Lack of association between cytotoxic T-lymphocyte antigen-4 gene polymorphisms and lymphoid malignancy risk: evidence from a meta-analysis

Ann Hematol. 2016 Oct;95(10):1685-94. doi: 10.1007/s00277-016-2753-4. Epub 2016 Aug 8.

Abstract

Cytotoxic T-lymphocyte antigen-4 (CTLA-4) polymorphisms have been associated with susceptibility to lymphoid malignancies. However, results from the published single studies are inconsistent. Therefore, the present meta-analysis was conducted to get a more accurate estimation of the relationship between CTLA-4 gene polymorphisms and the lymphoid malignancy risk. We identified nine independent studies accounting for 3090 subjects up to January 30, 2016. Summary odds ratios (OR) and 95 % confidence intervals (CI) were used to evaluate the risk of lymphoid malignancies. Overall, no significant association was found between +49A/G (rs231775), -318C/T (rs5742909), and +6230A/G (rs3087243) CTLA-4 gene polymorphisms and lymphoid malignancies. Furthermore, ethnicity (Asian and Caucasian) and histopathology subgroup analyses (non-Hodgkin's lymphoma) also failed to detect an association between the studied polymorphisms and lymphoid malignancy risk. Our study shows that common CTLA-4 gene polymorphisms may not contribute to lymphoid malignancy susceptibility based on the current evidence.

Keywords: Cytotoxic T-lymphocyte antigen-4; Lymphoid malignancies; Meta-analysis; Polymorphisms.

Publication types

  • Meta-Analysis

MeSH terms

  • CTLA-4 Antigen / genetics*
  • Case-Control Studies
  • Confidence Intervals
  • Ethnicity / statistics & numerical data
  • Genetic Predisposition to Disease
  • Humans
  • Leukemia, Lymphocytic, Chronic, B-Cell / epidemiology
  • Leukemia, Lymphocytic, Chronic, B-Cell / genetics*
  • Lymphoma / epidemiology
  • Lymphoma / genetics*
  • Multiple Myeloma / epidemiology
  • Multiple Myeloma / genetics*
  • Odds Ratio
  • Polymorphism, Single Nucleotide*
  • Risk

Substances

  • CTLA-4 Antigen
  • CTLA4 protein, human