PMID- 23050663 OWN - NLM STAT- MEDLINE DCOM- 20130419 LR - 20220408 IS - 1742-2094 (Electronic) IS - 1742-2094 (Linking) VI - 9 DP - 2012 Oct 10 TI - Polymorphism of tumor necrosis factor alpha (TNF-alpha) gene promoter, circulating TNF-alpha level, and cardiovascular risk factor for ischemic stroke. PG - 235 LID - 10.1186/1742-2094-9-235 [doi] AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha) is one of the most typical pro-inflammatory cytokines with both beneficial and destructive properties for the central nervous system. Increasing evidences have demonstrated the important role of TNF-alpha in the development of ischemic stroke, but studies examining the possible association with stroke or direct functional effects of polymorphisms in TNF-alpha have been contradictory. FINDINGS: In this study, a 2-kb length of the proximal promoter of the TNF-alpha was screened and four polymorphisms were investigated in the case-control study. Our data confirmed the association between -308G/A variant with stroke in 1,388 stroke patients and 1,027 controls and replicated in an independent population of 961 stroke patients and 821 controls (odds ratio (OR) = 1.34, 95% confidence interval (CI) =1.02 to 1.77 and OR = 1.56, 95% CI = 1.09 to 2.23, respectively). To reconcile the association between polymorphisms and stroke and to give a comprehensive picture of the genetic architecture of this important gene, we performed a meta-analysis of 15 published studies in an Asian population. Our results demonstrated an association between rs1800629 and ischemic stroke (OR = 1.43, 95% CI = 1.21 to 1.69). Another meta-analysis results of 14 studies demonstrated that ischemic stroke patients have higher serum TNF-alpha level than the control subjects (standardized mean difference (SMD) = 2.33, 95% CI = 1.85 to 2.81). In vitro evaluation of potential interaction between variants of the TNF-alpha gene (-308G/A, -857C/T, and -1031T/C) demonstrated that these three polymorphisms could interact together to determine the overall activity of the TNF-alpha gene. CONCLUSIONS: These findings strongly implicate the involvement of TNF-alpha in the pathogenesis of stroke. FAU - Cui, Guanglin AU - Cui G AD - Departments of Internal Medicine and Institute of Hypertension, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, 1095# Jiefang Ave, Wuhan, 430030, China. FAU - Wang, Haoran AU - Wang H FAU - Li, Rui AU - Li R FAU - Zhang, Lina AU - Zhang L FAU - Li, Zongzhe AU - Li Z FAU - Wang, Yan AU - Wang Y FAU - Hui, Rutai AU - Hui R FAU - Ding, Hu AU - Ding H FAU - Wang, Dao Wen AU - Wang DW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121010 PL - England TA - J Neuroinflammation JT - Journal of neuroinflammation JID - 101222974 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Aged MH - Case-Control Studies MH - Cell Line, Transformed MH - Cohort Studies MH - Female MH - Gene Frequency MH - Genetic Linkage MH - *Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Ischemia/complications MH - Male MH - Meta-Analysis as Topic MH - Middle Aged MH - *Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic/*genetics MH - Risk Factors MH - Stroke/blood/epidemiology/etiology/*genetics MH - Transfection MH - Tumor Necrosis Factor-alpha/*blood/*genetics PMC - PMC3521196 EDAT- 2012/10/12 06:00 MHDA- 2013/04/23 06:00 PMCR- 2012/10/10 CRDT- 2012/10/12 06:00 PHST- 2012/06/21 00:00 [received] PHST- 2012/10/03 00:00 [accepted] PHST- 2012/10/12 06:00 [entrez] PHST- 2012/10/12 06:00 [pubmed] PHST- 2013/04/23 06:00 [medline] PHST- 2012/10/10 00:00 [pmc-release] AID - 1742-2094-9-235 [pii] AID - 10.1186/1742-2094-9-235 [doi] PST - epublish SO - J Neuroinflammation. 2012 Oct 10;9:235. doi: 10.1186/1742-2094-9-235.