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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 .
Background:
A number of studies show that the pleiotropic cytokine interleukin-6 (IL-6) plays an important role in the pathogenesis of multiple myeloma (MM). However, whether MM risk is associated with IL-6 genetic variability remains uncertain.
Objective:
The aim of our study was to evaluate the association between two different IL-6 polymorphisms (located in the IL-6 promoter and receptor, respectively) and the risk of developing MM using a meta-analytic approach.
Materials And Methods:
A systematic search for studies on the association of IL-6/IL-6R single-nucleotide polymorphisms with susceptibility to MM was conducted in PubMed, Cochrane Library, Embase, CNKI (Chinese) and Wanfang (Chinese) Digital Dissertations Databases from inception through November 2014. A meta-analysis was performed and results were presented as odds ratios (ORs) with 95% confidence intervals (CIs).
Results:
A total of eight case-control studies on the IL-6 promoter polymorphism and three studies on the IL-6 receptor (IL-6R) polymorphism were included. No significant association was found between the IL-6 promoter rs1800795 (G>C) polymorphism and MM susceptibility. A significantly increased risk of MM was observed with the IL-6R rs8192284 (A>C) polymorphism. In subgroup analyses, grouped by ethnicity, region, quality of studies, and Hardy-Weinberg equilibrium of control group, similar results were found.
Conclusion:
Unlike the IL-6 promoter rs1800795 (G>C) polymorphism, the IL-6R rs8192284 (A>C) polymorphism may be associated with MM risk. However, large-scale studies are needed to validate our findings since they are based on a relatively small number of studies.
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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