Skip to main content

Advertisement

Log in

Association between tumor necrosis factor β 252 A/G polymorphism and risk of gastric cancer: a meta-analysis

  • Research Article
  • Published:
Tumor Biology

Abstract

Tumor necrosis factor β (TNF-β) 252 A/G polymorphism has been implicated to be associated with risk of gastric cancer, but previous studies showed inconsistent and inconclusive results. Therefore, we performed a meta-analysis to assess the association between TNF-β 252 A/G polymorphism and gastric cancer risk. Relevant studies were searched from PubMed database. Odds ratios (OR) and 95 % confidence intervals (95% CI) were calculated to evaluate the strength of the associations between TNF-β 252 A/G polymorphism and gastric cancer risk. Overall, 11 individual case–control studies with 2,270 cases and 4,404 controls were included in the final meta-analysis. Meta-analysis of total 11 studies showed that TNF-β 252 A/G polymorphism was associated with the risk of gastric cancer (G vs. A: OR = 1.10, 95 % CI 1.02–1.19, P = 0.015; GG/AG vs. AA: OR = 1.21, 95 % CI 1.00–1.47, P = 0.049). Subgroup analysis by ethnicity showed that TNF-β 252 A/G polymorphism was only associated with the risk of gastric cancer in Asians, but not Caucasians. The findings from the current meta-analysis suggest that TNF-β 252 A/G polymorphism is associated with the risk of gastric cancer, especially in Asians.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61:69–90.

    Article  PubMed  Google Scholar 

  2. Peek Jr RM, Fiske C, Wilson KT. Role of innate immunity in Helicobacter pylori-induced gastric malignancy. Physiol Rev. 2010;90:831–58.

    Article  PubMed  CAS  Google Scholar 

  3. Polk DB, Peek Jr RM. Helicobacter pylori: gastric cancer and beyond. Nat Rev Cancer. 2010;10:403–14.

    Article  PubMed  CAS  Google Scholar 

  4. Dong LM, Potter JD, White E, Ulrich CM, Cardon LR, Peters U. Genetic susceptibility to cancer: the role of polymorphisms in candidate genes. JAMA. 2008;299:2423–36.

    Article  PubMed  CAS  Google Scholar 

  5. Upadhyay V, Fu YX. Lymphotoxin signalling in immune homeostasis and the control of microorganisms. Nat Rev Immunol. 2013;13:270–9.

    Article  PubMed  CAS  Google Scholar 

  6. Bauer J, Namineni S, Reisinger F, Zoller J, Yuan D, Heikenwalder M. Lymphotoxin, NF-kB, and cancer: the dark side of cytokines. Dig Dis. 2012;30:453–68.

    Article  PubMed  Google Scholar 

  7. Shimura T, Hagihara M, Takebe K, Munkhbat B, Ogoshi K, Mitomi T, et al. 10.5-kb homozygote of tumor necrosis factor-beta gene is associated with a better prognosis in gastric cancer patients. Cancer. 1995;75:1450–3.

    Article  PubMed  CAS  Google Scholar 

  8. Fei BY, Xia B, Deng CS, Xia XQ, Xie M, Crusius JB, et al. Association of tumor necrosis factor genetic polymorphism with chronic atrophic gastritis and gastric adenocarcinoma in Chinese Han population. World J Gastroenterol. 2004;10:1256–61.

    PubMed  CAS  Google Scholar 

  9. Li C, Xia B, Yang Y, Li J, Xia HH. TNF gene polymorphisms and Helicobacter pylori infection in gastric carcinogenesis in Chinese population. Am J Gastroenterol. 2005;100:290–4.

    Article  PubMed  CAS  Google Scholar 

  10. Garcia-Gonzalez MA, Lanas A, Quintero E, Nicolas D, Parra-Blanco A, Strunk M, et al. Gastric cancer susceptibility is not linked to pro-and anti-inflammatory cytokine gene polymorphisms in whites: a nationwide multicenter study in Spain. Am J Gastroenterol. 2007;102:1878–92.

    Article  PubMed  CAS  Google Scholar 

  11. Crusius JB, Canzian F, Capella G, Pena AS, Pera G, Sala N, et al. Cytokine gene polymorphisms and the risk of adenocarcinoma of the stomach in the European prospective investigation into cancer and nutrition (EPIC-EURGAST). Ann Oncol. 2008;19:1894–902.

    Article  PubMed  CAS  Google Scholar 

  12. Suzuki G, Cullings H, Fujiwara S, Matsuura S, Kishi T, Ohishi W, et al. LTA 252GG and GA genotypes are associated with diffuse-type noncardia gastric cancer risk in the Japanese population. Helicobacter. 2009;14:571–9.

    Article  PubMed  CAS  Google Scholar 

  13. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557–60.

    Article  PubMed  Google Scholar 

  14. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.

    Article  PubMed  CAS  Google Scholar 

  15. Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959;22:719–48.

    PubMed  CAS  Google Scholar 

  16. Egger M, Davey Smith G, Schneider S, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34.

    Article  PubMed  CAS  Google Scholar 

  17. Lee SG, Kim B, Yook JH, Oh ST, Lee I, Song K. TNF/LTA polymorphisms and risk for gastric cancer/duodenal ulcer in the Korean population. Cytokine. 2004;28:75–82.

    Article  PubMed  CAS  Google Scholar 

  18. Guo W, Wang N, Li Y, Zhang JH. Polymorphisms in tumor necrosis factor genes and susceptibility to esophageal squamous cell carcinoma and gastric cardiac adenocarcinoma in a population of high incidence region of North China. Chin Med J (Engl). 2005;118:1870–8.

    CAS  Google Scholar 

  19. Yang JJ, Ko KP, Cho LY, Shin A, Gwack J, Chang SH, et al. The role of TNF genetic variants and the interaction with cigarette smoking for gastric cancer risk: a nested case–control study. BMC Cancer. 2009;9:238.

    Article  PubMed  Google Scholar 

  20. He B, Pan Y, Xu Y, Nie Z, Chen L, Gu L, et al. Increased risk for gastric cancer in carriers of the lymphotoxin-alpha+252G variant infected by Helicobacter pylori. Genet Test Mol Biomarkers. 2012;16:9–14.

    Article  PubMed  CAS  Google Scholar 

  21. Oliveira JG, Duarte MC, Silva AE. IL-1ra anti-inflammatory cytokine polymorphism is associated with risk of gastric cancer and chronic gastritis in a Brazilian population, but the TNF-beta pro-inflammatory cytokine is not. Mol Biol Rep. 2012;39:7617–25.

    Article  PubMed  CAS  Google Scholar 

  22. Tang W, Zhou X, Nie S, Yang Z, Zhu H, Wu X, et al. Association of p53 arg72pro polymorphism with gastric cancer: a meta-analysis. Biomarkers. 2012;17:597–603.

    Article  PubMed  CAS  Google Scholar 

  23. Zhang W, Huang J, Peng G, Ding Q, Chen J, Hua Y, et al. Null genotype of glutathione S-transferase T1 contributes to increased risk of gastric cancer in Asian population. Tumour Biol. 2013;34:1461–6.

    Article  PubMed  CAS  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lisheng Wang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Xu, Z., Shi, R., Zhang, R. et al. Association between tumor necrosis factor β 252 A/G polymorphism and risk of gastric cancer: a meta-analysis. Tumor Biol. 34, 4001–4005 (2013). https://doi.org/10.1007/s13277-013-0989-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13277-013-0989-3

Keywords

Navigation