PMID- 21476000 OWN - NLM STAT- MEDLINE DCOM- 20120914 LR - 20221207 IS - 1573-7217 (Electronic) IS - 0167-6806 (Linking) VI - 129 IP - 2 DP - 2011 Sep TI - TNF-alpha polymorphisms and breast cancer. PG - 513-9 LID - 10.1007/s10549-011-1494-2 [doi] AB - Tumor necrosis factor-alpha (TNF-alpha) is an important pro-inflammatory cytokine in the development and progress in human cancer. TNF-alpha polymorphisms have been confirmed to influence the risk for several types of cancer, however, the associations between TNF-alpha polymorphisms and breast cancer (BC) remain controversial and ambiguous. The aim of this meta-analysis is to explore more precise estimations regarding this point. Electronic searches of several databases were conducted for all online publications on the associations between TNF-alpha-238, -308, -857, -863, -1031, -1210 polymorphisms and BC through March 2011. Odds ratios (OR) with 95% confidence intervals (95% CI) were calculated to assess the strength of these associations in fixed- and random-effect models with Review manager 5.0. A total of 17 studies with 44,442 BC patients and 49,926 controls involved were identified. This meta-analysis showed no significant association between TNF-alpha-308 polymorphism and BC (AA + GA vs. GG: OR = 0.95, 95% CI = 0.82-1.09) in overall and (OR = 1.44, 95% CI = 0.61-3.40) Asian populations, however, a negative association was shown in Caucasian subgroup (OR = 0.91, 95% CI = 0.85-0.97). As regards the TNF-alpha-238 polymorphism, the OR values (95% CI) were 0.99 (0.94-1.05), 0.94 (0.78-1.14), and 1.00 (0.95-1.05) for the overall, Asian, and Caucasian studies, respectively. No significant associations were found for other polymorphisms. Furthermore, there was a coincidence in the sensitivity analysis of these associations. No publication bias was detected in this study. To sum up, no significant associations were found between the TNF-alpha-308, -238, -857, -863, -1031, -1210 polymorphisms and the risk for BC in overall populations, whereas a negative association was found between TNF-alpha-308 polymorphism and BC in Caucasian populations. FAU - Yang, Yu AU - Yang Y AD - Department of Oncology, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, 150086, Harbin, People's Republic of China. FAU - Feng, Rennan AU - Feng R FAU - Bi, Sheng AU - Bi S FAU - Xu, Yuqing AU - Xu Y LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20110408 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM CIN - Breast Cancer Res Treat. 2011 Oct;129(3):1011-3. PMID: 21559823 CIN - Breast Cancer Res Treat. 2011 Oct;129(3):1015-7. PMID: 21597918 MH - Asian People/genetics MH - Breast Neoplasms/ethnology/*genetics/immunology MH - Case-Control Studies MH - Female MH - Genetic Predisposition to Disease MH - Humans MH - Odds Ratio MH - *Polymorphism, Genetic MH - Risk Assessment MH - Risk Factors MH - Tumor Necrosis Factor-alpha/*genetics MH - White People/genetics EDAT- 2011/04/09 06:00 MHDA- 2012/09/15 06:00 CRDT- 2011/04/09 06:00 PHST- 2011/03/13 00:00 [received] PHST- 2011/03/28 00:00 [accepted] PHST- 2011/04/09 06:00 [entrez] PHST- 2011/04/09 06:00 [pubmed] PHST- 2012/09/15 06:00 [medline] AID - 10.1007/s10549-011-1494-2 [doi] PST - ppublish SO - Breast Cancer Res Treat. 2011 Sep;129(2):513-9. doi: 10.1007/s10549-011-1494-2. Epub 2011 Apr 8.