PMID- 37510392 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230801 IS - 2073-4425 (Electronic) IS - 2073-4425 (Linking) VI - 14 IP - 7 DP - 2023 Jul 21 TI - Tumor Necrosis Factor-alpha G-308A Polymorphism and Sporadic IgA Nephropathy: A Meta-Analysis Using a Genetic Model-Free Approach. LID - 10.3390/genes14071488 [doi] LID - 1488 AB - Tumor necrosis factor-alpha (TNF-alpha) is a potent pro-inflammatory cytokine, involved in the pathogenesis and progression of immunoglobulin A nephropathy (IgAN). A bi-allelic polymorphism in the promoter region, at position -308 (G/A) of the TNF-alpha gene (rs1800629) is associated with an increased TNF-a production. However, several previous association studies of TNF-alpha G-308A polymorphism and IgAN rendered contradictory findings. The objective of the present study is to shed light on these inconclusive results and clarify the role of TNF-alpha and any possible contribution of this factor in the development and progression of sporadic IgAN. Therefore, a meta-analysis of all available genetic association studies relating the TNF-alpha G-308A polymorphism to the risk for development and/or progression of IgAN was conducted. Seven studies were included in the meta-analysis. Three of them included populations of European descent (Caucasians) and four involved Asians. The generalized odds ratio (OR(G)) was used to estimate the risk for the development and/or progression of the disease. Overall, the meta-analysis did not detect any significant association between the G-308A variant and both the risk of developing IgAN and the risk for progression of IgAN. In conclusion, these results suggest that TNF-alpha does not constitute a key component in the genetic architecture of sporadic IgAN. However, further evidence deciphering the influence of TNF-alpha on IgAN is still needed. FAU - Tziastoudi, Maria AU - Tziastoudi M AUID- ORCID: 0000-0002-7206-2716 AD - Department of Nephrology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece. FAU - Chronopoulou, Ioanna AU - Chronopoulou I AD - Department of Nephrology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece. FAU - Pissas, Georgios AU - Pissas G AD - Department of Nephrology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece. FAU - Cholevas, Christos AU - Cholevas C AUID- ORCID: 0000-0002-1517-8691 AD - First Department of Ophthalmology, Faculty of Health Sciences, Aristotle University of Thessaloniki School of Medicine, AHEPA Hospital, 54636 Thessaloniki, Greece. FAU - Eleftheriadis, Theodoros AU - Eleftheriadis T AUID- ORCID: 0000-0001-9302-1633 AD - Department of Nephrology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece. FAU - Stefanidis, Ioannis AU - Stefanidis I AD - Department of Nephrology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20230721 PL - Switzerland TA - Genes (Basel) JT - Genes JID - 101551097 RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (TNF protein, human) SB - IM MH - Humans MH - Genetic Association Studies MH - *Glomerulonephritis, IGA/genetics MH - Polymorphism, Genetic MH - *Tumor Necrosis Factor-alpha/genetics PMC - PMC10378840 OTO - NOTNLM OT - TNF-alpha OT - immunoglobulin A nephropathy (IgAN) OT - meta-analysis OT - polymorphism OT - tumor necrosis factor-alpha COIS- The authors declare no conflict of interest. EDAT- 2023/07/29 11:48 MHDA- 2023/07/31 11:43 PMCR- 2023/07/21 CRDT- 2023/07/29 01:17 PHST- 2023/05/18 00:00 [received] PHST- 2023/07/11 00:00 [revised] PHST- 2023/07/19 00:00 [accepted] PHST- 2023/07/31 11:43 [medline] PHST- 2023/07/29 11:48 [pubmed] PHST- 2023/07/29 01:17 [entrez] PHST- 2023/07/21 00:00 [pmc-release] AID - genes14071488 [pii] AID - genes-14-01488 [pii] AID - 10.3390/genes14071488 [doi] PST - epublish SO - Genes (Basel). 2023 Jul 21;14(7):1488. doi: 10.3390/genes14071488.