Introduction: Technological development has led to the use of chemicals potentially damaging to workers' health. In particular, the use of isocyanates has resulted in a greater morbidity caused by respiratory pathology, especially asthma. Considering that not all the exposed workers develop the disease, a geneenvironment interaction model has been proposed, which tries to explain the genetic predisposition that some individuals have and others have not to develop occupational asthma. Objective: To find out about the scientific evidence related to the genetic polymorphism and workers exposed to isocyanates' susceptibility to develop occupational asthma. Methods: We conducted a systematic review. Bibliographic electronic searches were conducted in PubMedline databases, as well as in Dialnet and ELSEVIER repositories. Papers related to this review's objective were retrieved, without applying temporary filters, using the following descriptors: MeSH Major Topic, MeSH Terms. Search period started on November 20 th 2013 and ended on December 15 th 2013. We established the level of evidence according to GRADE criteria. Results: Forty-two full-text papers were analyzed, scientific evidence being supported by eleven casecontrol studies. Given the complexity of the genetic polymorphism associated with disease phenotype, as a