Abstract
Background
The −308 G/A polymorphism in TNF-α gene has been extensively investigated for association to asthma; however, results of different studies have been inconsistent. The aim of this study is to comprehensively evaluate the genetic risk of −308 G/A polymorphism in TNF-α gene for asthma.
Methods
A meta-analysis was carried out to analyze the association between the −308 G/A polymorphism TNF-α gene and asthma risk.
Results
A total of 4717 cases and 5012 controls in 29 case–control studies were included in this meta-analysis. The result indicated that the variant A allele carriers had a 38% increased risk of asthma, when compared with the homozygote GG (odds ratio (OR) = 1.40, 95% confidence interval (CI), 1.13–1.68 for AA + AG vs. GG). In the subgroup analysis by ethnicity, significant elevated risks were associated with A allele carriers in Asians (OR = 1.53, 95% CI = 1.17–2.01 and P = 0.002) but not in Caucasians(OR = 1.06, 95% CI = 0.75–1.50 and P = 0.73). In the subgroup analysis by age, significant elevated risks were associated with A allele carriers in adults (OR = 1.44, 95% CI = 1.14–1.81, and P = 0.002) and children (OR = 1.37, 95% CI = 1.03–1.82, and P = 0.003). In the subgroup analysis by atopic status, significant elevated risks of asthma were associated with A allele carriers in atopic population (OR = 1.68, 95% CI = 1.34–2.10, and P < 0.00001) but not in non-atopic population (OR = 0.98, 95% CI = 0.58–1.68, and P = 0.95).
Conclusions
Our results suggest that the TNF-α −308 G/A polymorphism contributes to susceptibility to asthma.
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References
Braman SS. The global burden of asthma. Chest. 2006;130:4S–12S.
Zhu S, Chan-Yeung M, Becker AB, Dimich-Ward H, Ferguson AC, Manfreda J, et al. Polymorphisms of the IL-4, TNF-alpha, and Fcepsilon RIbeta genes and the risk of allergic disorders in at-risk infants. Am J Respir Crit Care Med. 2000;161:1655–9.
Gold DR. Environmental tobacco smoke, indoor allergens, and childhood asthma. Environ Health Perspect. 2000;108 Suppl 4:643–51.
Weiss ST, Raby BA, Rogers A. Asthma genetics and genomics 2009. Curr Opin Genet Dev. 2009;19:279–82.
Chen J, Deng Y, Zhao J, Luo Z, Peng W, Yang J, et al. The polymorphism of IL-17 G-152A was associated with childhood asthma and bacterial colonization of the hypopharynx in bronchiolitis. J Clin Immunol. 2010;30:539–45.
Sharma S, Sharma A, Kumar S, Sharma SK, Ghosh B. Association of TNF haplotypes with asthma, serum IgE levels, and correlation with serum TNF-alpha levels. Am J Respir Cell Mol Biol. 2006;35:488–95.
Li YF, Gauderman WJ, Avol E, Dubeau L, Gilliland FD. Associations of tumor necrosis factor G-308A with childhood asthma and wheezing. Am J Respir Crit Care Med. 2006;173:970–6.
Noguchi E, Yokouchi Y, Shibasaki M, Inudou M, Nakahara S, Nogami T, et al. Association between TNFA polymorphism and the development of asthma in the Japanese population. Am J Respir Crit Care Med. 2002;166:43–6.
Mahdaviani SA, Rezaei N, Moradi B, Dorkhosh S, Amirzargar AA, Movahedi M. Proinflammatory cytokine gene polymorphisms among Iranian patients with asthma. J Clin Immunol. 2009;29:57–62.
Wang JY, Liou YH, Wu YJ, Hsiao YH, Wu LS. An association study of 13 SNPs from seven candidate genes with pediatric asthma and a preliminary study for genetic testing by multiple variants in Taiwanese population. J Clin Immunol. 2009;29:205–9.
Kim HB, Kang MJ, Lee SY, Jin HS, Kim JH, Kim BS, et al. Combined effect of tumour necrosis factor-alpha and interleukin-13 polymorphisms on bronchial hyperresponsiveness in Korean children with asthma. Clin Exp Allergy. 2008;38:774–80.
Trajkov D, Mirkovska-Stojkovikj J, Arsov T, Petlichkovski A, Strezova A, Efinska-Mladenovska O, et al. Association of cytokine gene polymorphisms with bronchial asthma in Macedonians. Iran J Allergy Asthma Immunol. 2008;7:143–56.
Kumar V, Khosla R, Gupta V, Sarin BC, Sehajpal PK. Differential association of tumour necrosis factor-alpha single nucleotide polymorphism (−308) with tuberculosis and bronchial asthma. Natl Med J India. 2008;21:120–2.
Mak JC, Ko FW, Chu CM, Leung HC, Chan HW, Cheung AH, et al. Polymorphisms in the IL-4, IL-4 receptor alpha chain, TNF-alpha, and lymphotoxin-alpha genes and risk of asthma in Hong Kong Chinese adults. Int Arch Allergy Immunol. 2007;144:114–22.
Kamali-Sarvestani E, Ghayomi MA, Nekoee A. Association of TNF-alpha −308 G/A and IL-4 −589 C/T gene promoter polymorphisms with asthma susceptibility in the south of Iran. J Investig Allergol Clin Immunol. 2007;17:361–6.
Tolgyesi G, Keszei M, Ungvari I, Nagy A, Falus A, Szalai C. Involvement of TNFalpha −308A promoter polymorphism in the development of asthma in children infected with Chlamydophila pneumoniae. Pediatr Res. 2006;60:543–8.
Bilolikar H, Nam AR, Rosenthal M, Davies JC, Henderson DC, Balfour-Lynn IM. Tumour necrosis factor gene polymorphisms and childhood wheezing. Eur Respir J. 2005;26:637–46.
Zhao HJ, Ding YC, Liu Y, Shi JP, Liu HF, Zhang J, et al. Association between polymorphism of tumor necrosis factor promoter gene and asthma. Ji Lin Da Xue Xue Bao (Yi Xue Ban). 2005;31:449–51 (in Chinese).
Beghe B, Padoan M, Moss CT, Barton SJ, Holloway JW, Holgate ST, et al. Lack of association of HLA class I genes and TNF alpha −308 polymorphism in toluene diisocyanate-induced asthma. Allergy. 2004;59:61–4.
Wang TN, Chen WY, Wang TH, Chen CJ, Huang LY, Ko YC. Gene–gene synergistic effect on atopic asthma: tumour necrosis factor-alpha −308 and lymphotoxin-alpha-NcoI in Taiwan's children. Clin Exp Allergy. 2004;34:184–8.
Liu RM, Wu JM, Liu DF, Cui TP. Polymerase chain reaction analysis for the tumor factor alpha −308(G–A) gene polymorphism in relation to susceptibility of asthma in infants. Hua Zhong Yi Xue Za Zhi. 2004;28:201–202, 154 (in Chinese).
Shin HD, Park BL, Kim LH, Jung JH, Wang HJ, Kim YJ, et al. Association of tumor necrosis factor polymorphisms with asthma and serum total IgE. Hum Mol Genet. 2004;13:397–403.
Guo YL, Zhou SL. Investigation of the association between tumour necrosis factor alpha promotor polymorphism and asthma. Jiang Xi Yi Xue Yuan Xue Bao. 2004;44:28–30, 33 (in Chinese).
Zhai FZ, Li Y. Association between polymorphism of tumor necrosis factor-α promoter gene and asthma. Shan Dong Yi Yao. 2004;44:4–6 (in Chinese).
El BL, Christensen M, Binaei S, Murphy C, Zhang Q, Quasney M. Lack of association between the tumor necrosis factor-alpha regulatory region genetic polymorphisms associated with elevated tumor necrosis factor-alpha levels and children with asthma. Chest. 2003;123:374S–5S.
Gao JM, Lin YG, Qiu CC, Liu YW, Ma Y, Liu Y. The association between tumor necrosis factor alpha gene polymorphism and asthma. Chin Med Sci J. 2003;18:248–53.
Li ZF, Li JR, Sun XF, Liao BP. Lack of association between children asthma and the tumor necrosis factor α gene-308 polymorphism. Xin Yi Xue. 2003;34:217–8 (Chinese).
Witte JS, Palmer LJ, O'Connor RD, Hopkins PJ, Hall JM. Relation between tumour necrosis factor polymorphism TNFalpha −308 and risk of asthma. Eur J Hum Genet. 2002;10:82–5.
Buckova D, Holla LI, Vasku A, Znojil V, Vacha J. Lack of association between atopic asthma and the tumor necrosis factor alpha −308 gene polymorphism in a Czech population. J Investig Allergol Clin Immunol. 2002;12:192–7.
Louis R, Leyder E, Malaise M, Bartsch P, Louis E. Lack of association between adult asthma and the tumour necrosis factor alpha −308 polymorphism gene. Eur Respir J. 2000;16:604–8.
Winchester EC, Millwood IY, Rand L, Penny MA, Kessling AM. Association of the TNF-alpha −308 (G–>A) polymorphism with self-reported history of childhood asthma. Hum Genet. 2000;107:591–6.
Tan EC, Lee BW, Tay AW, Chew FT, Tay AH. Asthma and TNF variants in Chinese and Malays. Allergy. 1999;54:402–3.
Albuquerque RV, Hayden CM, Palmer LJ, Laing IA, Rye PJ, Gibson NA, et al. Association of polymorphisms within the tumour necrosis factor (TNF) genes and childhood asthma. Clin Exp Allergy. 1998;28:578–84.
Lee YL, McConnell R, Berhane K, Gilliland FD. Ambient ozone modifies the effect of tumor necrosis factor G −308A on bronchitic symptoms among children with asthma. Allergy. 2009;64:1342–8.
Castro-Giner F, Kogevinas M, Machler M, de Cid R, Van Steen K, Imboden M, et al. TNFA −308 G>A in two international population-based cohorts and risk of asthma. Eur Respir J. 2008;32:350–61.
Aoki T, Hirota T, Tamari M, Ichikawa K, Takeda K, Arinami T, et al. An association between asthma and TNF −308 G/A polymorphism: meta-analysis. J Hum Genet. 2006;51:677–85.
Gao J, Shan G, Sun B, Thompson PJ, Gao X. Association between polymorphism of tumour necrosis factor alpha −308 gene promoter and asthma: a meta-analysis. Thorax. 2006;61:466–71.
Zhang YG, Li XB, Zhang J, Huang J, He C, Tian C, Deng Y, Wan H, Shrestha D, Yang YY, Fan H. The I/D polymorphism of angiotensin-converting enzyme gene and asthma risk: a meta-analysis. Allergy. 2010. doi:10.1111/j.1398-9995.2010.0248.x.
Barnes PJ. The cytokine network in asthma and chronic obstructive pulmonary disease. J Clin Invest. 2008;118:3546–56.
Van Bever HP. Determinants in early life for asthma development. Allergy Asthma Clin Immunol. 2009;5:6.
Burke W, Fesinmeyer M, Reed K, Hampson L, Carlsten C. Family history as a predictor of asthma risk. Am J Prev Med. 2003;24:160–9.
Bracken MB, Belanger K, Cookson WO, Triche E, Christiani DC, Leaderer BP. Genetic and perinatal risk factors for asthma onset and severity: a review and theoretical analysis. Epidemiol Rev. 2002;24:176–89.
Pokharel PK, Kabra SK, Kapoor SK, Pandey RM. Risk factors associated with bronchial asthma in school going children of rural Haryana. Indian J Pediatr. 2001;68:103–6.
Acknowledgements
This study was supported by grants #30470761, 30871117 from the National Natural Science Foundation of China.
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Yonggang Zhang and Jie Zhang contributed equally to this work.
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Zhang, Y., Zhang, J., Tian, C. et al. The −308 G/A polymorphism in TNF-α gene is associated with asthma risk: an update by meta-analysis. J Clin Immunol 31, 174–185 (2011). https://doi.org/10.1007/s10875-010-9477-3
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DOI: https://doi.org/10.1007/s10875-010-9477-3