Abstract
Accumulating evidence has suggested that the human leucocyte antigen-G (HLA-G) 14 bp ins/del polymorphism might be related to cancer susceptibility. However, epidemiologic findings have been inconsistent. Therefore, we performed a meta-analysis of case–control study to derive a more precise estimation of this association. Electronic databases were searched to identify all eligible studies of HLA-G 14 bp ins/del polymorphism and cancer risk. Odds ratios (ORs) with 95 % confidence intervals (CIs) were calculated to evaluate the strength of the association in fixed-effects model or random-effects model according to heterogeneity. Publication bias, sensitivity analysis and subgroup analyses based on cancer type, ethnicity, source of controls and sample size were also performed. A total of 14 case–control studies, involving 2,757 cases and 3,972 controls, were included in the present meta-analysis. The pooled analysis showed that there is no significant relationship between the HLA-G 14 bp ins/del polymorphism and cancer susceptibility under the genetic models (for the allele model del vs. ins: OR 1.13, 95 % CI 1.00–1.27; for the homozygote comparison model del/del vs. ins/ins: OR 1.22, 95 % CI 0.95–1.56; for the dominant model del/del + ins/del vs. ins/ins: OR 1.15, 95 % CI 0.94–1.42; for recessive model del/del vs. ins/del + ins/ins: OR 1.13, 95 % CI 0.96–1.34; respectively). Subgroup analyses indicated significant association among breast cancer, population based control and the large sample size group in some genetic models. Our investigations demonstrate that genotypes for the HLA-G 14 bp ins/del polymorphism may be not associated with overall cancer risk. In a subgroup meta-analysis, however, HLA-G 14-bp ins/del polymorphism might contribute to breast cancer susceptibility.
Similar content being viewed by others
References
Begg CB, Mazumdar M (1994) Operating characteristics of a rank correlation test for publication bias. Biometrics 50:1088–1101
Bortolotti D, Gentili V, Rotola A, Di Luca D, Rizzo R (2014) Implication of HLA-G 3′ untranslated region polymorphisms in human papillomavirus infection. Tissue Antigens 83:113–118
Carosella ED, Moreau P, Lemaoult J, Rouas-Freiss N (2008) HLA-G: from biology to clinical benefits. Trends Immunol 29:125–132
Castelli EC, Mendes-Junior CT, Viana de Camargo JL, Donadi EA (2008) HLA-G polymorphism and transitional cell carcinoma of the bladder in a Brazilian population. Tissue Antigens 72:149–157
Chen K, Song F, Calin GA, Wei Q, Hao X, Zhang W (2008) Polymorphisms in microRNA targets: a gold mine for molecular epidemiology. Carcinogenesis 29:1306–1311
Chen Y, Gao XJ, Deng YC, Zhang HX (2012) Relationship between HLA-G gene polymorphism and the susceptibility of esophageal cancer in Kazakh and Han nationality in Xinjiang. Biomarkers 17:9–15
Contini P, Ghio M, Poggi A, Filaci G, Indiveri F, Ferrone S, Puppo F (2003) Soluble HLA-A,-B,-C and -G molecules induce apoptosis in T and NK CD8+ cells and inhibit cytotoxic T cell activity through CD8 ligation. Eur J Immunol 33:125–134
Dardano A, Rizzo R, Polini A, Stignani M, Tognini S, Pasqualetti G, Ursino S, Colato C, Ferdeghini M, Baricordi OR, Monzani F (2012) Soluble human leukocyte antigen-g and its insertion/deletion polymorphism in papillary thyroid carcinoma: novel potential biomarkers of disease? J Clin Endocrinol Metab 97:4080–4086
DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7:177–188
Egger M, Davey Smith G, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315:629–634
Elliott RL, Jiang XP, Phillips JT, Barnett BG, Head JF (2011) Human leukocyte antigen G expression in breast cancer: role in immunosuppression. Cancer Biother Radiopharm 26:153–157
Eskandari-Nasab E, Hashemi M, Hasani SS, Omrani M, Taheri M, Mashhadi MA (2013) Association between HLA-G 3′UTR 14-bp ins/del polymorphism and susceptibility to breast cancer. Cancer Biomark 13:253–259
Ferguson R, Ramanakumar AV, Koushik A, Coutlee F, Franco E, Roger M (2012) Human leukocyte antigen G polymorphism is associated with an increased risk of invasive cancer of the uterine cervix. Int J Cancer 131:E312–E319
Geraghty DE, Koller BH, Orr HT (1987) A human major histocompatibility complex class I gene that encodes a protein with a shortened cytoplasmic segment. Proc Natl Acad Sci USA 84:9145–9149
Gill S, Shah A, Le N, Cook EF, Yoshida EM (2003) Asian ethnicity-related differences in gastric cancer presentation and outcome among patients treated at a canadian cancer center. J Clin Oncol 21:2070–2076
Gonzalez A, Rebmann V, LeMaoult J, Horn PA, Carosella ED, Alegre E (2012) The immunosuppressive molecule HLA-G and its clinical implications. Crit Rev Clin Lab Sci 49:63–84
Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327:557–560
Hoover RN (2000) Cancer–nature, nurture, or both. N Engl J Med 343:135–136
Hu J, Liu C, Yin Q, Ying M, Li J, Li L, Zhou CX, Wang Y (2014) Association between the CYP1A2-164 A/C polymorphism and colorectal cancer susceptibility: a meta-analysis. Mol Genet Genomics 289:271–277
Hviid TV, Hylenius S, Rorbye C, Nielsen LG (2003) HLA-G allelic variants are associated with differences in the HLA-G mRNA isoform profile and HLA-G mRNA levels. Immunogenetics 55:63–79
Janelle V, Langlois MP, Tarrab E, Lapierre P, Poliquin L, Lamarre A (2014) Transient complement inhibition promotes a tumor-specific immune response through the implication of natural killer cells. Cancer Immunol Res 2:200–206
Jeong S, Park S, Park BW, Park Y, Kwon OJ, Kim HS (2014) Human leukocyte antigen-G (HLA-G) polymorphism and expression in breast cancer patients. PLoS ONE 9:e98284
Jiang Y, Chen S, Jia S, Zhu Z, Gao X, Dong D, Gao Y (2011) Association of HLA-G 3′ UTR 14-bp insertion/deletion polymorphism with hepatocellular carcinoma susceptibility in a Chinese population. DNA Cell Biol 30:1027–1032
Kim J, Sun CL, Mailey B, Prendergast C, Artinyan A, Bhatia S, Pigazzi A, Ellenhorn JD (2010) Race and ethnicity correlate with survival in patients with gastric adenocarcinoma. Ann Oncol 21:152–160
Kim SK, Chung JH, Jeon JW, Park JJ, Cha JM, Joo KR, Lee JI, Shin HP (2013) Association between HLA-G 14-bp insertion/deletion polymorphism and hepatocellular carcinoma in Korean patients with chronic hepatitis B viral infection. Hepatogastroenterology 60:796–798
Kuersten S, Goodwin EB (2003) The power of the 3′ UTR: translational control and development. Nat Rev Genet 4:626–637
Lau DT, Norris MD, Marshall GM, Haber M, Ashton LJ (2011) HLA-G polymorphisms, genetic susceptibility, and clinical outcome in childhood neuroblastoma. Tissue Antigens 78:421–427
Le Gal FA, Riteau B, Sedlik C, Khalil-Daher I, Menier C, Dausset J, Guillet JG, Carosella ED, Rouas-Freiss N (1999) HLA-G-mediated inhibition of antigen-specific cytotoxic T lymphocytes. Int Immunol 11:1351–1356
LeMaoult J, Caumartin J, Daouya M, Favier B, Le Rond S, Gonzalez A, Carosella ED (2007) Immune regulation by pretenders: cell-to-cell transfers of HLA-G make effector T cells act as regulatory cells. Blood 109:2040–2048
Mantel N, Haenszel W (1959) Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst 22:719–748
Pharoah PD, Dunning AM, Ponder BA, Easton DF (2004) Association studies for finding cancer-susceptibility genetic variants. Nat Rev Cancer 4:850–860
Polakova K, Bandzuchova E, Kuba D, Russ G (2009) Demethylating agent 5-aza-2′-deoxycytidine activates HLA-G expression in human leukemia cell lines. Leuk Res 33:518–524
Ponder BA (2001) Cancer genetics. Nature 411:336–341
Qin J, He XF, Wei W, Liu ZZ, Xie JJ, Wang W, Du YP, Chen Y, Si HQ (2014) Association between the STK15 polymorphisms and risk of cancer: a meta-analysis. Mol Genet Genomics. doi:10.1007/s00438-014-0895-4
Ramos CS, Goncalves AS, Marinho LC, Gomes Avelino MA, Saddi VA, Lopes AC, Simoes RT, Wastowski IJ (2014) Analysis of HLA-G gene polymorphism and protein expression in invasive breast ductal carcinoma. Hum Immunol 75:667–672
Risch N, Merikangas K (1996) The future of genetic studies of complex human diseases. Science 273:1516–1517
Rizzo R, Hviid TV, Stignani M, Balboni A, Grappa MT, Melchiorri L, Baricordi OR (2005) The HLA-G genotype is associated with IL-10 levels in activated PBMCs. Immunogenetics 57:172–181
Rouas-Freiss N, Moreau P, Ferrone S, Carosella ED (2005) HLA-G proteins in cancer: do they provide tumor cells with an escape mechanism? Cancer Res 65:10139–10144
Rouas-Freiss N, Moreau P, Menier C, Carosella ED (2003) HLA-G in cancer: a way to turn off the immune system. Semin Cancer Biol 13:325–336
Rousseau P, Le Discorde M, Mouillot G, Marcou C, Carosella ED, Moreau P (2003) The 14 bp deletion-insertion polymorphism in the 3′ UT region of the HLA-G gene influences HLA-G mRNA stability. Hum Immunol 64:1005–1010
Schultz R (2014) The utility of genetics in inherited cancer. Med J Aust 200:388–389
Siegel R, Ma J, Zou Z, Jemal A (2014) Cancer statistics, 2014. CA Cancer J Clin 64:9–29
Silva ID, Muniz YC, Sousa MC, Silva KR, Castelli EC, Filho JC, Osta AP, Lima MI, Simoes RT (2013) HLA-G 3′UTR polymorphisms in high grade and invasive cervico-vaginal cancer. Hum Immunol 74:452–458
Stockmann C, Schadendorf D, Klose R, Helfrich I (2014) The impact of the immune system on tumor: angiogenesis and vascular remodeling. Front Oncol 4:69
Teixeira AC, Mendes-Junior CT, Souza FF, Marano LA, Deghaide NH, Ferreira SC, Mente ED, Sankarankutty AK, Elias-Junior J, Castro-e-Silva O, Donadi EA, Martinelli AL (2013) The 14 bp-deletion allele in the HLA-G gene confers susceptibility to the development of hepatocellular carcinoma in the Brazilian population. Tissue Antigens 81:408–413
Theuer CP, Kurosaki T, Ziogas A, Butler J, Anton-Culver H (2000) Asian patients with gastric carcinoma in the United States exhibit unique clinical features and superior overall and cancer specific survival rates. Cancer 89:1883–1892
Veit TD, Chies JA (2009) Tolerance versus immune response—microRNAs as important elements in the regulation of the HLA-G gene expression. Transpl Immunol 20:229–231
Xu Q, He CY, Liu JW, Yuan Y (2013) Pre-miR-27a rs895819A/G polymorphisms in cancer: a meta-analysis. PLoS ONE 8:e65208
Yang YC, Chang TY, Chen TC, Lin WS, Chang SC, Lee YJ (2014) Human leucocyte antigen-G polymorphisms are associated with cervical squamous cell carcinoma risk in Taiwanese women. Eur J Cancer 50:469–474
Ye XH, Song L, Peng L, Bu Z, Yan SX, Feng J, Zhu XL, Liao XB, Yu XL, Yan D (2014) Association between the CYP2E1 polymorphisms and lung cancer risk: a meta-analysis. Mol Genet Genomics. doi:10.1007/s00438-014-0941-2
Conflict of interest
All authors have no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
Communicated by S. Hohmann.
T. Li, H. Huang and D. Liao contributed equally to this work.
Rights and permissions
About this article
Cite this article
Li, T., Huang, H., Liao, D. et al. Genetic polymorphism in HLA-G 3′UTR 14-bp ins/del and risk of cancer: a meta-analysis of case–control study. Mol Genet Genomics 290, 1235–1245 (2015). https://doi.org/10.1007/s00438-014-0985-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00438-014-0985-3