Genetic association between TNF-α G-308A and osteoarthritis in Asians: A case–control study and meta-analysis
<h4>Background</h4> Osteoarthritis (OA) is an important health issue in elderly people. Many studies have suggested that genetic factors are important risk factors for OA, of which tumor necrosis factor-α (TNF-α) is one of the most examined genes. Moreover, several studies have investiga...
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oai:doaj.org-article:f886bbfa1ef249f9bbb44e52021d75dc2021-11-11T07:14:43ZGenetic association between TNF-α G-308A and osteoarthritis in Asians: A case–control study and meta-analysis1932-6203https://doaj.org/article/f886bbfa1ef249f9bbb44e52021d75dc2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568107/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> Osteoarthritis (OA) is an important health issue in elderly people. Many studies have suggested that genetic factors are important risk factors for OA, of which tumor necrosis factor-α (TNF-α) is one of the most examined genes. Moreover, several studies have investigated the relationship between TNF-α G-308A polymorphisms and OA risk, but consistent results have not been obtained. <h4>Objective</h4> This study examines the association between TNF-α G-308A polymorphisms and knee OA. Moreover, meta-analysis and trial sequential analysis (TSA) was used to determine whether this is a susceptibility gene for knee OA. <h4>Methods</h4> Between 2015 and 2019, 591 knee OA cases and 536 healthy controls were recruited. The Kellgren–Lawrence grading system was used to identify the knee OA cases. A meta-analysis was conducted including related studies published until 2020 from PubMed, Embase, and previous meta-analysis to improve the evidence level of the current study. The results were expressed as odds ratios (ORs) with corresponding 95% confidence intervals (CI) to evaluate the effect of this polymorphism on knee OA risk. The TSA was used to estimate the sample sizes required in this issue. <h4>Results</h4> A nonsignificant association was found between the AA genotype and knee OA [adjusted OR, 0.84; 95% CI, 0.62–1.15) in the recessive model] in the present case–control study, and analysis of other genetic models showed a similar trend. After adding the critical case–control samples for Asians, the TNF-α G-308A, AA genotype exhibited 2.57 times more risk of developing arthritis when compared with the GG + GA genotype (95% CI, 1.56–4.23), and the cumulative samples for TSA (n = 2182) were sufficient to obtain a definite conclusion. <h4>Conclusions</h4> The results of this meta-analysis revealed that the TNF-α G-308A, AA genotype is a susceptible genotype for OA in the Asian population. This study integrated all current evidence to arrive at this conclusion, suggesting that future studies on Asians are not required.Chih-Chien WangChih-Yun HuangMeng-Chang LeeDung-Jang TsaiChia-Chun WuSui-Lung SuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021) |
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Medicine R Science Q Chih-Chien Wang Chih-Yun Huang Meng-Chang Lee Dung-Jang Tsai Chia-Chun Wu Sui-Lung Su Genetic association between TNF-α G-308A and osteoarthritis in Asians: A case–control study and meta-analysis |
description |
<h4>Background</h4> Osteoarthritis (OA) is an important health issue in elderly people. Many studies have suggested that genetic factors are important risk factors for OA, of which tumor necrosis factor-α (TNF-α) is one of the most examined genes. Moreover, several studies have investigated the relationship between TNF-α G-308A polymorphisms and OA risk, but consistent results have not been obtained. <h4>Objective</h4> This study examines the association between TNF-α G-308A polymorphisms and knee OA. Moreover, meta-analysis and trial sequential analysis (TSA) was used to determine whether this is a susceptibility gene for knee OA. <h4>Methods</h4> Between 2015 and 2019, 591 knee OA cases and 536 healthy controls were recruited. The Kellgren–Lawrence grading system was used to identify the knee OA cases. A meta-analysis was conducted including related studies published until 2020 from PubMed, Embase, and previous meta-analysis to improve the evidence level of the current study. The results were expressed as odds ratios (ORs) with corresponding 95% confidence intervals (CI) to evaluate the effect of this polymorphism on knee OA risk. The TSA was used to estimate the sample sizes required in this issue. <h4>Results</h4> A nonsignificant association was found between the AA genotype and knee OA [adjusted OR, 0.84; 95% CI, 0.62–1.15) in the recessive model] in the present case–control study, and analysis of other genetic models showed a similar trend. After adding the critical case–control samples for Asians, the TNF-α G-308A, AA genotype exhibited 2.57 times more risk of developing arthritis when compared with the GG + GA genotype (95% CI, 1.56–4.23), and the cumulative samples for TSA (n = 2182) were sufficient to obtain a definite conclusion. <h4>Conclusions</h4> The results of this meta-analysis revealed that the TNF-α G-308A, AA genotype is a susceptible genotype for OA in the Asian population. This study integrated all current evidence to arrive at this conclusion, suggesting that future studies on Asians are not required. |
format |
article |
author |
Chih-Chien Wang Chih-Yun Huang Meng-Chang Lee Dung-Jang Tsai Chia-Chun Wu Sui-Lung Su |
author_facet |
Chih-Chien Wang Chih-Yun Huang Meng-Chang Lee Dung-Jang Tsai Chia-Chun Wu Sui-Lung Su |
author_sort |
Chih-Chien Wang |
title |
Genetic association between TNF-α G-308A and osteoarthritis in Asians: A case–control study and meta-analysis |
title_short |
Genetic association between TNF-α G-308A and osteoarthritis in Asians: A case–control study and meta-analysis |
title_full |
Genetic association between TNF-α G-308A and osteoarthritis in Asians: A case–control study and meta-analysis |
title_fullStr |
Genetic association between TNF-α G-308A and osteoarthritis in Asians: A case–control study and meta-analysis |
title_full_unstemmed |
Genetic association between TNF-α G-308A and osteoarthritis in Asians: A case–control study and meta-analysis |
title_sort |
genetic association between tnf-α g-308a and osteoarthritis in asians: a case–control study and meta-analysis |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doaj.org/article/f886bbfa1ef249f9bbb44e52021d75dc |
work_keys_str_mv |
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1718439458779430912 |