Abstract
Background
The relationship of gastric cancer to the presence of interleukin-8 (IL-8) 251 T/A has been reported with conflicting results.
Aim
To further explore the association of IL-8 251 allele polymorphism with gastric cancer susceptibility.
Methods
We performed an extensive search of relevant studies and carried out a meta-analysis, including ten studies with 2,195 gastric cancer cases and 3,505 controls, to obtain a more precise estimate.
Results
The combined results based on all studies showed that the IL-8 251 allele AA genotype was a risk factor for gastric cancer [AA versus TT: odds ratio (OR) = 1.363, 95% confidence interval (CI): 1.199–1.527]. In subgroup analysis, a clear effect of AA in IL-8 251 allele was shown in Asians (AA versus TT: OR = 1.593, 95% CI: 1.013–2.173) but not in Caucasians or Mexicans. When stratified by Lauren classification, we found that the IL-8 251 allele TA and AA polymorphism was significantly associated with the diffuse type of gastric cancer (TA versus TT: OR = 1.448, 95% CI: 1.177–1.720; AA versus TT: OR = 1.586, 95% CI: 1.128–2.044). The IL-8 251 AA genotype was found to be a risk factor for cardiac gastric cancer (AA versus TT: OR = 1.840, 95% CI: 1.112–2.568) but not for noncardiac gastric cancer.
Conclusions
This meta-analysis suggested that IL-8 251 allele A>T polymorphism might be a risk factor for gastric cancer.
Similar content being viewed by others
References
Terry MB, Gaudet MM, Gammon MD. The epidemiology of gastric cancer. Semin Radiat Oncol. 2002;12:111–127.
Parkin DM, Bray F, Ferlay J, Pisani P. Estimating the world cancer burden: Globocan 2000. Int J Cancer. 2001;94:153–156.
Smith RA, Cokkinides V, Eyre HJ. American cancer society guidelines for the early detection of cancer, 2006. CA Cancer J Clin. 2006;56:11–25.
Hohenberger P, Gretschel S. Gastric cancer. Lancet. 2003;362:305–315.
Balkwill F, Mantovani A. Inflammation and cancer: back to Virchow? Lancet. 2001;357:539–545.
Macarthur M, Hold GL, EI-Omar EM. Inflammation and cancer II. Role of chronic inflammation and cytokine gene polymorphism in the pathogenesis of gastrointestinal malignancy. Am J Physiol Gastrointest Liver Physiol. 2004;286:G515–G520.
Gianfagna F, De Feo E, van Duijn CM, Ricciardi G, Boccia S. A systematic review of meta-analyses on gene polymorphisms and gastric cancer risk. Curr Genomics. 2008;9(6):361–374.
Kitadai Y, Haruma K, Sumii K, et al. Expression of interleukin-8 correlates with vascularity in human gastric cancers. Am J Pathol. 1998;152:93–100.
Koch AE, Polverini PJ, Kunkel SL, et al. Interleukin-8 as a macrophage derived mediator of angiogenesis. Science. 1992;258:1798–1801.
Kamali-Sarvestani E, Bazargani A, Masoudian M, Lankarani K, Taghavi AR, Saberifiroozi M. Association of H pylori cagA and vacA genotypes and IL-8 gene polymorphism with clinical outcome of infection in Iranian patients with gastrointestinal diseases. World J Gastroenterol. 2006;12(32):5205–5210.
Savage SA, Abnet CC, Mark SD, et al. Variants of the IL8 and IL8RB genes and risk for gastric cardia adenocarcinoma and esophageal squamous cell carcinoma. Cancer Epidemiol Biomarkers Prev. 2004;13:2251–2257.
Lee WP, Tai DI, Lan KH, et al. The 251 T allele of the interleukin-8 promoter is associated with increased risk of gastric cancer featuring diffuse-type histopathology in Chinese population. Clin Cancer Res. 2005;11:6431–6441.
Lu WL, Pan KF, Zhang L, Lin DX, Miao XP, You WC. Genetic polymorphism of interleukin (IL)-1B, IL-1RN, IL-8, IL-10 and tumor necrosis factor alpha and risk of gastric cancer in a Chinese population. Carcinogenesis. 2005;26:631–636.
Ohyauchi M, Imatani A, Yonechi M, et al. The polymorphism interleukin 8–251 A/T influences the susceptibility of Helicobacter pylori related gastric diseases in the Japanese population. Gut. 2005;54:330–335.
Taguchi A, Ohmiya N, Shirai K, et al. Interleukin-8 promoter polymorphism increases the risk of atrophic gastritis and gastric cancer in Japan. Cancer Epidemiol Biomarkers Prev. 2005;14:2487–2493.
Kamangar F, Abnet CC, Hutchinson AA, et al. Polymorphism in inflammation-related genes and risk of gastric cancer (Finland). Cancer Causes Control. 2006;17:117–125.
Shirai K, Ohmiya N, Taguchi A, et al. Interleukin-8 gene polymorphism associated with susceptibility to non-cardiac gastric cancer with micro satellite instability. J Gastroenterol Hepatol. 2006;21(7):1129–1135.
Savage SA, Hou L, Lissowska J, Chow WH, Zatonski W, Chanock SJ. Yeager M Interleukin-8 polymorphism are not associated with gastric cancer risk in a polish population. Cancer Epidemiol Biomarkers Prev. 2006;15:589–591.
Garza-Gonzalez E, Bosques-Padilla FJ, Mendoza-Ibarra SI, et al. Thr399Ile and interleukin-8 -251 polymorphism in the risk for the development of distal gastric cancer. BMC Cancer. 2007;7:70.
Canedo P, Castanheira-Vale AJ, Lunet N, Pereira F, et al. The interleukin-8–251*T/*A polymorphism is not associated with risk for gastric cancer development in a Portuguese population. Eur J Cancer Prev. 2008;17(1):28–32.
Hardy CJ, Palmer BP, Muir KR, Sutton AJ, Powell RJ. Smoking history, alcohol consumption, and systemic lupus erythematosus: a case–control study. Ann Rheum Dis. 1998;57:451–455.
Harris T, Creed F, Brugha TS. Stressful life events and Graves’ disease. Br J Psychiatry. 1992;161:535–541.
Lu Y, Wang ZD, Shen J, Xu YC. Meta-analysis on the relationship between IL8–251 gene polymorphism and gastric cancer. Zhonghua Yu Fang Yi Xue Za Zhi. 2007;41(Suppl.):39–42.
Fujihara J, Shiwaku K, Yasuda T, et al. Variation of interleukin 8 −251 A>T polymorphism worldwide populations and intra-ethnic differences in Japanese populations. Clin Chim Acta. 2007;377:79–82.
Ioannidis JP, Ntzani EE, Trikalinos TA, Contopoulos-Ioannidis DG. Replication validity of genetic association studies. Nat Genet. 2001;29:306–309.
Wang LD, Zheng S, Zheng ZY, et al. Primary adenocarcinomas of lower esophagus, esophagogastric junction and gastric cardia: in special reference to China. World J Gastroenterol. 2003;9:1156–1164.
Correa P. Human gastric carcinogenesis: a multistep and multifactorial process—first American cancer society award lecture on cancer epidemiology and prevention. Cancer Res. 1992;52:6735–6740.
Ito H, Matsuo K, Hamajima N, et al. Significant association of interleukin 8-251T/A polymorphism with smoking behavior in a Japanese population. J Hum Genet. 2005;50:567–573.
Acknowledgments
This research was supported by the Humane and Social Sciences Research Fund, Education Department of Anhui Province (reference: 2009sk192zd), Cademic Leader Foundation of Anhui Medical University, and Doctor’s Scientific Research Foundation of Anhui Medical University. At the same time, thanks are due to Dr. De bin Wang for help in the revision of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wang, J., Pan, HF., Hu, YT. et al. Polymorphism of IL-8 in 251 Allele and Gastric Cancer Susceptibility: A Meta-Analysis. Dig Dis Sci 55, 1818–1823 (2010). https://doi.org/10.1007/s10620-009-0978-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10620-009-0978-y