PMID- 23594457 OWN - NLM STAT- MEDLINE DCOM- 20131017 LR - 20221207 IS - 1349-3329 (Electronic) IS - 0040-8727 (Linking) VI - 229 IP - 4 DP - 2013 Apr TI - The -308G/A polymorphism of the tumor necrosis factor-alpha gene is associated with the risk of upper aerodigestive tract cancer: a meta-analysis. PG - 245-54 AB - Tumor necrosis factor-alpha (TNF-alpha) has been proposed to contribute to the development of upper aerodigestive tract (UADT) cancer that is characterized by poor prognosis. The G-to-A nucleotide change at -308 of the TNF-alpha gene (-308G/A polymorphism) can increase the expression level of TNF-alpha and thus may affect the genetic susceptibility of UADT cancer. The association between the -308G/A polymorphism and UADT cancer has been widely studied, but the results published are quite controversial. To obtain a more precise conclusion, we performed a meta-analysis including 1,751 patients and 3,345 controls. The results indicated that the AA genotype of the -308G/A polymorphism had a 54%-increased risk of UADT cancer, compared with the G carriers (GG and GA genotypes) [odds ratio (OR) = 1.54, 95% confidence interval (CI): 1.07-2.21]. After stratified by ethnicity, the AA genotype was associated with increased risk of UADT cancers in South Asians (OR = 33.18 and 95% CI: 1.92-573.62 for AA vs. GA+GG) but not in Caucasians or East Asians. After stratified by tumor site, the -308G/A polymorphism was associated with increased risks of oropharynx cancer (OR = 2.68 and 95% CI: 1.34-5.35 for AA vs. GA+GG) but not associated with esophagus or larynx cancer. After stratified by histological type, the -308G/A polymorphism was associated with increased risks of squamous cell carcinoma (OR = 1.81 and 95% CI: 1.15-2.84 for AA vs. GA+GG) but not associated with adenocarcinoma. Our results indicate that the -308G/A polymorphism might contribute to an increased risk of UADT cancer susceptibility. FAU - Wang, Jiayi AU - Wang J AD - State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China. FAU - Jin, Xin AU - Jin X FAU - Wang, Hui AU - Wang H FAU - Yang, Jiantang AU - Yang J FAU - Wang, Lili AU - Wang L FAU - Lei, Lei AU - Lei L FAU - Li, Xiaoxu AU - Li X FAU - Zhou, Yu AU - Zhou Y FAU - Zeng, Xin AU - Zeng X FAU - Jiang, Lu AU - Jiang L FAU - Liao, Ga AU - Liao G FAU - Dan, Hongxia AU - Dan H FAU - Chen, Qianming AU - Chen Q LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PL - Japan TA - Tohoku J Exp Med JT - The Tohoku journal of experimental medicine JID - 0417355 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Asian People/genetics MH - Carcinoma, Squamous Cell/ethnology/*genetics MH - Gene Expression Regulation/*genetics MH - Genetic Predisposition to Disease/*genetics MH - Humans MH - Odds Ratio MH - Pharyngeal Neoplasms/ethnology/*genetics MH - Polymorphism, Single Nucleotide/*genetics MH - Tumor Necrosis Factor-alpha/*genetics/metabolism MH - White People/genetics EDAT- 2013/04/19 06:00 MHDA- 2013/10/18 06:00 CRDT- 2013/04/19 06:00 PHST- 2013/04/19 06:00 [entrez] PHST- 2013/04/19 06:00 [pubmed] PHST- 2013/10/18 06:00 [medline] AID - DN/JST.JSTAGE/tjem/229.245 [pii] AID - 10.1620/tjem.229.245 [doi] PST - ppublish SO - Tohoku J Exp Med. 2013 Apr;229(4):245-54. doi: 10.1620/tjem.229.245.