PMID- 15280623 OWN - NLM STAT- MEDLINE DCOM- 20041116 LR - 20081121 IS - 0957-5243 (Print) IS - 0957-5243 (Linking) VI - 15 IP - 7 DP - 2004 Sep TI - Increased risk of developing hepatocellular carcinoma associated with carriage of the TNF2 allele of the -308 tumor necrosis factor-alpha promoter gene. PG - 657-63 AB - BACKGROUND AND AIMS: Tumor necrosis factor-alpha (TNF-alpha) is a cytokine that may act as an endogenous tumor promoter. A genetic polymorphism of TNF-alpha at position -308 of the promoter region, which includes TNF1 (-308G) and TNF2 (-308A) alleles, has been found to be associated with susceptibility to various types of cancer. We conducted a study to evaluate the association between this polymorphism and hepatocellular carcinoma (HCC). METHODS: We recruited 74 HCC patients and 289 healthy controls, and determined their -308 TNF-alpha promoter genotypes through polymerase chain reaction followed by electrophoresis. RESULTS: Carriage of the TNF2 allele was associated with an increased risk of HCC (odds ratio [OR] = 3.5; 95% confidence interval [CI]:[2.1, 6.0]), and a trend toward a significant increase in the risk of developing HCC was observed from TNF1/TNF1, TNF1/TNF2, to TNF2/TNF2 genotypes (p < 0.01). After adjustment for gender, age, and markers of hepatitis B and C, the OR of developing HCC associated with TNF2 allele carriage was 5.3 (95% CI: [2.3, 12.1]; p < 0.01) CONCLUSIONS: Carriage of the TNF2 allele is a significant predictor of HCC independent of hepatitis B and C, and therefore it may be used as a biomarker for susceptibility to HCC. FAU - Ho, Sheng-Yow AU - Ho SY AD - Department of Radiation Oncology, Sin-Lau Christian Hospital, Tainan, Taiwan. FAU - Wang, Ying-Jan AU - Wang YJ FAU - Chen, Hen-Li AU - Chen HL FAU - Chen, Chih-Hung AU - Chen CH FAU - Chang, Chih-Jen AU - Chang CJ FAU - Wang, Po-Jen AU - Wang PJ FAU - Chen, Helen H W AU - Chen HH FAU - Guo, How-Ran AU - Guo HR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Cancer Causes Control JT - Cancer causes & control : CCC JID - 9100846 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Aged MH - Carcinoma, Hepatocellular/*etiology/*genetics MH - Case-Control Studies MH - Female MH - *Genetic Predisposition to Disease MH - Hepatitis B/complications MH - Hepatitis C/complications MH - Humans MH - Liver Neoplasms/*etiology/*genetics MH - Male MH - Middle Aged MH - Odds Ratio MH - *Polymorphism, Genetic MH - Promoter Regions, Genetic/genetics MH - Risk Factors MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 2004/07/29 05:00 MHDA- 2004/11/17 09:00 CRDT- 2004/07/29 05:00 PHST- 2004/07/29 05:00 [pubmed] PHST- 2004/11/17 09:00 [medline] PHST- 2004/07/29 05:00 [entrez] AID - 5274922 [pii] AID - 10.1023/B:CACO.0000036173.99930.75 [doi] PST - ppublish SO - Cancer Causes Control. 2004 Sep;15(7):657-63. doi: 10.1023/B:CACO.0000036173.99930.75.