AI Article Synopsis
- HPV is linked to cervical cancer, but not all women infected develop the disease; SNPs in immune and cytokine genes may influence this risk.
- The study focused on TNF-α SNPs in urban women from Posadas, Argentina, comparing 56 cervical cancer cases with 113 controls through genetic analysis.
- Results indicated that the TNFα-307A variant significantly increases cancer risk, while the TNFα-375A variant appeared protective and was only found in controls, suggesting complex interactions between immune gene variations and cervical cancer susceptibility.
Article Abstract
Background: Human papillomavirus (HPV) plays a central role in cervical cancer development. However, only a small fraction of infected women develop the disease. Additional risk factors, including SNPs in immune system and cytokine genes, are likely to be important determinants.
Objective: We investigated the potential role of cytokine TNF-α promoter SNPs (TNFα-375A, TNFα-307A, TNFα-243A, and TNFα-237A) in the development of high-grade cervical lesions and cancer in urban women from Posadas (Misiones, Argentina).
Study Design: Fifty-six cases (CINIII and invasive carcinoma) and 113 age-matched controls were included in the study. HPV genotype detection was conducted by PCR. TNFα SNP genotyping was conducted through PCR amplification and direct sequencing of genomic DNA.
Results: We observed differences in the allelic distribution of TNFα-307A and TNFα-375A SNPs among cases and controls (p<0.05). The TNFα-307A variant was associated with cervical cancer at an OR 2.4 (CI 95% 1.1-5.4), while the TNFα-375A SNP was identified in 8.8% of the controls and none of the cases. Moreover, the TNFα-375A always occurred in association with the TNFα-237A SNP, indicating linkage disequilibrium between them.
Conclusion: Our study suggests that the presence of the high producer allele TNFα-307A is associated with an increased risk for the development of cervical cancer in the Posadas population. We also speculate that the "protective effect" of the TNFα-375A/-237A haplotype, which was restricted to controls, may be related to HLA genes linked on chromosome 6. These findings contribute to our understanding of immune gene variation in an Argentinean population, and its role in disease susceptibility.
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| http://dx.doi.org/10.1016/j.jcv.2011.09.030 | DOI Listing |
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