PMID- 25125137 OWN - NLM STAT- MEDLINE DCOM- 20160208 LR - 20220410 IS - 1096-0023 (Electronic) IS - 1043-4666 (Linking) VI - 70 IP - 2 DP - 2014 Dec TI - Association between TNF-alpha-308 G/A gene polymorphism and gastric cancer risk: a systematic review and meta-analysis. PG - 104-14 LID - S1043-4666(14)00215-4 [pii] LID - 10.1016/j.cyto.2014.07.005 [doi] AB - OBJECTIVE: Tumor necrosis factor-alpha (TNF-alpha) has been found to be associated with gastric carcinogenesis, but individually published results have been inconclusive. The aim of this study was to explore the relationship between the TNF-alpha-308 G/A polymorphism and gastric cancer risk. METHODS: MEDLINE, EMBASE and the COCHRANE library databases were searched for relevant articles to identify all available data. The odds ratios (ORs) with 95% confidence intervals (95% CIs) from each study were used to assess the association between the TNF-alpha-308 G/A polymorphism and gastric cancer risk. RESULTS: This meta-analysis included 30 studies (32 datasets) involving 7009 gastric cancer cases and 12,119 control subjects. Overall, a significant association was found between the TNF-alpha-308 G/A polymorphism and gastric cancer in AA+GA vs. GG (dominant contrast model) (OR=1.20, 95% CI=1.07-1.34, p=0.001). With stratification based on ethnicity, the TNF-alpha-308 G/A polymorphism was correlated with gastric cancer risk in Caucasians, using the dominant contrast model (OR=0.74, 95% CI=0.57-0.96, p=0.02), but not in East Asians and other ethnic groups. In the comprehensive subgroup analysis, a significant association was also found in recent articles (published after 2005), population-based high-quality studies, hospital-based high-quality studies, studies using the TaqMan method and non-cardia subgroups. However, the TNF-alpha-308 G/A polymorphism was not associated with specific histological types of gastric cancer risk. CONCLUSIONS: The TNF-alpha-308 G/A polymorphism may contribute to susceptibility to gastric cancer in Caucasians, especially for non-cardia gastric cancer, as most strongly demonstrated in high-quality studies and in studies using the TaqMan genotyping method. Furthermore, we recommend the TaqMan method as the preferred genotyping method in DNA polymorphism studies. CI - Copyright (c) 2014 Elsevier Ltd. All rights reserved. FAU - Yang, Jong-Pill AU - Yang JP AD - Division of Upper Gastrointestinal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. FAU - Hyun, Myung-Han AU - Hyun MH AD - Division of Upper Gastrointestinal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. FAU - Yoon, Jeong-Min AU - Yoon JM AD - Division of Upper Gastrointestinal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. FAU - Park, Min-Jeong AU - Park MJ AD - Division of Upper Gastrointestinal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. FAU - Kim, Donghyeok AU - Kim D AD - Division of Upper Gastrointestinal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. FAU - Park, Sungsoo AU - Park S AD - Division of Upper Gastrointestinal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. Electronic address: kugspss@korea.ac.kr. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20140812 PL - England TA - Cytokine JT - Cytokine JID - 9005353 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Ethnicity/genetics MH - *Genetic Association Studies MH - Genetic Heterogeneity MH - *Genetic Predisposition to Disease MH - Humans MH - Polymorphism, Single Nucleotide/*genetics MH - Publication Bias MH - Risk Factors MH - Stomach Neoplasms/*genetics MH - Tumor Necrosis Factor-alpha/*genetics OTO - NOTNLM OT - Cytokine OT - Gastric cancer OT - Polymorphism OT - TNF-alpha-308 OT - Tumor necrosis factor-alpha EDAT- 2014/08/16 06:00 MHDA- 2016/02/09 06:00 CRDT- 2014/08/16 06:00 PHST- 2014/01/18 00:00 [received] PHST- 2014/06/18 00:00 [revised] PHST- 2014/07/14 00:00 [accepted] PHST- 2014/08/16 06:00 [entrez] PHST- 2014/08/16 06:00 [pubmed] PHST- 2016/02/09 06:00 [medline] AID - S1043-4666(14)00215-4 [pii] AID - 10.1016/j.cyto.2014.07.005 [doi] PST - ppublish SO - Cytokine. 2014 Dec;70(2):104-14. doi: 10.1016/j.cyto.2014.07.005. Epub 2014 Aug 12.