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Published Online First: 3 March 2006. doi:10.1136/thx.2005.051284
Thorax 2006;61:466-471
Copyright © 2006 BMJ Publishing Group Ltd & British Thoracic Society

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ASTHMA

Association between polymorphism of tumour necrosis factor {alpha}-308 gene promoter and asthma: a meta-analysis

J Gao1, G Shan2, B Sun3, P J Thompson4, X Gao5

1 Department of Respiratory Diseases, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China
2 Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100005, China
3 Hypertension and Atherosclerosis Section, Boston University School of Medicine, Boston, MA 02118, USA
4 Asthma and Allergy Research Institute and Centre for Asthma, Allergy and Respiratory Research, University of Western Australia, Perth, WA 6009, Australia
5 Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA

Correspondence to:
Correspondence to:
Dr J Gao
Department of Respiratory Diseases, Peking Union Medical College Hospital, 1 Shuaifuyuan, Dongcheng District, Beijing 100730, China; gaojm{at}pumch.ac.cn

Background: Asthma is a complex polygenic disease in which gene–environment interactions are important. The gene encoding tumour necrosis factor alpha (TNF{alpha}) is one of several candidate loci for asthma pathogenesis and is highly polymorphic. A number of studies have investigated the polymorphism of TNF{alpha}-308 gene promoter (substitution G->A, designated as TNF1 and TNF2) in relation to asthma susceptibility in different populations. However, the results of individual studies have been inconsistent.

Methods: To address the inconsistent findings in studies of the association of the polymorphism of TNF{alpha}-308 gene promoter with susceptibility to asthma, a systematic review was undertaken of the published data and a meta-analysis was performed. The MEDLINE database was searched for case-control studies published in English language journals from 1966 to October 2005. Data were extracted using standardised forms and pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated.

Results: Fifteen eligible studies, comprising 2409 patients with asthma and 3266 controls, were included in the meta-analysis. Using the random effects model, the pooled result showed that the TNF2 allele is associated with overall susceptibility to asthma (OR 1.37, 95% CI 1.02 to 1.84, p = 0.04). The ORs for asthma susceptibility in TNF2 homozygote individuals were significantly increased at 2.01 (95% CI 1.26 to 3.20, p = 0.009) and 1.51 (95% CI 1.02 to 2.22, p = 0.041) compared with TNF1 homozygotes and TNF2/1 heterozygotes, respectively. In addition, the pooled OR for asthma risk in TNF2/1 heterozygotes was also significantly higher than that in TNF1/1 homozygotes (OR 1.47, 95% CI 1.01 to 2.13, p = 0.045).

Conclusions: The TNF2 allele confers a significant risk for developing asthma. A large scale case-control study is needed to clarify the functional effect of the polymorphism of the TNF{alpha} gene in the pathogenesis of asthma.


Abbreviations: TNF{alpha}, tumour necrosis factor alpha

Keywords: asthma; genetics; tumour necrosis factor; polymorphism; meta-analysis




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