Review Article

Association between -308G/A TNFA Polymorphism and Susceptibility to Type 2 Diabetes Mellitus: A Systematic Review

Table 1

Comparison of type 2 diabetes mellitus case-control study results for the -308 TNFA gene.

Author StudyYearCountry/
Ethnicity
SampleTNFA -308 polymorphismCase group frequencyControl group frequency valueOdds ratio
(in article)

Vendrell et al. [11]A polymorphism in the promoter of the tumor necrosis factor-α gene (/308) is associated with coronary heart disease in type 2 diabetic patients2002SpainGG
GA + AA
63 (59.4%)
43 (40.6%)
159 (76.8%)
48 (23.2%)
OR = 1.96

Shiau et al. [13]TNF-α polymorphisms and type 2 diabetes mellitus in Taiwanese patients2003TaiwanGG
GA
AA
218 (84.82%)
35 (13.62%)
4 (1.56%)
168 (89.84%)
16 (8.56%)
3 (1.60%)

Buraczynska et al. [14]⁢Genetic determination of TNF and myeloperoxidase production in dialyzed patients with diabetic nephropathy2004PolandHealthyOther nephropathy
(case versus control – healthy)
TNF1/TNF1 (GG)22 (59.5%)86 (74.8%)40 (69%)
TNF1/TNF2 (GA)13 (35.1%)24 (20.9%)15 (25.8%)
TNF2/TNF2 (AA)2 (5.4%)5 (4.3%)3 (5.2%)

Bouhaha et al. [15]Study of TNF-α -308G/A and IL6 -174G/C polymorphisms in type 2 diabetes and obesity risk in the Tunisian population2010TunisiaGG
GA
AA
141 (72.3%)
51 (26.1%)
3 (1.6%)
204 (68.2%)
89 (29.7%)
6 (2.1%)
= 0.34

Guzmán-Flores et al. [16]Tumor necrosis factor-alpha gene promoter -308G/A and -238G/A polymorphisms in Mexican patients with type 2 diabetes mellitus2011MexicoGG
GA
AA
225 (86.9%)
31 (12.0%)
3 (1.1%)
573 (88.8%)
69 (10.7%)
3 (0.5%)
= 0.558
(GG versus GA)
= 0.238
(GG versus AA)
OR = 1.14
(GG versus GA)
OR = 2.55
(GG versus AA)

Szabó and Acsády [17] ⁢Tumor necrosis factor-α 308 GA polymorphism in Atherosclerotic patients2011HungaryDM + AVEDM + MI < 0.05
(control versus DM + MI)
< 0.005
(control versus DM + AVE)
OR = 6.71
(DM + MI)
OR = 5.87
(DM + AVE)
GG40 (61.6%)42 (64.6%)141 (76.7%)
GA20 (30.7%)17 (26.2%)40 (21.7%)
AA5 (7.7%)6 (9.2%)3 (1.6%)

Garg et al. [18]Proinflammatory cytokine gene polymorphisms and threat for coronary heart disease in a North Indian Agrawal population2012IndianGG
GA
AA
117 (85.4%)
20 (14.59%)
0
146 (78.9%)
38 (20.54%)
1 (0.54%)
= 0.27OR = 1.08
(GA/AA versus GG)

Saxena et al. [19]Association of IL-6, TNF-α, and IL-10 gene polymorphisms with type 2 diabetes mellitus2013IndianGG
GA
AA
173 (81.2%)
33 (15.5%)
7 (3.3%)
111 (79.3%)
25 (17.9%)
4 (2.9%)
= 0.3766OR = 1.07
(allele G versus A)

Sefri et al. [20]TNFA -308G>A polymorphism in Moroccan patients with type 2 diabetes mellitus: a case-control study and meta-analysis2014MoroccoGG
GA
AA
38 (12.38%)
154 (50.16%)
115 (37.56%)
60 (24.59%)
133 (54.51%)
51 (20.90%)
= 0.000002
(allele G versus A)
OR = 1.79
(allele G versus A)

Dabhi and Mistry [21]Oxidative stress and its association with TNF-α -308G/C and IL-1α -889C/T gene polymorphisms in patients with diabetes and diabetic nephropathy2015IndianGG
GA
AA
185 (86.40%)
27 (12.62%)
2 (0.97%)
191 (81.11%)
44 (18.88%)
0
= 0.41OR = 0.75

< 0,005.