Gastric cancer (GC) refers to malignancy that occurs in the stomach. It is the most common malignant tumour in the digestive tract, and the leading cause of cancer-related mortality worldwide. 1 Despite rapid advances in early diagnosis and surgical treatments in the past few decades, the 5-year relative survival rate of GC is still below 30%. 2 So far, the pathogenic mechanism of GC is still largely unknown. Nevertheless, there is accumulating evidence to support that genetic factors play an important role in its pathogenesis. Firstly, numerous genetic loci have been found to be associated with an increased risk of GC. 3-5 Secondly, family clustering of GC is not uncommon, and positive family history in first-degree relatives has also been proved to be a strong independent risk factor of GC. 6Overall, these findings jointly indicate that genetic predisposition to GC is crucial for its occurrence and development.It has been well established that immune dysfunction is implicated in the pathogenesis of GC. Firstly, it was found that suppressor T cells were increased while cytotoxic T cells were decreased in GC patients. 7 Secondly, several pilot studies have demonstrated that immune-stimulatory therapy could result in disease regression and prolonged survival in GC patients. 8,9 As a result, certain gene polymorphism in regulators of anti-tumour immune responses were thought to be implicated in the development of GC. Recently, many genetic association studies have been carried out to investigate the potential roles of interleukin-2 (IL-2), IL-4, IL-6 and IL-8 gene polymorphisms in GC, however, the results of these studies Summary Recently, the roles of interleukin-2 (IL-2), IL-4, IL-6 and IL-8 gene polymorphisms in gastric cancer (GC) have been studied extensively, with conflicting results. Therefore, we conducted the present meta-analyses to better elucidate the roles of interleukin gene polymorphisms in GC. Eligible articles were searched in PubMed, MEDLINE,Embase, Web of Science and CNKI. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to detect any potential association between interleukin gene polymorphisms and the risk of GC. A total of 63 case-control studies was finally included in our analyses. Significant associations with the risk of GC were detected for the IL-6 rs1800796 and IL-8 rs4073 polymorphisms in overall analyses. Further subgroup analyses based on ethnicities of participants revealed that the IL-4 rs2243250, IL-6 rs1800796 and IL-8 rs4073 polymorphisms were significantly associated with the risk of GC in Asians. Moreover, IL-8 rs4073 polymorphism was also significantly associated with the risk of GC in Africans. In conclusion, our findings suggested that IL-4 rs2243250, IL-6 rs1800796 and IL-8 rs4073 polymorphisms may serve as genetic biomarkers of GC.
K E Y W O R D Sgastric cancer, gene polymorphisms, interleukin, meta-analysis