Skip to main content
Top
Published in: Indian Journal of Surgical Oncology 2/2023

07-01-2023 | Esophageal Cancer | Review Article

The Effect of IL-6 174G > C Gene Polymorphism on Gastrointestinal Cancer: a Systematic Review and Meta-analysis

Authors: Niloofar Darvishi, Nader Salari, Shadi Bokaee, Shamarina Shohaimi, Masoud Mohammadi

Published in: Indian Journal of Surgical Oncology | Issue 2/2023

Login to get access

Abstract

IL-6 gene polymorphisms can play a role in the development or control of cancer by affecting cytokines. Gastrointestinal cancer is one of the most common types of cancer worldwide. The aim of this study was to investigate the effect of polymorphism of the IL-6 174G > C gene on gastrointestinal cancers based on a systematic review and meta-analysis, including gastric, colorectal, and esophageal cancer. In this study, a systematic and meta-analytical review of the study data on the effect of polymorphism of IL-6 174G > C gene on gastrointestinal cancer (gastric, colorectal, and esophageal cancer) in Scopus, EMBASE, Web of Science, PubMed, and Science Direct Databases was extracted without any time limit until April 2020. In order to perform the analysis of eligible studies, the model of random effects was used and the heterogeneity of studies was investigated with I2 index. Data analysis was performed with Comprehensive Meta-Analysis software (Version 2). The total number of surveyed studies in patients with colorectal cancer was 22 studies. Based on the results of meta-analysis, the odds ratio of GG genotype in patients with colorectal cancer was 0.88. The odds ratio of GC genotype obtained in patients with colorectal cancer was 0.88 and the odds ratio of CC genotype in patients with colorectal cancer was 0.92. The total number of surveyed studies in patients with gastric cancer was 12. Based on the meta-analysis results, the odds ratio of GG genotype in patients with gastric cancer was 0.74, the odds ratio of GC genotype in patients with gastric cancer was 1.27, and the odds ratio of CC genotype in patients with gastric cancer was 0.78. The total number of surveyed studies in esophageal cancer patients was 3 studies. Based on the results of meta-analysis, the odds ratio of GG genotype in patients with esophageal cancer was 0.57, the odds ratio of GC genotype in patients with esophageal cancer was 0.44, and the odds ratio of chance of CC genotype in patients with esophageal cancer was 0.99. In general, different genotypes of polymorphism of the IL-6 174G > C gene reduce the risk of gastric, colorectal, and esophageal cancer. However, the GC genotype of this gene was associated with a 27% increased risk of gastric cancer.
Literature
1.
go back to reference Du H, Yang J, Zhang Y (2020) Cytokine-induced killer cell/dendritic cell combined with cytokine-induced killer cell immunotherapy for treating advanced gastrointestinal cancer. BMC Cancer 20(1):357PubMedPubMedCentralCrossRef Du H, Yang J, Zhang Y (2020) Cytokine-induced killer cell/dendritic cell combined with cytokine-induced killer cell immunotherapy for treating advanced gastrointestinal cancer. BMC Cancer 20(1):357PubMedPubMedCentralCrossRef
2.
go back to reference Sasaki A et al (2019) Predictive factors for hyperprogressive disease during nivolumab as anti-PD1 treatment in patients with advanced gastric cancer. Gastric Cancer 22(4):793–802PubMedCrossRef Sasaki A et al (2019) Predictive factors for hyperprogressive disease during nivolumab as anti-PD1 treatment in patients with advanced gastric cancer. Gastric Cancer 22(4):793–802PubMedCrossRef
3.
go back to reference Claassen YHM et al (2019) Effect of hospital volume with respect to performing gastric cancer resection on recurrence and survival results from the CRITICS trial. Ann Surg 270(6):1096–1102PubMedCrossRef Claassen YHM et al (2019) Effect of hospital volume with respect to performing gastric cancer resection on recurrence and survival results from the CRITICS trial. Ann Surg 270(6):1096–1102PubMedCrossRef
4.
go back to reference Ouyang YM et al (2019) CircRNA circPDSS1 promotes the gastric cancer progression by sponging miR-186-5p and modulating NEK2. J Cell Physiol 234(7):10458–10469PubMedCrossRef Ouyang YM et al (2019) CircRNA circPDSS1 promotes the gastric cancer progression by sponging miR-186-5p and modulating NEK2. J Cell Physiol 234(7):10458–10469PubMedCrossRef
5.
go back to reference Shitara K et al (2019) Trastuzumab deruxtecan (DS-8201a) in patients with advanced HER2-positive gastric cancer: a dose-expansion, phase 1 study. Lancet Oncology 20(6):827–836PubMedCrossRef Shitara K et al (2019) Trastuzumab deruxtecan (DS-8201a) in patients with advanced HER2-positive gastric cancer: a dose-expansion, phase 1 study. Lancet Oncology 20(6):827–836PubMedCrossRef
6.
go back to reference Arnold M et al (2020) Is gastric cancer becoming a rare disease? A global assessment of predicted incidence trends to 2035. Gut 69(5):823PubMedCrossRef Arnold M et al (2020) Is gastric cancer becoming a rare disease? A global assessment of predicted incidence trends to 2035. Gut 69(5):823PubMedCrossRef
7.
go back to reference Wang S et al (2018) The association of interleukin-6 gene polymorphism and risk of colorectal cancer in Chinese patients. Transl Cancer Res 7(2):401–410CrossRef Wang S et al (2018) The association of interleukin-6 gene polymorphism and risk of colorectal cancer in Chinese patients. Transl Cancer Res 7(2):401–410CrossRef
8.
go back to reference Arnold M et al (2017) Global patterns and trends in colorectal cancer incidence and mortality. Gut 66(4):683–691PubMedCrossRef Arnold M et al (2017) Global patterns and trends in colorectal cancer incidence and mortality. Gut 66(4):683–691PubMedCrossRef
9.
go back to reference Bibbins-Domingo K et al (2016) Screening for colorectal cancer US preventive services task force recommendation statement. Jama-J Am Med Assoc 315(23):2564–2575CrossRef Bibbins-Domingo K et al (2016) Screening for colorectal cancer US preventive services task force recommendation statement. Jama-J Am Med Assoc 315(23):2564–2575CrossRef
10.
go back to reference Zeng HM et al (2016) Esophageal cancer statistics in China, 2011: estimates based on 177 cancer registries. Thoracic Cancer 2(7):232–237CrossRef Zeng HM et al (2016) Esophageal cancer statistics in China, 2011: estimates based on 177 cancer registries. Thoracic Cancer 2(7):232–237CrossRef
11.
go back to reference Mariette C et al (2019) Hybrid minimally invasive esophagectomy for esophageal cancer. N Engl J Med 380(2):152–162PubMedCrossRef Mariette C et al (2019) Hybrid minimally invasive esophagectomy for esophageal cancer. N Engl J Med 380(2):152–162PubMedCrossRef
12.
go back to reference Horie Y et al (2019) Diagnostic outcomes of esophageal cancer by artificial intelligence using convolutional neural networks. Gastrointest Endosc 89(1):25–32PubMedCrossRef Horie Y et al (2019) Diagnostic outcomes of esophageal cancer by artificial intelligence using convolutional neural networks. Gastrointest Endosc 89(1):25–32PubMedCrossRef
13.
go back to reference Gatti LL et al (2007) Interleukin-6 polymorphisms, Helicobacter pylori infection in adult Brazilian patients with chronic gastritis and gastric adenocarcinoma. Arch Med Res 38(5):551–555PubMedCrossRef Gatti LL et al (2007) Interleukin-6 polymorphisms, Helicobacter pylori infection in adult Brazilian patients with chronic gastritis and gastric adenocarcinoma. Arch Med Res 38(5):551–555PubMedCrossRef
14.
go back to reference Georges J-L et al (2001) Interleukin-6 gene polymorphisms and susceptibility to myocardial infarction: the ECTIM study. J Mol Med 79(5):300–305PubMedCrossRef Georges J-L et al (2001) Interleukin-6 gene polymorphisms and susceptibility to myocardial infarction: the ECTIM study. J Mol Med 79(5):300–305PubMedCrossRef
15.
go back to reference Gautam KA et al (2016) Functional polymorphisms in the IL6 gene promoter and the risk of urinary bladder cancer in India. Cytokine 77:152–156PubMedCrossRef Gautam KA et al (2016) Functional polymorphisms in the IL6 gene promoter and the risk of urinary bladder cancer in India. Cytokine 77:152–156PubMedCrossRef
16.
go back to reference Junli W et al (2012) Association of IL-6 polymorphisms with gastric cancer risk: evidences from a meta-analysis. Cytokine 59(1):176–183CrossRef Junli W et al (2012) Association of IL-6 polymorphisms with gastric cancer risk: evidences from a meta-analysis. Cytokine 59(1):176–183CrossRef
17.
go back to reference Hefler LA et al (2005) Interleukin-1 and interleukin-6 gene polymorphisms and the risk of breast cancer in caucasian women. Clin Cancer Res 11(16):5718–5721PubMedCrossRef Hefler LA et al (2005) Interleukin-1 and interleukin-6 gene polymorphisms and the risk of breast cancer in caucasian women. Clin Cancer Res 11(16):5718–5721PubMedCrossRef
18.
go back to reference Sugimoto M, Yamaoka Y, Furuta T (2010) Influence of interleukin polymorphisms on development of gastric cancer and peptic ulcer. World J Gastroenterol 16(10):1188–1200PubMedPubMedCentralCrossRef Sugimoto M, Yamaoka Y, Furuta T (2010) Influence of interleukin polymorphisms on development of gastric cancer and peptic ulcer. World J Gastroenterol 16(10):1188–1200PubMedPubMedCentralCrossRef
19.
go back to reference Kim D-K et al (2009) Clinical significances of preoperative serum interleukin-6 and C-reactive protein level in operable gastric cancer. BMC Cancer 9(1):155PubMedPubMedCentralCrossRef Kim D-K et al (2009) Clinical significances of preoperative serum interleukin-6 and C-reactive protein level in operable gastric cancer. BMC Cancer 9(1):155PubMedPubMedCentralCrossRef
20.
go back to reference Ankathil R et al (2019) Contribution of genetic polymorphisms of inflammation response genes on sporadic colorectal cancer predisposition risk in Malaysian patients — a case control study. Asian Pac J Cancer Prev 20(6):1621–1632PubMedPubMedCentralCrossRef Ankathil R et al (2019) Contribution of genetic polymorphisms of inflammation response genes on sporadic colorectal cancer predisposition risk in Malaysian patients — a case control study. Asian Pac J Cancer Prev 20(6):1621–1632PubMedPubMedCentralCrossRef
21.
go back to reference Banday MZ et al (2017) Strong association of interleukin-6 −174G/C promoter single nucleotide polymorphism with a decreased risk of colorectal cancer in ethnic Kashmiri population: a case control study. Tumor Biol 39(3):1–13CrossRef Banday MZ et al (2017) Strong association of interleukin-6 −174G/C promoter single nucleotide polymorphism with a decreased risk of colorectal cancer in ethnic Kashmiri population: a case control study. Tumor Biol 39(3):1–13CrossRef
22.
go back to reference Attar M, Mansoori M, Shahbazi M (2017) Interleukin-6 genetic variation and susceptibility to gastric cancer in an Iranian population. Asian Pac J Cancer Prev 18(11):3025–3029PubMedPubMedCentral Attar M, Mansoori M, Shahbazi M (2017) Interleukin-6 genetic variation and susceptibility to gastric cancer in an Iranian population. Asian Pac J Cancer Prev 18(11):3025–3029PubMedPubMedCentral
23.
go back to reference Sampaio AM et al (2015) Association between IL-4 and IL-6 expression variants and gastric cancer among Portuguese population. GE Port J Gastroenterol 22(4):143–152PubMedPubMedCentralCrossRef Sampaio AM et al (2015) Association between IL-4 and IL-6 expression variants and gastric cancer among Portuguese population. GE Port J Gastroenterol 22(4):143–152PubMedPubMedCentralCrossRef
24.
go back to reference Jafari-Nedooshan J et al (2019) Association of IL-6 -174 G>C polymorphism with susceptibility to colorectal cancer and gastric cancer: a systematic review and meta-analysis. Acta Medica (Hradec Kralove) 62(4):137–146PubMedCrossRef Jafari-Nedooshan J et al (2019) Association of IL-6 -174 G>C polymorphism with susceptibility to colorectal cancer and gastric cancer: a systematic review and meta-analysis. Acta Medica (Hradec Kralove) 62(4):137–146PubMedCrossRef
25.
26.
go back to reference Wang J et al (2012) Association of IL-6 polymorphisms with gastric cancer risk: evidences from a meta-analysis. Cytokine 59(1):176–183PubMedCrossRef Wang J et al (2012) Association of IL-6 polymorphisms with gastric cancer risk: evidences from a meta-analysis. Cytokine 59(1):176–183PubMedCrossRef
27.
go back to reference Yin Y-W et al (2012) Associations between interleukin-6 gene -174 C/G and -572 C/G polymorphisms and the risk of gastric cancer: a meta-analysis. J Surg Oncol 106(8):993–987CrossRef Yin Y-W et al (2012) Associations between interleukin-6 gene -174 C/G and -572 C/G polymorphisms and the risk of gastric cancer: a meta-analysis. J Surg Oncol 106(8):993–987CrossRef
28.
go back to reference Yu Y et al (2012) IL6 gene polymorphisms and susceptibility to colorectal cancer: a meta-analysis and review. Mol Biol Rep 39(8):8457–8463PubMedCrossRef Yu Y et al (2012) IL6 gene polymorphisms and susceptibility to colorectal cancer: a meta-analysis and review. Mol Biol Rep 39(8):8457–8463PubMedCrossRef
30.
go back to reference Abulí A et al (2011) Case-control study for colorectal cancer genetic susceptibility in EPICOLON: previously identified variants and mucins. BMC Cancer 11(1):339PubMedPubMedCentralCrossRef Abulí A et al (2011) Case-control study for colorectal cancer genetic susceptibility in EPICOLON: previously identified variants and mucins. BMC Cancer 11(1):339PubMedPubMedCentralCrossRef
31.
go back to reference Basavaraju U et al (2015) Cytokine gene polymorphisms, cytokine levels and the risk of colorectal neoplasia in a screened population of Northeast Scotland. Eur J Cancer Prev 24(4):296PubMedPubMedCentralCrossRef Basavaraju U et al (2015) Cytokine gene polymorphisms, cytokine levels and the risk of colorectal neoplasia in a screened population of Northeast Scotland. Eur J Cancer Prev 24(4):296PubMedPubMedCentralCrossRef
32.
go back to reference Crusius JBA et al (2008) Cytokine gene polymorphisms and the risk of adenocarcinoma of the stomach in the European prospective investigation into cancer and nutrition (EPIC-EURGAST). Ann Oncol 19(11):1894–1902PubMedCrossRef Crusius JBA et al (2008) Cytokine gene polymorphisms and the risk of adenocarcinoma of the stomach in the European prospective investigation into cancer and nutrition (EPIC-EURGAST). Ann Oncol 19(11):1894–1902PubMedCrossRef
33.
go back to reference Deans C et al (2007) Host cytokine genotype is related to adverse prognosis and systemic inflammation in gastro-oesophageal cancer. Ann Surg Oncol 14(2):329–339PubMedCrossRef Deans C et al (2007) Host cytokine genotype is related to adverse prognosis and systemic inflammation in gastro-oesophageal cancer. Ann Surg Oncol 14(2):329–339PubMedCrossRef
34.
go back to reference El-Omar EM et al (2003) Increased risk of noncardia gastric cancer associated with proinflammatory cytokine gene polymorphisms. Gastroenterology 124(5):1193–1201PubMedCrossRef El-Omar EM et al (2003) Increased risk of noncardia gastric cancer associated with proinflammatory cytokine gene polymorphisms. Gastroenterology 124(5):1193–1201PubMedCrossRef
35.
go back to reference Gunter MJ et al (2006) Inflammation-related gene polymorphisms and colorectal adenoma. Cancer Epidemiol Prev Biomark 15(6):1126–1131CrossRef Gunter MJ et al (2006) Inflammation-related gene polymorphisms and colorectal adenoma. Cancer Epidemiol Prev Biomark 15(6):1126–1131CrossRef
36.
go back to reference Hwang IR et al (2003) Interleukin-6 genetic polymorphisms are not related to Helicobacter pylori-associated gastroduodenal diseases. Helicobacter 8(2):142–148PubMedCrossRef Hwang IR et al (2003) Interleukin-6 genetic polymorphisms are not related to Helicobacter pylori-associated gastroduodenal diseases. Helicobacter 8(2):142–148PubMedCrossRef
37.
go back to reference Kamangar F et al (2006) Polymorphisms in inflammation-related genes and risk of gastric cancer (Finland). Cancer Causes Control 17(1):117–125PubMedCrossRef Kamangar F et al (2006) Polymorphisms in inflammation-related genes and risk of gastric cancer (Finland). Cancer Causes Control 17(1):117–125PubMedCrossRef
38.
go back to reference Küry S et al (2008) Low-penetrance alleles predisposing to sporadic colorectal cancers: a French case-controlled genetic association study. BMC Cancer 8(1):326PubMedPubMedCentralCrossRef Küry S et al (2008) Low-penetrance alleles predisposing to sporadic colorectal cancers: a French case-controlled genetic association study. BMC Cancer 8(1):326PubMedPubMedCentralCrossRef
39.
go back to reference Landi S et al (2003) Association of common polymorphisms in inflammatory genes interleukin (IL) 6, IL8, tumor necrosis factor α, NFKB1, and peroxisome proliferator-activated receptor γ with colorectal cancer. Can Res 63(13):3560–3566 Landi S et al (2003) Association of common polymorphisms in inflammatory genes interleukin (IL) 6, IL8, tumor necrosis factor α, NFKB1, and peroxisome proliferator-activated receptor γ with colorectal cancer. Can Res 63(13):3560–3566
40.
go back to reference dos MônicaPezenatto S et al (2019) Lack of association between IL-6 polymorphisms and haplotypes with gastric cancer. J Cel Biochem 120(6):9448–9454CrossRef dos MônicaPezenatto S et al (2019) Lack of association between IL-6 polymorphisms and haplotypes with gastric cancer. J Cel Biochem 120(6):9448–9454CrossRef
41.
go back to reference Ognjanovic S et al (2010) Serum CRP and IL-6, genetic variants and risk of colorectal adenoma in a multiethnic population. Cancer Causes Control 21(7):1131–1138PubMedCrossRef Ognjanovic S et al (2010) Serum CRP and IL-6, genetic variants and risk of colorectal adenoma in a multiethnic population. Cancer Causes Control 21(7):1131–1138PubMedCrossRef
42.
go back to reference Pohjanen VM et al (2013) Interleukin 6 gene polymorphism-174 is associated with the diffuse type gastric carcinoma. Genes Chromosomes Cancer 52(10):976–982PubMedCrossRef Pohjanen VM et al (2013) Interleukin 6 gene polymorphism-174 is associated with the diffuse type gastric carcinoma. Genes Chromosomes Cancer 52(10):976–982PubMedCrossRef
43.
go back to reference Slattery ML et al (2009) Colon tumor mutations and epigenetic changes associated with genetic polymorphism: insight into disease pathways. Mutat Res 660(1–2):12–21PubMedCrossRef Slattery ML et al (2009) Colon tumor mutations and epigenetic changes associated with genetic polymorphism: insight into disease pathways. Mutat Res 660(1–2):12–21PubMedCrossRef
45.
go back to reference Talseth BA et al (2007) Lack of association between genetic polymorphisms in cytokine genes and disease expression in patients with hereditary non-polyposis colorectal cancer. Scand J Gastroenterol 42(5):628–632PubMedCrossRef Talseth BA et al (2007) Lack of association between genetic polymorphisms in cytokine genes and disease expression in patients with hereditary non-polyposis colorectal cancer. Scand J Gastroenterol 42(5):628–632PubMedCrossRef
46.
go back to reference Theodoropoulos G et al (2006) Relation between common polymorphisms in genes related to inflammatory response and colorectal cancer. World Journal of Gastroenterology 12(31):5037–5043PubMedPubMedCentralCrossRef Theodoropoulos G et al (2006) Relation between common polymorphisms in genes related to inflammatory response and colorectal cancer. World Journal of Gastroenterology 12(31):5037–5043PubMedPubMedCentralCrossRef
47.
go back to reference Tsilidis KK et al (2009) Association of common polymorphisms in IL10, and in other genes related to inflammatory response and obesity with colorectal cancer. Cancer Causes Control 20(9):1739–1751PubMedPubMedCentralCrossRef Tsilidis KK et al (2009) Association of common polymorphisms in IL10, and in other genes related to inflammatory response and obesity with colorectal cancer. Cancer Causes Control 20(9):1739–1751PubMedPubMedCentralCrossRef
48.
go back to reference Vogel U et al (2007) Prospective study of interaction between alcohol, NSAID use and polymorphisms in genes involved in the inflammatory response in relation to risk of colorectal cancer. Mutat Res 624(1–2):88–100PubMedCrossRef Vogel U et al (2007) Prospective study of interaction between alcohol, NSAID use and polymorphisms in genes involved in the inflammatory response in relation to risk of colorectal cancer. Mutat Res 624(1–2):88–100PubMedCrossRef
49.
go back to reference Wilkening S et al (2008) Interleukin promoter polymorphisms and prognosis in colorectal cancer. Carcinogenesis 29(6):1202–1206PubMedCrossRef Wilkening S et al (2008) Interleukin promoter polymorphisms and prognosis in colorectal cancer. Carcinogenesis 29(6):1202–1206PubMedCrossRef
50.
go back to reference Xing P et al (2006) Relationship between cytokine gene polymorphisms on development and clinical characteristics of gastric adenocarcinoma. Chinese J General Surg 15:659–663 Xing P et al (2006) Relationship between cytokine gene polymorphisms on development and clinical characteristics of gastric adenocarcinoma. Chinese J General Surg 15:659–663
51.
go back to reference Yong Z et al (2010) Relativity research on the association between the interleukin-6 gene polymorphisms and risk of gastric cancer in Wuwei Area of Gansu Province. Clin J Med Offic 38(1):25–27 Yong Z et al (2010) Relativity research on the association between the interleukin-6 gene polymorphisms and risk of gastric cancer in Wuwei Area of Gansu Province. Clin J Med Offic 38(1):25–27
Metadata
Title
The Effect of IL-6 174G > C Gene Polymorphism on Gastrointestinal Cancer: a Systematic Review and Meta-analysis
Authors
Niloofar Darvishi
Nader Salari
Shadi Bokaee
Shamarina Shohaimi
Masoud Mohammadi
Publication date
07-01-2023
Publisher
Springer India
Published in
Indian Journal of Surgical Oncology / Issue 2/2023
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI
https://doi.org/10.1007/s13193-022-01698-1

Other articles of this Issue 2/2023

Indian Journal of Surgical Oncology 2/2023 Go to the issue