Association of IL-6 Promoter and Receptor Polymorphisms with Multiple Myeloma Risk: A Systematic Review and

Yuying Li1, Zhonghua Du1, Xu Wang1

  • 1Cancer Center, First Hospital of Jilin University , Changchun, China .

Abstract

Insights

Genetic variations in interleukin-6 (IL-6) receptor, specifically the IL-6R rs8192284 polymorphism, are linked to an increased risk of multiple myeloma (MM). However, IL-6 promoter variations showed no significant association with MM susceptibility.

Area of Science:

  • Genetics
  • Oncology
  • Immunology

Background:

  • Interleukin-6 (IL-6) is a pleiotropic cytokine implicated in multiple myeloma (MM) pathogenesis.
  • The association between IL-6 genetic variability and MM risk remains unclear.

Purpose of the Study:

  • To investigate the relationship between IL-6 promoter and IL-6 receptor (IL-6R) polymorphisms and the risk of developing MM.
  • To conduct a meta-analysis evaluating IL-6 single-nucleotide polymorphisms (SNPs) and MM susceptibility.

Main Methods:

  • Systematic literature search of multiple databases (PubMed, Cochrane, Embase, CNKI, Wanfang) up to November 2014.
  • Meta-analysis of eight case-control studies for IL-6 promoter polymorphism (rs1800795) and three for IL-6R polymorphism (rs8192284).
  • Results presented as odds ratios (ORs) with 95% confidence intervals (CIs).

Main Results:

  • No significant association was found between the IL-6 promoter rs1800795 (G>C) polymorphism and MM risk.
  • A statistically significant increased risk of MM was associated with the IL-6R rs8192284 (A>C) polymorphism.
  • Subgroup analyses by ethnicity, region, study quality, and Hardy-Weinberg equilibrium confirmed these findings.

Conclusions:

  • The IL-6R rs8192284 (A>C) polymorphism may be associated with an increased risk of multiple myeloma.
  • The IL-6 promoter rs1800795 (G>C) polymorphism does not appear to be significantly linked to MM risk.
  • Larger-scale studies are recommended to validate these findings due to the limited number of studies included.

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