PMID- 23794112 OWN - NLM STAT- MEDLINE DCOM- 20140221 LR - 20221207 IS - 1423-0380 (Electronic) IS - 1010-4283 (Linking) VI - 34 IP - 6 DP - 2013 Dec TI - The -137G>C polymorphism in interleukin-18 promoter region and cancer risk: evidence from a meta-analysis of 21 studies. PG - 3483-90 LID - 10.1007/s13277-013-0926-5 [doi] AB - Interleukin-18 (IL-18) is a key cytokine responsible for immune response and involved in the process of cancer development. The association of -137G>C polymorphism in the promoter region of IL-18 with cancer risk is still elusive based on current genetic association studies. We performed this meta-analysis to determine whether the -137G>C polymorphism is associated with cancer risk. A comprehensive search was conducted for databases of PubMed, EMBASE, and China National Knowledge Infrastructure. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to estimate the association strength. Publication bias was detected by Egger's and Begg's test. Twenty-one eligible studies including 3,498 cancer patients and 5,222 controls were identified and analyzed. In the overall analysis, no significant association between -137G>C polymorphism and cancer risk was observed. In the sub-group analyses of ethnicities, the -137G>C polymorphism significantly increased cancer risk in Asian population (GC/CC vs. GG: OR = 1.313, 95% CI = 1.053-1.638, heterogeneity P < 0.001) but not in Caucasian population. Further stratified analyses showed that the variant -137C allele was significantly associated with increased risk of nasopharyngeal carcinoma (C vs. G: OR = 1.484, 95% CI = 1.193-1.847, heterogeneity P = 0.213). No publication bias was detected. We provide evidence that the -137G>C polymorphism in IL-18 promoter region significantly increases cancer risk in Asian population but not in Caucasian population, and the variant -137C allele is associated with increased risk of nasopharyngeal carcinoma. FAU - Liang, Tie-Jun AU - Liang TJ AD - Department of Digestive Diseases, Provincial Hospital affiliated to Shandong University, Jinan, 250021, People's Republic of China. FAU - Ma, Hui AU - Ma H FAU - Wang, Cong-Xiao AU - Wang CX FAU - Liu, Yin-Rong AU - Liu YR FAU - Wang, Xing-Guo AU - Wang XG LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't DEP - 20130622 PL - Netherlands TA - Tumour Biol JT - Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine JID - 8409922 RN - 0 (Interleukin-18) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Asian People/genetics MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease/ethnology/*genetics MH - Genotype MH - Humans MH - Interleukin-18/*genetics MH - Male MH - Middle Aged MH - Nasopharyngeal Neoplasms/ethnology/genetics MH - Neoplasms/ethnology/*genetics MH - *Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic/*genetics MH - Risk Factors MH - White People/genetics MH - Young Adult EDAT- 2013/06/25 06:00 MHDA- 2014/02/22 06:00 CRDT- 2013/06/25 06:00 PHST- 2013/04/27 00:00 [received] PHST- 2013/06/11 00:00 [accepted] PHST- 2013/06/25 06:00 [entrez] PHST- 2013/06/25 06:00 [pubmed] PHST- 2014/02/22 06:00 [medline] AID - 10.1007/s13277-013-0926-5 [doi] PST - ppublish SO - Tumour Biol. 2013 Dec;34(6):3483-90. doi: 10.1007/s13277-013-0926-5. Epub 2013 Jun 22.