PMID- 22369788 OWN - NLM STAT- MEDLINE DCOM- 20130118 LR - 20220321 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 73 IP - 5 DP - 2012 May TI - Association of tumor necrosis factor-alpha gene promoter polymorphisms (-308G/A, -238G/A) with recurrent spontaneous abortion: a meta-analysis. PG - 574-9 LID - 10.1016/j.humimm.2012.01.008 [doi] AB - Tumor necrosis factor-alpha (TNF-alpha) gene promoter polymorphisms (-308G/A, -238G/A) have been associated with increased recurrent spontaneous abortion (RSA) risk, but the results of published articles are controversial. Hence, a meta-analysis was performed to assess the effect of TNF-alpha -308G/A, -238G/A polymorphisms on RSA risk. Heterogeneity testing and sensitivity analysis were performed using RevMan 5.0 software. Publication bias was assessed by the funnel plot method and modified Egger's linear regression test. In 12 studies for the TNF-alpha -308G/A polymorphism, the summary odds ratio (OR) with the corresponding 95% confidence interval (95% CI) was 1.04 (95% CI: 0.86, 1.26) under a fixed-effect model in the overall population. In 5 studies for the TNF-alpha -238G/A polymorphism, the summary OR with the corresponding 95% CI was 1.11 (95% CI: 0.60, 2.03) under a random-effect model in the overall population. We could not identify the sources of heterogeneity for TNF-alpha -238G/A. In addition, no evidence of publication bias was detected. The results of this meta-analysis indicate that TNF-alpha -308G/A, -238G/A polymorphisms are not significantly associated with the risk of RSA in the overall population. However, more convincing evidence is required to draw a solid conclusion on the relation between the TNF-alpha -238G/A polymorphism and the risk of RSA. CI - Copyright (c) 2012 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Zhang, Bingzhen AU - Zhang B AD - Department of Epidemiology, Health Statistics, School of Public Health, Shandong University, Jinan, China. FAU - Liu, Tiecheng AU - Liu T FAU - Wang, Zhiping AU - Wang Z LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20120214 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Abortion, Habitual/*genetics MH - Adult MH - Alleles MH - Case-Control Studies MH - Female MH - Gene Frequency MH - Genotype MH - Humans MH - Odds Ratio MH - *Polymorphism, Single Nucleotide MH - Pregnancy MH - Promoter Regions, Genetic MH - Risk MH - *Software MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 2012/03/01 06:00 MHDA- 2013/01/19 06:00 CRDT- 2012/02/29 06:00 PHST- 2011/08/11 00:00 [received] PHST- 2012/01/12 00:00 [revised] PHST- 2012/01/24 00:00 [accepted] PHST- 2012/02/29 06:00 [entrez] PHST- 2012/03/01 06:00 [pubmed] PHST- 2013/01/19 06:00 [medline] AID - S0198-8859(12)00018-3 [pii] AID - 10.1016/j.humimm.2012.01.008 [doi] PST - ppublish SO - Hum Immunol. 2012 May;73(5):574-9. doi: 10.1016/j.humimm.2012.01.008. Epub 2012 Feb 14.