PMID- 21818296 OWN - NLM STAT- MEDLINE DCOM- 20111206 LR - 20211020 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 6 IP - 7 DP - 2011 TI - The TNF-alpha-238 polymorphism and cancer risk: a meta-analysis. PG - e22092 LID - 10.1371/journal.pone.0022092 [doi] LID - e22092 AB - BACKGROUND AND OBJECTIVES: Tumor necrosis factor-alpha (TNF-alpha) plays a very important role in the development and progress of cancer. Some TNF-alpha polymorphisms have been confirmed to increase cancer risks; however, the association between TNF-alpha-238 polymorphism and cancers remains controversial and ambiguous. The aim of this study is to explore a more precise estimation of its relationship with cancer using meta-analysis. METHODS: Electronic searches of several databases were conducted for all publications on the association between this variant and cancer through March 2011. Odds ratios (OR) with 95% confidence intervals (95% CI) were used to access the strength of this association in the random-effect model. RESULTS: Thirty four studies with 34,679 cancer patients and 41,186 healthy controls were included. This meta-analysis showed no significant association between TNF-alpha-238 polymorphism and cancers (AA+GA vs GG: OR = 1.09, 95%CI = 0.88-1.34). In Caucasian and Asian subgroups, OR values (95% CI) were 1.14 (0.91-1.43) and 0.97 (0.58-1.61), respectively. In the subgroups of cancer type, no significant association was detected. The sensitivity analysis further strengthened the validity of these negative associations. No publication bias was observed in this study. CONCLUSIONS: No significant association was found between the TNF-alpha-238 polymorphism and the risk for cancer. FAU - Zhou, Ping AU - Zhou P AD - Department of General Surgery, The Third Affiliated Hospital to Nantong University, Wuxi, China. FAU - Lv, Guo-Qiang AU - Lv GQ FAU - Wang, Jian-Zhong AU - Wang JZ FAU - Li, Cheng-Wan AU - Li CW FAU - Du, Liang-Feng AU - Du LF FAU - Zhang, Chun AU - Zhang C FAU - Li, Jian-Ping AU - Li JP LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20110719 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Confidence Intervals MH - *Genetic Predisposition to Disease MH - Humans MH - Models, Genetic MH - Neoplasms/*genetics MH - Odds Ratio MH - *Polymorphism, Genetic MH - Publication Bias MH - Risk Factors MH - Tumor Necrosis Factor-alpha/*genetics PMC - PMC3139602 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2011/08/06 06:00 MHDA- 2011/12/13 00:00 PMCR- 2011/07/19 CRDT- 2011/08/06 06:00 PHST- 2011/03/30 00:00 [received] PHST- 2011/06/15 00:00 [accepted] PHST- 2011/08/06 06:00 [entrez] PHST- 2011/08/06 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PHST- 2011/07/19 00:00 [pmc-release] AID - PONE-D-11-05783 [pii] AID - 10.1371/journal.pone.0022092 [doi] PST - ppublish SO - PLoS One. 2011;6(7):e22092. doi: 10.1371/journal.pone.0022092. Epub 2011 Jul 19.