PMID- 29384866 OWN - NLM STAT- MEDLINE DCOM- 20180209 LR - 20210109 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 97 IP - 5 DP - 2018 Feb TI - Association between TNF-alpha-238G/A gene polymorphism and OCD susceptibility: A meta-analysis. PG - e9769 LID - 10.1097/MD.0000000000009769 [doi] LID - e9769 AB - BACKGROUND: Tumor necrosis factor-alpha (TNF-alpha) is an important cytokine and has been reported to be associated with the pathogenesis of many autoimmune and inflammatory diseases. TNF-alpha gene is located on a region that has been found to be associated with obsessive-compulsive disorder (OCD). We performed this meta-analysis to assess the relationship between susceptibility to OCD and the TNF-alpha-238G/A gene polymorphism. METHODS: An extensive search of the available literature on the association between the susceptibility to OCD and the TNF gene polymorphism was conducted by searching PubMed, Web of Knowledge, Embase, Chinese Web of Knowledge, Wanfang, and Chongqing VIP database. The database was searched up to December 2016 and includes language of English and/or Chinese with the keywords of "obsessive-compulsive disorder" or "OCD," polymorphism or variant or mutation, "tumor necrosis factor" or "TNF" or "cytokine." The association between TNF-alpha-238G/A gene polymorphism and the susceptibility of OCD was anticipated by odds ratio (OR) with the corresponding 95% confidence interval (95% CI). RESULTS: Four studies including 435 cases and 1073 controls were incorporated in our meta-analysis. In general, TNF-alpha-238G/A gene polymorphism might lead to a decreased risk of OCD susceptibility (G vs A genotype model: OR = 1.01, 95% CI = 0.37-2.77, P = .981; GG vs AA+AG model: OR = 0.93, 95% CI = 0.37-2.36, P = .879; GG+AG vs AA model: OR = 0.22, 95% CI = 0.06-0.73, P = .014; GG vs AA model: OR = 0.21, 95% CI = 0.06-0.71, P = .012; AG vs AA model: OR = 0.29, 95% CI = 0.07-1.16, P = .081; GG+AA vs AG model: OR = 1.17, 95% CI = 0.55-2.51, P = .683). CONCLUSION: TNF-alpha-238G/A gene polymorphism might lead to a decreased risk of OCD susceptibility. FAU - Jiang, Caixiao AU - Jiang C AD - Hebei Center for Disease Control and Prevention Shijiazhuang Center for Disease Control and Prevention, Hebei Province, China. FAU - Ma, Xinyan AU - Ma X FAU - Qi, Shunxiang AU - Qi S FAU - Han, Guangyue AU - Han G FAU - Li, Yan AU - Li Y FAU - Liu, Yanfang AU - Liu Y FAU - Liu, Lanfen AU - Liu L LA - eng PT - Journal Article PT - Meta-Analysis PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Genetic Predisposition to Disease/*genetics MH - Humans MH - Obsessive-Compulsive Disorder/*genetics MH - Polymorphism, Single Nucleotide/*genetics MH - Tumor Necrosis Factor-alpha/*genetics PMC - PMC5805438 COIS- The author(s) declare no competing financial interests. EDAT- 2018/02/01 06:00 MHDA- 2018/02/10 06:00 PMCR- 2018/02/02 CRDT- 2018/02/01 06:00 PHST- 2018/02/01 06:00 [entrez] PHST- 2018/02/01 06:00 [pubmed] PHST- 2018/02/10 06:00 [medline] PHST- 2018/02/02 00:00 [pmc-release] AID - 00005792-201802020-00028 [pii] AID - MD-D-17-03490 [pii] AID - 10.1097/MD.0000000000009769 [doi] PST - ppublish SO - Medicine (Baltimore). 2018 Feb;97(5):e9769. doi: 10.1097/MD.0000000000009769.