PMID- 23326309 OWN - NLM STAT- MEDLINE DCOM- 20130705 LR - 20221207 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 1 DP - 2013 TI - Functional promoter -308G>A variant in tumor necrosis factor alpha gene is associated with risk and progression of gastric cancer in a Chinese population. PG - e50856 LID - 10.1371/journal.pone.0050856 [doi] LID - e50856 AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha) plays a crucial role in the development and progression of gastric cancer. A functional polymorphism, -308 G>A (rs1800629), which is located in the promoter of TNFA gene, has been suggested to alter the production of TNF-alpha and influence cancer risk. In the present study, we sought to investigate whether this polymorphism has effects on the risk and progression of gastric cancer in a Chinese population. METHODS: We genotyped the TNFA -308 G>A polymorphism using the TaqMan method in a two-stage case-control study comprising a total of 1686 gastric cancer patients and 1895 cancer-free subjects. The logistic regression was used to assess the genetic associations with occurrence and progression of gastric cancer. RESULTS: We found a significant association between the variant genotypes and increased risk of gastric cancer [P = 0.034, odds ratio (OR) = 1.39, 95% confidence interval (CI) = 1.01-1.67, GA/AA vs. GG]. Similar results were observed in the follow-up replication study. When combined the data from the two studies, we found a more significant association (P = 0.001, OR = 1.34, 95%CI = 1.13-1.59), especially for older subjects (>65 years). Furthermore, the patients carrying the variant genotypes had a significantly greater prevalence of T4 stage of disease (P = 0.001, OR = 2.19, 95%CI = 1.39-3.47) and distant metastasis (P = 0.013, OR = 1.61, 95%CI = 1.10-2.35). CONCLUSIONS: Our results suggest that the functional promoter -308 G>A polymorphism in TNFA influence the susceptibility and progression of gastric cancer in the Chinese population. FAU - Hong, Yan AU - Hong Y AD - Department of Surgery, Yixing People's Hospital, Yixing, China. FAU - Ge, Zhijun AU - Ge Z FAU - Jing, Changrui AU - Jing C FAU - Shi, Jun AU - Shi J FAU - Dong, Xiao AU - Dong X FAU - Zhou, Fengying AU - Zhou F FAU - Wang, Meilin AU - Wang M FAU - Zhang, Zhengdong AU - Zhang Z FAU - Gong, Weida AU - Gong W LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130110 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Aged MH - Asian People/genetics MH - China MH - Disease Progression MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease/ethnology/*genetics MH - Genotype MH - Humans MH - Linkage Disequilibrium MH - Male MH - Middle Aged MH - Odds Ratio MH - *Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic/*genetics MH - Risk Factors MH - Stomach Neoplasms/ethnology/*genetics MH - Tumor Necrosis Factor-alpha/*genetics PMC - PMC3542372 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/01/18 06:00 MHDA- 2013/07/06 06:00 PMCR- 2013/01/10 CRDT- 2013/01/18 06:00 PHST- 2012/05/27 00:00 [received] PHST- 2012/10/29 00:00 [accepted] PHST- 2013/01/18 06:00 [entrez] PHST- 2013/01/18 06:00 [pubmed] PHST- 2013/07/06 06:00 [medline] PHST- 2013/01/10 00:00 [pmc-release] AID - PONE-D-12-14917 [pii] AID - 10.1371/journal.pone.0050856 [doi] PST - ppublish SO - PLoS One. 2013;8(1):e50856. doi: 10.1371/journal.pone.0050856. Epub 2013 Jan 10.