TLR4, IRAK1, and TIRAP gene variants and the risk of type 2 dia<em>b</em>etes and insulin resistance. However, TNF-α, IL-6, MCP-1, and IL-1<em>β</em> levels were also associated with dia<em>b</em>etes and insulin resistance (p > 0.05). Although the gene variants were not significant in type 2 dia<em>b</em>etes and insulin resistance groups, IRAK1, TLR4, and TIRAP gene variants were found to <em>b</em>e associated with TNF-α, IL-6, MCP-1, and IL-1<em>β</em> levels.</A<em>b</em>stractText>