The association of TNF-? -308G/A and -238G/A polymorphisms with type 2 diabetes mellitus: a meta-analysis.
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ABSTRACT: Tumor necrosis factor-? (TNF-?) is involved in insulin resistance and has long been a candidate gene implicated in type 2 diabetes mellitus (T2DM), however the association between TNF-? polymorphisms -308G/A and -238G/A and T2DM remains controversial. The present study sought to verify associations between these polymorphisms and T2DM susceptibility using a meta-analysis approach. A total of 49 case-control studies were selected up to October 2018. Statistical analyses were performed by STATA 15.0 software. The odds ratios (ORs) and 95% confidence intervals were calculated to estimate associations. Meta-analyses revealed significant associations between TNF-? -308G/A and T2DM in the allele model (P=0.000); the dominant model (P=0.000); the recessive model (P=0.001); the overdominant model (P=0.008) and the codominant model (P=0.000). Subgroup analyses also showed associations in the allele model (P=0.006); the dominant model (P=0.004) and the overdominant model (P=0.005) in the Caucasian and in the allele model (P=0.007); the dominant model (P=0.014); the recessive model (P=0.000) and the codominant model (P=0.000) in the Asian. There were no associations between TNF-? -238G/A and T2DM in the overall and subgroup populations. Meta-regression, sensitivity analysis and publication bias analysis confirmed that results and data were statistically robust. Our meta-analysis suggests that TNF-? -308G/A is a risk factor for T2DM in Caucasian and Asian populations. It also indicates that TNF-? -238G/A may not be a risk factor for T2DM. More comprehensive studies will be required to confirm these associations.
SUBMITTER: Guo X
PROVIDER: S-EPMC6923338 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
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