Skip to main content
Log in

Associations between TNF-α −308 A/G and lymphotoxin-α +252 A/G polymorphisms and susceptibility to sarcoidosis: a meta-analysis

  • Published:
Molecular Biology Reports Aims and scope Submit manuscript

Abstract

Several studies have examined the effects of the tumor necrosis factor-α (TNF-α) −308 A/G and lymphotoxin-α (LT-α) +252 A/G polymorphisms on susceptibility to sarcoidosis, showing mixed results. The purpose of this study was to examine whether the TNF-α −308 A/G and LT-α +252 A/G polymorphisms confer susceptibility to sarcoidosis. We did a literature search from MEDLINE and EMBASE indices, and conducted a meta-analysis examining the association between TNF-α −308 A/G and LT-α +252 A/G polymorphisms and sarcoidosis. A total of 13 separate comparisons including 1,396 patients with sarcoidosis and 2,344 controls were considered in our meta-analysis. The meta-analysis revealed a significant association between the TNF-α −308 A allele and sarcoidosis (odds ratio [OR] = 1.480, 95 % confidence interval [CI] 1.057–2.073, p = 0.002). Stratification by ethnicity indicated an association between the TNF-α −308 A allele polymorphism and sarcoidosis in Europeans (OR = 1.445, 95 % CI = 1.010–2.065, p = 0.044), but not Asians (OR = 4.693, 95 % CI = 0.548–40.29, p = 0.158). The results also showed a significant association between the LT-α +252 G allele and sarcoidosis (OR = 1.266, 95 % CI = 1.048–1.528, p = 0.014). Stratification by ethnicity indicated an association between the LT-α +252 G allele and sarcoidosis in Europeans (OR = 1.307, 95 % CI = 1.045–1.635, p = 0.019), but not in Asians (OR = 1.169, 95 % CI = 0.824–1.660, p = 0.381). Our meta-analysis demonstrates that the TNF-α −308 A/G and LT-α +252 A/G polymorphisms are associated with susceptibility to sarcoidosis in an European population.

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. Baughman RP, Lower EE, du Bois RM (2003) Sarcoidosis. Lancet 361:1111–1118. doi:10.1016/S0140-6736(03)12888-7

    Article  CAS  PubMed  Google Scholar 

  2. Costabel U, Hunninghake GW (1999) ATS/ERS/WASOG statement on sarcoidosis. Sarcoidosis Statement Committee. American Thoracic Society. European Respiratory Society. World Association for Sarcoidosis and Other Granulomatous Disorders. Eur Respir J 14:735–737

    Article  CAS  PubMed  Google Scholar 

  3. Agostini C, Semenzato G (1998) Cytokines in sarcoidosis. Semin Respir Infect 13:184–196

    CAS  PubMed  Google Scholar 

  4. De Togni P, Goellner J, Ruddle NH, Streeter PR, Fick A, Mariathasan S, Smith SC, Carlson R, Shornick LP, Strauss-Schoenberger J et al (1994) Abnormal development of peripheral lymphoid organs in mice deficient in lymphotoxin. Science 264:703–707

    Article  PubMed  Google Scholar 

  5. Nedwin GE, Naylor SL, Sakaguchi AY, Smith D, Jarrett-Nedwin J, Pennica D, Goeddel DV, Gray PW (1985) Human lymphotoxin and tumor necrosis factor genes: structure, homology and chromosomal localization. Nucleic Acids Res 13:6361–6373

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. D’Alfonso S, Richiardi PM (1994) A polymorphic variation in a putative regulation box of the TNFA promoter region. Immunogenetics 39:150–154

    PubMed  Google Scholar 

  7. Allen RD (1999) Polymorphism of the human TNF-alpha promoter—random variation or functional diversity? Mol Immunol 36:1017–1027

    Article  CAS  PubMed  Google Scholar 

  8. Messer G, Spengler U, Jung MC, Honold G, Blomer K, Pape GR, Riethmuller G, Weiss EH (1991) Polymorphic structure of the tumor necrosis factor (TNF) locus: an NcoI polymorphism in the first intron of the human TNF-beta gene correlates with a variant amino acid in position 26 and a reduced level of TNF-beta production. J Exp Med 173:209–219

    Article  CAS  PubMed  Google Scholar 

  9. Kieszko R, Krawczyk P, Chocholska S, Dmoszynska A, Milanowski J (2010) TNF-alpha and TNF-beta gene polymorphisms in Polish patients with sarcoidosis. Connection with the susceptibility and prognosis. Sarcoidosis Vasc Diffus Lung Dis 27:131–137

    CAS  Google Scholar 

  10. Mrazek F, Holla LI, Hutyrova B, Znojil V, Vasku A, Kolek V, Welsh KI, Vacha J, du Bois RM, Petrek M (2005) Association of tumour necrosis factor-alpha, lymphotoxin-alpha and HLA-DRB1 gene polymorphisms with Lofgren’s syndrome in Czech patients with sarcoidosis. Tissue Antigens 65:163–171. doi:10.1111/j.1399-0039.2005.00370.x

    Article  CAS  PubMed  Google Scholar 

  11. Pandey JP, Frederick M, Sarcoidosis ARGACCESo (2002) TNF-alpha, IL1-beta, and immunoglobulin (GM and KM) gene polymorphisms in sarcoidosis. Hum Immunol 63:485–491

    Article  CAS  PubMed  Google Scholar 

  12. Labunski S, Posern G, Ludwig S, Kundt G, Brocker EB, Kunz M (2001) Tumour necrosis factor-alpha promoter polymorphism in erythema nodosum. Acta Derm Venereol 81:18–21

    Article  CAS  PubMed  Google Scholar 

  13. Yamaguchi E, Itoh A, Hizawa N, Kawakami Y (2001) The gene polymorphism of tumor necrosis factor-beta, but not that of tumor necrosis factor-alpha, is associated with the prognosis of sarcoidosis. Chest 119:753–761

    Article  CAS  PubMed  Google Scholar 

  14. Somoskovi A, Zissel G, Seitzer U, Gerdes J, Schlaak M, Muller-Quernheim J (1999) Polymorphisms at position −308 in the promoter region of the TNF-alpha and in the first intron of the TNF-beta genes and spontaneous and lipopolysaccharide-induced TNF-alpha release in sarcoidosis. Cytokine 11:882–887. doi:10.1006/cyto.1999.0498

    Article  CAS  PubMed  Google Scholar 

  15. Seitzer U, Swider C, Stuber F, Suchnicki K, Lange A, Richter E, Zabel P, Muller-Quernheim J, Flad HD, Gerdes J (1997) Tumour necrosis factor alpha promoter gene polymorphism in sarcoidosis. Cytokine 9:787–790. doi:10.1006/cyto.1997.0224

    Article  CAS  PubMed  Google Scholar 

  16. Takashige N, Naruse TK, Matsumori A, Hara M, Nagai S, Morimoto S, Hiramitsu S, Sasayama S, Inoko H (1999) Genetic polymorphisms at the tumour necrosis factor loci (TNFA and TNFB) in cardiac sarcoidosis. Tissue Antigens 54:191–193

    Article  CAS  PubMed  Google Scholar 

  17. Nath SK, Harley JB, Lee YH (2005) Polymorphisms of complement receptor 1 and interleukin-10 genes and systemic lupus erythematosus: a meta-analysis. Hum Genet 118:225–234. doi:10.1007/s00439-005-0044-6

    Article  CAS  PubMed  Google Scholar 

  18. Lee YH, Rho YH, Choi SJ, Ji JD, Song GG (2006) Association of TNF-alpha −308 G/A polymorphism with responsiveness to TNF-alpha-blockers in rheumatoid arthritis: a meta-analysis. Rheumatol Int 27:157–161. doi:10.1007/s00296-006-0175-7

    Article  CAS  PubMed  Google Scholar 

  19. Lee YH, Witte T, Momot T, Schmidt RE, Kaufman KM, Harley JB, Sestak AL (2005) The mannose-binding lectin gene polymorphisms and systemic lupus erythematosus: two case–control studies and a meta-analysis. Arthritis Rheum 52:3966–3974. doi:10.1002/art.21484

    Article  CAS  PubMed  Google Scholar 

  20. Egger M, Davey Smith G, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315:629–634

    Article  CAS  PubMed  Google Scholar 

  21. Duval S, Tweedie R (2000) Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics 56:455–463

    Article  CAS  PubMed  Google Scholar 

  22. Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21:1539–1558. doi:10.1002/sim.1186

    Article  PubMed  Google Scholar 

  23. Egger M, Smith GD, Phillips AN (1997) Meta-analysis: principles and procedures. BMJ 315:1533–1537

    Article  CAS  PubMed  Google Scholar 

  24. DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7:177–188

    Article  CAS  PubMed  Google Scholar 

  25. Pacheco Y (2011) Pathogenesis of sarcoidosis. Rev Med Interne 32:73–79. doi:10.1016/j.revmed.2010.09.011

    Article  CAS  PubMed  Google Scholar 

  26. Wijnen PA, Nelemans PJ, Verschakelen JA, Bekers O, Voorter CE, Drent M (2010) The role of tumor necrosis factor alpha G-308A polymorphisms in the course of pulmonary sarcoidosis. Tissue Antigens 75:262–268. doi:10.1111/j.1399-0039.2009.01437.x

    Article  CAS  PubMed  Google Scholar 

  27. McDougal KE, Fallin MD, Moller DR, Song Z, Cutler DJ, Steiner LL, Cutting GR, ACCESS Research Group (2009) Variation in the lymphotoxin-alpha/tumor necrosis factor locus modifies risk of erythema nodosum in sarcoidosis. J Investig Dermatol 129:1921–1926. doi:10.1038/jid.2008.456

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  28. Seyhan EC, Cetinkaya E, Altin S, Gunluoglu Z, Demir A, Koksal V, Issever H (2008) Tumor necrosis factor gene polymorphisms in Turkish patients with sarcoidosis. Intern Med 47:833–838

    Article  PubMed  Google Scholar 

  29. Grutters JC, Sato H, Pantelidis P, Lagan AL, McGrath DS, Lammers JW, van den Bosch JM, Wells AU, du Bois RM, Welsh KI (2002) Increased frequency of the uncommon tumor necrosis factor −857T allele in British and Dutch patients with sarcoidosis. Am J Respir Crit Care Med 165:1119–1124

    Article  PubMed  Google Scholar 

  30. Sharma S, Ghosh B, Sharma SK (2008) Association of TNF polymorphisms with sarcoidosis, its prognosis and tumour necrosis factor (TNF)-alpha levels in Asian Indians. Clin Exp Immunol 151:251–259. doi:10.1111/j.1365-2249.2007.03564.x

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  31. Lee YH, Harley JB, Nath SK (2006) Meta-analysis of TNF-alpha promoter −308 A/G polymorphism and SLE susceptibility. Eur J Hum Genet 14:364–371. doi:10.1038/sj.ejhg.5201566

    Article  CAS  PubMed  Google Scholar 

  32. Lee YH, Choi SJ, Ji JD, Song GG (2011) CTLA-4 and TNF-alpha promoter-308 A/G polymorphisms and ANCA-associated vasculitis susceptibility: a meta-analysis. Mol Biol Rep. doi:10.1007/s11033-011-0741-2

    Google Scholar 

  33. Lee YH, Ji JD, Song GG (2007) Tumor necrosis factor-alpha promoter −308 A/G polymorphism and rheumatoid arthritis susceptibility: a metaanalysis. J Rheumatol 34:43–49

    CAS  PubMed  Google Scholar 

  34. Vassalli P (1992) The pathophysiology of tumor necrosis factors. Annu Rev Immunol 10:411–452. doi:10.1146/annurev.iy.10.040192.002211

    Article  CAS  PubMed  Google Scholar 

  35. Baughman RP, Strohofer SA, Buchsbaum J, Lower EE (1990) Release of tumor necrosis factor by alveolar macrophages of patients with sarcoidosis. J Lab Clin Med 115:36–42

    CAS  PubMed  Google Scholar 

  36. Kaneshima H, Nagai S, Shimoji T, Tsutsumi T, Mikuniya T, Satake N, Izumi T (1994) TNF alpha mRNA, but not IL-1 beta, is differentially expressed in lung macrophages of patients with active pulmonary sarcoidosis. Sarcoidosis 11:19–25

    CAS  PubMed  Google Scholar 

  37. Hofmann S, Fischer A, Till A, Muller-Quernheim J, Hasler R, Franke A, Gade KI, Schaarschmidt H, Rosenstiel P, Nebel A, Schurmann M, Nothnagel M, Schreiber S, GenPhenReSa Consortium (2011) A genome-wide association study reveals evidence of association with sarcoidosis at 6p12.1. Eur Respir J 38:1127–1135. doi:10.1183/09031936.00001711

    Article  CAS  PubMed  Google Scholar 

  38. Schurmann M, Lympany PA, Reichel P, Muller-Myhsok B, Wurm K, Schlaak M, Muller-Quernheim J, du Bois RM, Schwinger E (2000) Familial sarcoidosis is linked to the major histocompatibility complex region. Am J Respir Crit Care Med 162:861–864. doi:10.1164/ajrccm.162.3.9901099

    Article  CAS  PubMed  Google Scholar 

  39. Medica I, Kastrin A, Maver A, Peterlin B (2007) Role of genetic polymorphisms in ACE and TNF-alpha gene in sarcoidosis: a meta-analysis. J Hum Genet 52:836–847. doi:10.1007/s10038-007-0185-7

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Conflict of interest

The authors have no financial or non-financial conflict of interest to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Young Ho Lee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Song, G.G., Kim, JH. & Lee, Y.H. Associations between TNF-α −308 A/G and lymphotoxin-α +252 A/G polymorphisms and susceptibility to sarcoidosis: a meta-analysis. Mol Biol Rep 41, 259–267 (2014). https://doi.org/10.1007/s11033-013-2859-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11033-013-2859-x

Keywords

Navigation