rs1800629

badMag 4.5

This is a regulatory region variant variant in the TNF gene.

Key Literature Trait Associations

Inflammatory Response

The TNF -308G/A promoter variant. The A allele increases TNF-α transcription by ~2-fold, promoting a stronger pro-inflammatory response. Associated with increased susceptibility to sepsis, cerebral malaria, autoimmune conditions, and variable responses to anti-TNF biologics (infliximab, adalimumab).

Allele A
OR 1.35
p 5.0e-3
N 12,284
Meta-analysis
multi-ancestry
Allele A
OR 1.50
p 1.0e-12
Large GWAS

Sepsis

The TNF -308A allele (rs1800629) is consistently associated with elevated sepsis risk across multiple meta-analyses. The most comprehensive update (Wang et al. 2017, n=12,284) found a dominant-model OR of 1.35 overall and 1.52 for septic shock; Caucasian-specific OR was 1.50. An earlier systematic review (Teuffel et al. 2010) reported OR=2.15 for sepsis susceptibility with especially strong effects in Asian populations (OR=3.16). Neither meta-analysis found a significant association with sepsis-related mortality in non-Asian populations.

Response to TNF inhibitor therapy

A large 2024 systematic review and meta-analysis (185 studies; 62,774 individuals) found that the rs1800629 minor A allele is associated with poorer response to TNF inhibitor therapy (OR=0.71, 95% CI 0.55–0.92) across psoriasis, rheumatoid arthritis, and inflammatory bowel disease patients. This finding has clinical pharmacogenomic relevance: A allele carriers may be less likely to achieve remission on adalimumab, infliximab, or etanercept, suggesting genotype-guided biologic selection could improve outcomes.

Chronic obstructive pulmonary disease

Multiple meta-analyses confirm an association between the TNF -308A allele and COPD susceptibility. The largest analysis (Zhang et al. 2011; 4,975 cases, 6,518 controls) found significant risk in Asians (OR=2.36) but not Caucasians (OR=1.07). A separate 2023 cytokine polymorphism meta-analysis of 183 studies also identified rs1800629 as one of four cytokine variants robustly associated with COPD development. The ancestry-specific pattern suggests population stratification and possibly LD with other MHC variants influences findings in European cohorts.

Preeclampsia

A 2024 meta-analysis of 35 studies (3,883 cases, 5,821 controls) found that rs1800629 A allele carriers have significantly increased preeclampsia risk across multiple genetic models (dominant OR=1.25; allelic OR=1.24). Asian populations showed particularly elevated risk (dominant OR=2.31). No significant association was detected in Black populations. These findings support elevated TNF-α as a contributor to preeclampsia pathophysiology, potentially through endothelial dysfunction and placental inflammation.

Allele A
OR 1.25
p 4.4e-2
N 9,704
Meta-analysis
multi-ancestry

Gastric cancer

A meta-analysis of 11 case-control studies (n=7,427) found that the rs1800629 A allele significantly increases gastric cancer risk, particularly in Caucasians. Effect estimates ranged from OR=1.32 (allelic model) to OR=1.76 (homozygous AA vs. GG). Results were consistent across multiple genetic models and remained significant in high-quality studies with no detected publication bias.

Zhu F et al. Association between tumor necrosis factor-α rs1800629 polymorphism and risk of gastric cancer: a meta-analysis. Tumour Biology : the Journal of the International Society for Oncodevelopmental Biology and Medicine (2014)
Allele A
OR 1.32
p 1.0e-3
N 7,427
Meta-analysis
multi-ancestry

Periodontitis

Meta-analyses of both chronic and aggressive periodontitis show consistent risk elevation for rs1800629 A allele carriers. For chronic periodontitis (25 studies), significant associations were found particularly in Asian populations across all genetic models; Caucasian populations showed no significant risk. For aggressive periodontitis (16 studies), the recessive AA model showed OR=2.09 (95% CI 1.13–3.86), with effects seen in both Asians and Caucasians. The mechanism likely involves elevated gingival TNF-α and enhanced periodontal tissue destruction.

GWAS Catalog Trait Associations (5)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

ClinVar annotation

Drug Response★★★★
4 submitters21 publications

etanercept response - Efficacy; Susceptibility to severe coronavirus disease (COVID-19); Endometriosis; Systemic lupus erythematosus, susceptibility to; Inherited susceptibility to asthma; Malaria, cerebral, susceptibility to; ; HUMAN IMMUNODEFICIENCY VIRUS DEMENTIA, SUSCEPTIBILITY TO; Psoriatic arthritis, susceptibility to; ; Susceptibility to severe coronavirus disease (COVID-19) due to high plasma levels of TNF, TNFR, and/or TNFR4

View on ClinVar →

Research that mentions this SNP (50)

Exploring new genetic variants within COL5A1 intron 4‐exon 5 region and TGF‐β family with risk of anterior cruciate ligament ruptures
ReviewN=9,720Mary‐Jessica N. Laguette et al.(2020)· Journal of Orthopaedic Research

This systematic review analyzed 24 studies examining 31 genes and 62 genetic variants associated with anterior cruciate ligament rupture (ACLR). Key findings show mixed evidence for collagen variants: COL1A1 rs1800012 showed protective association in European ancestry populations (OR=2.8, p=0.040), while COL1A2 rs42524 and rs2621215 conferred increased risk (OR=5.73 and 4.29 respectively). VEGFA polymorphisms rs2010963 and rs699947 showed conflicting associations across studies, and most major variants in IL6, IL1B, MMP genes, and inflammatory markers showed no consistent associations with ACLR across populations, highlighting the need for gender and ancestry-stratified analyses.

Traits studied:Anterior cruciate ligament injury (ACLI)Anterior cruciate ligament rupture (ACLR)
Genetic variation of FTO: rs1421085 T&gt;C, rs8057044 G&gt;A, rs9939609 T&gt;A, and copy number (CNV) in Mexican Mayan school‐aged children with obesity/overweight and with normal weight
ReviewLizbeth González‐Herrera et al.(2019)· American Journal of Human Biology

A literature review of 70 studies examining single nucleotide polymorphisms (SNPs) associated with obesity in Mexican populations published 2011-2021. The authors identified SNPs with differential behavior in Mexican compared to Caucasian populations, including rs17782313 (MC4R), rs6548238 (TMEM18), rs6265 (BDNF), rs7498665 (SH2B1), and notably rs6232 (PCSK1) associated with early-onset obesity in Mexican youth. The review emphasizes ethnicity-dependent genetic effects on BMI heritability (40-70%) and highlights genes involved in cholesterol metabolism and adipokine signaling pathways.

Traits studied:AdiposityBlood pressureBody mass index (BMI)Cardiovascular risk factorsDyslipidemiaInsulin resistanceMetabolic syndromeObesityOverweightType 2 diabetes
Genetic variants conferring susceptibility to gastroschisis: a phenomenon restricted to the interaction with the environment?
Meta-analysisN=434Victor M. Salinas-Torres et al.(2018)· Pediatric Surgery International

This systematic review analyzed genetic associations with gastroschisis from 1980-2017, identifying 14 SNPs from 10 genes associated with crude risk and 30 SNPs from 14 genes with stratified risk. Four SNPs showed significant associations: rs4961 (ADD1, p=0.023), rs5443 (GNB3, p=0.002), rs1042713 (ADRB2, p=0.007), and rs1042714 (ADRB2, p=0.006). The findings suggest genetic susceptibility in gastroschisis is not restricted to gene-environment interactions, with blood pressure regulation genes playing a significant role in vascular disruption pathogenesis.

Traits studied:Gastroschisis
NOTCH4 is a possible novel susceptibility gene for dilated cardiomyopathy in the Chinese population: A case‐control study
AssociationN=821Xiaoqing Shi et al.(2018)· Journal of Clinical Laboratory Analysis

A case-control study of 273 DCM patients and 548 controls in the Chinese Han population examined seven genetic variants associated with cardiac neonatal lupus. The study found that the T allele of rs3134942 in NOTCH4 increased DCM risk by 61% (OR=1.61, 95% CI: 1.15-2.27, P=6.57×10⁻³) in additive and dominant models. Additionally, rs2472299 in CYP1A2 was associated with reduced DCM risk in the dominant model (OR=0.72, P=4.24×10⁻²) and correlated with smoking status in patients.

Traits studied:Cardiac neonatal lupusDCMDilated cardiomyopathySystemic lupus erythematosus
Polymorphisms in TH1‐TH2 cytokine and receptor genes associated with risk of vertical HIV transmission, in Mumbai, India
AssociationN=91Swati Ahir‐Bist et al.(2018)· The Journal of Gene Medicine

A case-control study of 91 children (30 HIV-seropositive, 61 seronegative) in Mumbai, India examined polymorphisms in TH1-TH2 cytokine and receptor genes associated with vertical HIV transmission. SNP genotyping of 22 variants identified associations with IL1R1 rs2234650 and TNFA rs1800629, with the TNFA GG genotype significantly higher in uninfected children (76.66% vs 46.66%, p=0.005).

Traits studied:Perinatal HIV transmissionVertical HIV transmission
Glutathione‐S‐transferase P1 may predispose children to a decline in pulmonary function after stem cell transplant
AssociationN=49Julie Stark et al.(2017)· Pediatric Pulmonology

A retrospective study of 49 pediatric stem cell transplant patients found that the GSTP1 SNP rs1695 was significantly associated with pulmonary function decline at 1 year post-SCT. Patients homozygous for the ancestral allele (A) showed greater decline in FEV1 (adjusted p<0.01) and FEF25-75 (adjusted p=0.02) compared to those with at least one minor allele (G), suggesting the Val158Met variant may provide protection against post-SCT pulmonary complications.

Traits studied:Bronchiolitis obliteransFEF25-75 declineFEV1 declinePulmonary function after stem cell transplant
Genetic Dissection of Acute Anterior Uveitis Reveals Similarities and Differences in Associations Observed With Ankylosing Spondylitis
AssociationN=14,050Robinson PC et al.(2015)· Arthritis &amp; Rheumatology

Genetic dissection of acute anterior uveitis (AAU) using high-density Immunochip genotyping in 1,711 AAU cases and 10,000 controls identifies HLA-B27 tag SNP rs116488202 (OR=16.8, P<1×10⁻³⁰⁰) as the strongest association, and three genome-wide significant non-MHC loci (IL23R, chromosome 2p15 intergenic region, and ERAP1) shared with ankylosing spondylitis. Five additional suggestive loci including IL10-IL19, IL18R1-IL1R1, IL6R, KIF21B, and EYS are identified, with shared genetic pathways with inflammatory bowel disease suggesting common etiologic mechanisms.

Traits studied:Acute anterior uveitis (AAU)Ankylosing spondylitis (AS)AsthmaCeliac diseaseInflammatory bowel diseaseRetinitis pigmentosaSarcoidosisStatin-induced myopathy
Variation in genes involved in the immune response and prostate cancer risk in the placebo arm of the Prostate Cancer Prevention Trial
AssociationN=1,729Winchester DA et al.(2015)· The Prostate

This prospective case-control study examined genetic variation in immune response genes and prostate cancer risk in the Prostate Cancer Prevention Trial (PCPT) placebo arm. Among 881 cases and 848 controls, the minor allele of rs3212227 in IL12(p40) was associated with increased prostate cancer risk (OR=1.30, 95% CI 1.10-1.53, P-trend=0.0017), particularly for lower-grade disease. The minor alleles of IL10 tagSNPs rs3021094 (OR=1.31, 95% CI 1.03-1.66, P-trend=0.03) and rs1800890 (OR=0.87, 95% CI 0.75-0.99, P-trend=0.04) showed significant associations. The study investigated whether observed associations were explained by PSA-associated detection bias and found that associations persisted in men with low PSA levels.

Traits studied:Prostate cancerProstate cancer (higher-grade)Prostate cancer (lower-grade)
Genetic determinants in the development of sensitization to environmental allergens in early childhood
ReviewPriya Tripathi et al.(2014)· Immunity, Inflammation and Disease

This is Part 2 of a review on house dust mite (HDM) allergen sensitization in children, discussing genetic factors that influence IgE responses and clinical manifestations of HDM allergy. The review summarizes recent advances in understanding the role of gene polymorphisms (including HLA-DRB1, IL-4, IL-10, VDR, TNF-α, IL-18) in HDM sensitization development, and covers diagnostic approaches and allergen-specific immunotherapy (ASIT) effectiveness for HDM-induced allergic diseases.

Traits studied:Allergic diseasesAllergic rhinitisAsthmaAtopic dermatitisHouse dust mite sensitization
Screening individuals with intellectual disability, autism and Tourette's syndrome for KCNK9 mutations and aberrant DNA methylation within the 8q24 imprinted cluster.
ReviewMarta Sánchez Delgado et al.(2014)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This review examines the genetic and epigenetic basis of Tourette Syndrome (TS), a neurodevelopmental disorder with high heritability (0.45-0.77). The paper reviews candidate gene associations including variants in SLITRK1 (rs9593835, rs9546538, rs9531520), DRD2/ANKK1 (rs1800497), ADORA1/ADORA2A (rs2228079, rs5751876), and other dopaminergic genes, along with a large GWAS in 1285 cases and 4964 controls highlighting rs7868992 in COL27A1. The review proposes that epigenetic mechanisms (DNA methylation, histone modifications, non-coding RNAs) may link genetic susceptibility with environmental factors in TS pathogenesis.

Traits studied:Gilles de la Tourette SyndromeTic disordersTicsTourette Syndrome
The presence of prostate cancer at biopsy is predicted by a number of genetic variants
AssociationN=4,548Aniruddh Kashyap et al.(2014)· International Journal of Cancer

In a case-control study of 4,548 Polish men undergoing prostate biopsy (1,834 with cancer), five SNPs showed significant associations with prostate cancer (rs1800629, rs1859962, rs1447295, rs4430796, rs11228565). Cancer detection rates increased from 29% in men with no variant alleles to 63% in men with 7+ risk alleles (OR=4.2, p=0.002). However, SNP data did not improve the predictive power of clinical factors (age, PSA, DRE) for detecting cancer (AUC 0.726 vs 0.735, p=0.4).

Traits studied:Aggressive prostate cancer (Gleason score 7-10)Prostate cancer
A genome-wide association study of severe teenage acne in European Americans
AssociationN=2,320Mingfeng Zhang et al.(2014)· Human Genetics

A genome-wide association study of 928 European Americans (81 cases with severe teenage acne, 847 controls) identified rs4133274 on chromosome 8q24 as significantly associated with severe teenage acne (OR=4.01, 95% CI=2.37-6.82, p=1.7×10⁻⁶), located 72 kb upstream of the MYC gene. The finding was not replicated in an independent cohort (n=1,392), but suggests a potential genetic link between acne and cancer risk through MYC-mediated androgen regulation.

Traits studied:Severe teenage acne
Association analysis of two candidate polymorphisms in the Tumour Necrosis Factor-α gene with osteoarthritis in a Chinese population
AssociationN=505Bin Ji et al.(2013)· International Orthopaedics

A case-control association study examining two TNFα gene polymorphisms (rs1800629 and rs361525) and osteoarthritis susceptibility in a Han Chinese population. The rs1800629 -308A allele showed a 1.96-fold increased risk for OA (95% CI=1.33-2.89, p<0.001), while rs361525 showed no significant association.

Traits studied:Osteoarthritis
Sipa1 promoter polymorphism predicts risk and metastasis of lung cancer in Chinese
ReviewChenli Xie et al.(2013)· Molecular Carcinogenesis

This is a comprehensive journal compilation containing multiple oncology and pharmacogenomics studies published in 2013 across various journals. The collection includes 60+ papers covering cancer treatment outcomes, genetic polymorphisms predicting chemotherapy response and survival, pharmacogenetic variants in drug metabolism and DNA repair genes, and prognostic biomarkers in various cancer types including breast, lung, colorectal, hematologic malignancies, and others. Key findings include associations of XRCC1 variants (rs915927, rs76507, rs2854501, rs2854509, rs3213255) with bladder cancer chemotherapy survival, ABCG2 rs2725264 with lung cancer overall survival (HR 3.22), SLCO1B1 rs4149056 with methotrexate pharmacokinetics, MTHFR rs1801131 with acute lymphoblastic leukemia outcome, and ABCC3/GSTM variants with acute myeloid leukemia survival.

Traits studied:Acute lymphoblastic leukemiaAcute myeloid leukemiaBladder cancerBreast cancerChronic lymphocytic leukemiaChronic myeloid leukemiaChronic myelomonocytic leukemiaColorectal cancerFollicular lymphomaGastric cancerGastrointestinal stromal tumorsGlioblastomaHepatocellular carcinomaHodgkin lymphomaLung cancerMultiple myelomaMyelodysplastic syndromesMyxofibrosarcomasNon-small cell lung cancerPrimary mediastinal B-cell lymphomaProstate cancer
A common and functional gene variant in the vascular endothelial growth factor a predicts clinical outcome in early‐stage breast cancer
ReviewGudrun Absenger et al.(2013)· Molecular Carcinogenesis

This document is a comprehensive collection of ~1,200 cancer-related research abstracts and summaries published in various journals (2013), covering clinical trials, pharmacogenomic studies, and mutation analyses across multiple cancer types including colorectal, breast, lung, lymphoma, and other malignancies. The collection documents associations between genetic variants (SNPs and somatic mutations), gene expression patterns, and cancer treatment outcomes, including studies on KRAS, EGFR, TP53, BRAF, and pharmacogenomic variants like CYP3A4 and UGT1A1.

Traits studied:Acute myeloid leukemiaBladder cancerBreast cancerChemotherapy responseChronic lymphocytic leukemiaColorectal cancerDisease-free survivalEsophageal cancerFollicular lymphomaGallbladder cancerGlioblastomaHead and neck cancerLymphomaMyelodysplastic syndromesNon-small cell lung cancer (NSCLC)Overall survivalPrimary mediastinal B-cell lymphomaProgression-free survivalProstate cancerRenal cell carcinoma
Associations of polymorphisms in the genes of FGFR2, FGF1, and RBFOX2 with breast cancer risk by estrogen/progesterone receptor status
AssociationN=2,416Yu‐Ling Cen et al.(2013)· Molecular Carcinogenesis

A hospital-based case-control study in rural and urban India (1,204 cases; 1,212 controls) examined genetic and lifestyle risk factors for breast cancer. Four SNPs in FGFR2 (rs1219648, rs2420946, rs2981575, rs2981582) showed positive associations with breast cancer (ORs 1.32-1.47). Additional SNPs in obesity and metabolic genes (rs374748 in FBN2, rs2922763 in HNF4G, rs2116830 in KCNMA1, rs11121832 in MTHFR, rs16886165 in MAP3K1, rs11594610 in TCF7L2, rs2274459 in MLN) were associated with increased breast cancer risk. Waist-to-hip ratio ≥0.95 showed strong association (OR 3.78; 95% CI 2.92-4.89), and women living first 20 years in rural areas showed protective effect (OR 0.77).

Traits studied:Breast cancerBreast cancer riskER+/PR+ breast cancerER/PR negative breast cancerTriple negative breast cancer
Investigation of variants within the COL27A1 and TNC genes and Achilles tendinopathy in two populations
AssociationN=890Colleen J. Saunders et al.(2013)· Journal of Orthopaedic Research

PhD dissertation examining genetic variants in collagen genes (COL22A1, COL27A1, COL11A1) and anterior cruciate ligament injury risk in Polish athletes. Paper 1 is a systematic review of genetic determinants of ACL rupture. Papers 2 and 3 are case-control association studies finding no significant associations between SNPs rs11784270/rs6577958 (COL22A1), rs946053 (COL27A1), and rs3753841 (COL11A1) and non-contact ACL injury risk in Polish athletes.

Traits studied:ACL ruptureAnterior cruciate ligament injuryNon-contact ACL injury
Patatin-like phospholipase domain-containing 3 I148M affects liver steatosis in patients with chronic hepatitis B
ReviewMauro Viganò et al.(2013)· Hepatology

This comprehensive review examines the genetic background of nonalcoholic fatty liver disease (NAFLD), focusing on variants identified by genome-wide association studies (GWAS) and candidate gene studies. The most significant GWAS-identified variants are PNPLA3 rs738409 (I148M), which strongly associates with increased liver steatosis, fibrosis severity, and HCC risk (12-fold increased risk for homozygous carriers), and TM6SF2 rs58542926 (E167K), which increases NASH progression but reduces cardiovascular risk. The review also discusses numerous candidate genes involved in lipid and glucose metabolism and liver injury mechanisms.

Traits studied:Cardiovascular diseaseChronic kidney diseaseCirrhosisHepatic injuryHepatic steatosisHepatocellular carcinomaInsulin resistanceLipid metabolismLiver fibrosisMetabolic syndromeNecroinflammationNonalcoholic fatty liver disease (NAFLD)Nonalcoholic steatohepatitis (NASH)ObesityType 2 diabetes
Influence of polymorphisms and TNF and IL1β serum concentration on the infliximab response in Crohn’s disease and ulcerative colitis
AssociationN=47Diana Lacruz-Guzmán et al.(2013)· European Journal of Clinical Pharmacology

First study evaluating the pharmacogenetic role of rs1143634 IL1B polymorphism and TNF promoter polymorphisms in infliximab-treated inflammatory bowel disease patients. Found rs1143634 C allele associated with higher serum IL1β concentrations (p=0.0345) and lower response to infliximab in Crohn's disease (p=0.027 for clinical remission). No significant associations found with TNF polymorphisms.

Traits studied:Crohn's diseaseInfliximab responseUlcerative colitis
Genetic polymorphisms in IL10RA and TNF modify the association between blood transfusion and risk of non‐Hodgkin lymphoma
AssociationN=1,023Xiaofeng Bi et al.(2012)· American Journal of Hematology

Population-based case-control study of Connecticut women showing that genetic polymorphisms in IL10RA (rs9610) and TNF (rs1800629) genes modify the association between blood transfusion and non-Hodgkin lymphoma (NHL) risk. IL10RA rs9610 GG genotype carriers with transfusion history had increased NHL risk (OR=1.9, 95% CI: 1.1-3.2), while AG/AA carriers had decreased risk (OR=0.6, 95% CI: 0.4-0.9), with significant gene-transfusion interaction (P=0.003).

Traits studied:B-cell lymphomaDiffuse large B-cell lymphomaFollicular lymphomaMarginal zone B-cell lymphomaNon-Hodgkin lymphomaSmall lymphocytic lymphoma/chronic lymphocytic leukemiaT-cell lymphoma
Preferential transmission of genetic risk variants of candidate loci at 6p21 from asymptomatic grandparents to mothers of children with neonatal lupus
AssociationN=134Amit Saxena et al.(2012)· Arthritis &amp; Rheumatism

This transmission disequilibrium test study of 51 families with neonatal lupus examined preferential inheritance of genetic risk variants from asymptomatic grandparents to mothers of affected children. Two TNF-alpha region and HLA-boundary variants showed highly significant preferential maternal transmission: rs1800629 (TNF-308 A allele, OR=6.67, P=3.93×10⁻⁴) and rs7775397 (C6orf10 G allele, OR=35.0, P=3.74×10⁻⁵), suggesting multi-generational genetic predisposition to autoimmunity despite asymptomatic grandparental phenotypes.

Traits studied:Anti-SSA/Ro antibodiesAnti-SSB/La antibodiesCardiac neonatal lupusCutaneous neonatal lupusNeonatal lupus
Genome‐wide association study of neurocognitive impairment and dementia in HIV‐infected adults
AssociationN=1,287Andrew J. Levine et al.(2012)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

First genome-wide association study (GWAS) of HIV-associated neurocognitive disorders (HAND) in 1287 HIV-infected adults from the Multicenter AIDS Cohort Study. The study examined neurocognitive decline in processing speed and executive functioning over time, as well as prevalence of HIV-associated dementia and neurocognitive impairment across ~2.5 million SNPs. No genome-wide significant associations were identified with any neurocognitive phenotype examined. Previously reported candidate gene associations with HAND (including rs1130371 in MIP1α, rs1800629 in TNFα, rs1801157 in SDF-1, and rs2839619 in PREP1) were not validated in this study.

Traits studied:Executive functioning declineHIV-associated dementia (HAD)HIV-associated neurocognitive disorder (HAND)Neurocognitive impairment (NCI)Processing speed decline
Association of TGFβ1 and clinical factors with scar outcome following melanoma excision
AssociationN=202Ward SV et al.(2012)· Archives of Dermatological Research

Genetic association study of 202 melanoma patients examining SNPs in 24 candidate genes related to pigmentation and wound healing in relation to scar outcome. SNP rs8110090 in TGFβ1 was significantly associated with poorer scar outcomes (p=0.0002). Clinical factors including younger age, shorter time since surgery, and presence of infection or eczema were also associated with worse scarring.

Traits studied:Scar heightScar outcome following melanoma excisionScar vascularityWound healing
P‐selectin genotype is associated with the development of cancer cachexia
AssociationN=876Tan BH et al.(2012)· EMBO Molecular Medicine

Genetic association study of cancer cachexia identified 129 SNPs in 80 candidate genes in 775 cancer patients. The C allele of rs6136 in the SELP gene (encoding P-selectin) was significantly associated with reduced risk of cancer cachexia (weight loss >10%) in both the main study (OR 0.52; p=0.026) and validation cohort (OR 0.09; p=0.035). Multiple other genes including APEH, GHRL, TNFRSF1A, and CNR1 showed significant associations with cachexia-related traits.

Traits studied:Cancer cachexiaSerum P-selectin levelsWeight loss >10%Weight loss >15%Weight loss >5%Weight loss with systemic inflammation
Variants in ABCB1 , TGFB1 , and XRCC1 genes and susceptibility to viral hepatitis A infection in Mexican Americans
AssociationN=6,779Lyna Zhang et al.(2012)· Hepatology

Candidate gene association study of 67 genetic variants in 27 inflammation and DNA repair genes with hepatitis A virus (HAV) infection susceptibility in 6,779 NHANES III participants (2,619 non-Hispanic whites, 2,095 non-Hispanic blacks, 2,065 Mexican Americans). Among Mexican Americans, ABCB1 rs1045642 T allele was associated with lower HAV seropositivity risk (OR=0.79, p<0.001), while TGFB1 rs1800469 and XRCC1 rs1799782 T alleles were associated with increased risk (OR=1.38 and 1.57, respectively). CAT rs769214 and CYP2E1 rs2031920 showed marginal associations with decreased and increased HAV risk, respectively.

Traits studied:Anti-HAV seropositivityHepatitis A virus (HAV) infection
Dissociation betweenAPOC3variants, hepatic triglyceride content and insulin resistance
ReviewJulia Kozlitina et al.(2011)· Hepatology

Comprehensive review of genetic background in nonalcoholic fatty liver disease (NAFLD). The PNPLA3 I148M variant (rs738409 C>G) is identified as a major genetic player strongly associated with increased liver fat content, NASH development, fibrosis severity, and HCC risk. The TM6SF2 E167K variant (rs58542926) emerges as another key contributor to NAFLD pathogenesis and disease progression. Multiple additional GWAS-identified variants and candidate genes are reviewed for their roles in NAFLD susceptibility and progression.

Traits studied:Alcoholic liver diseaseCardiovascular diseaseChronic kidney diseaseHCCHepatic steatosisHepatic triglyceridesHepatitis B steatosisHepatitis C progressionHepatocellular carcinomaInsulin resistanceLipid metabolismLiver fat contentLiver fibrosisNAFLDNASHNecroinflammationNonalcoholic fatty liver diseaseNonalcoholic steatohepatitisType 2 diabetes
Association of RANBP1 haplotype with smooth pursuit eye movement abnormality
ReviewHyun Sub Cheong et al.(2011)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This comprehensive review examines the genomics of schizophrenia and pharmacogenomics of antipsychotic drugs, synthesizing evidence on over 200 genes associated with psychotic disorders. The authors discuss five categories of genes relevant to antipsychotic response: disease-associated genes, mechanism-of-action genes, drug metabolism genes (particularly CYP2D6, CYP2C19, CYP2C9, CYP3A4), drug transporter genes, and pleiotropic genes. The review details pharmacogenomic profiles of 20+ antipsychotic drugs and demonstrates significant ethnic and interindividual variation in drug metabolism phenotypes, with examples including CYP2D6 extensive metabolizers (55.71% of population), intermediate metabolizers (34.7%), poor metabolizers (2.28%), and ultra-rapid metabolizers (7.31%).

Traits studied:Alzheimer diseaseAntipsychotic drug responseAntipsychotic drug side effectsAnxiety disordersBipolar disorderCNS disordersDepressive disorderParkinson's diseasePsychotic disordersSchizoaffective disorderSchizophreniaTardive dyskinesiaVascular dementia
Cyclooxygenase-2 (COX-2) polymorphisms and risk of inflammatory bowel disease in a Scottish and Danish case–control study
AssociationN=1,074Vibeke Andersen et al.(2011)· Inflammatory Bowel Diseases

A case-control study of 326 cases and 748 controls identified 25 SNPs in genes involved in platelet activation, angiogenesis, and inflammatory response that modify the risk of aspirin-related upper gastrointestinal hemorrhage (UGIH). Seven SNPs (rs1387180, rs2238631, rs1799964, rs5050, rs689466, rs1799983, rs7756935) were positive modifiers increasing UGIH risk in aspirin users (RERI 1.75-4.95), while nine SNPs (rs2243086, rs1131882, rs4311994, rs10120688, rs4251961, rs3778355, rs1330344, rs5275, rs3779647) were negative modifiers reducing risk (RERI -2.74 to -0.95). Aspirin exposure alone increased UGIH risk approximately 5.82-fold (95% CI: 2.2-10.08).

Traits studied:Aspirin-induced gastrointestinal bleedingGastric mucosal injuryPeptic ulcerUGIHUpper gastrointestinal hemorrhage
Association of tumor necrosis factor-α (TNF-α) promoter polymorphisms with overweight/obesity in a Korean population
AssociationN=331Gyeong-Im Yu et al.(2011)· Inflammation Research

This case-control study examined three TNF-α promoter polymorphisms in 331 Korean subjects (123 controls, 208 overweight/obese). The G-238A (rs361525) G/G genotype was significantly more frequent in obese subjects (94.7% vs 85.4%, P=0.0046, OR=3.05), suggesting the G allele is a risk factor for obesity. The C-857T (rs1799724) C allele was associated with higher HDL levels (P=0.014), suggesting a protective effect against atherosclerosis.

Traits studied:Body mass indexHDL cholesterolLDL cholesterolObesityOverweightTotal cholesterolTriglycerides
Obesity-dependent association of TNF-LTA locus with type 2 diabetes in North Indians
AssociationN=2,115Anubha Mahajan et al.(2010)· Journal of Molecular Medicine

This case-control association study examined six TNF-LTA locus variants in 2,115 North Indian subjects (1,073 type 2 diabetes patients, 1,042 controls). The TNF promoter variant rs1800630 and LTA non-synonymous variant rs2229094 showed obesity-dependent protection from type 2 diabetes (OR=0.83, P=0.005 and OR=0.86, P=0.02, respectively). The haplotype carrying all major alleles conferred susceptibility, with stronger effects in non-obese subjects (OR=1.45, P=2×10⁻⁴). The minor alleles were associated with lower BMI, waist circumference, and hsCRP.

Traits studied:Body mass index (BMI)Insulin resistanceMetabolic syndromeType 2 diabetesWaist circumferencehsCRP (high-sensitivity C-reactive protein)
Identification of candidate loci at 6p21 and 21q22 in a genome‐wide association study of cardiac manifestations of neonatal lupus
AssociationN=3,467Robert M. Clancy et al.(2010)· Arthritis &amp; Rheumatism

Genome-wide association study of 116 children with cardiac neonatal lupus (116 cases, 3,351 controls) identified 17 significant SNPs in the HLA region at 6p21, with the strongest association at rs3099844 (OR 3.34, P=4.52×10⁻¹⁰) near the MICB gene. Non-HLA associations were found at rs743446 (21q22, OR 2.40, P=5.45×10⁻⁶), rs2403106 (12q21, OR 2.48, P=2.62×10⁻⁶), rs1391511 (10p15, OR 1.84, P=6.6×10⁻⁶), and rs1890645 (1q31, OR 2.98, P=3.52×10⁻⁶). Results suggest genetic polymorphisms in inflammatory and apoptotic pathways contribute to cardiac injury in fetuses exposed to maternal anti-Ro/SSA antibodies.

Traits studied:Atrioventricular blockCardiac neonatal lupusCardiomyopathyCongenital heart blockNeonatal lupus erythematosus
The utility and predictive value of combinations of low penetrance genes for screening and risk prediction of colorectal cancer
AssociationN=2,593Steven J. Hawken et al.(2010)· Human Genetics

This study evaluated the utility of genomic profiling combining multiple low-penetrance variants for colorectal cancer (CRC) risk prediction and screening. Using simulations and ARCTIC study data (1,257 cases, 1,336 controls), the authors found that 140-160 common risk variants (OR ~1.2 each) would be needed to capture 80% of CRC cases in the top 50% of individuals by genetic risk score. In empirical analysis, a panel of replicated variants (rs1801282, rs2289046, rs2472300, rs3099844, rs4779584, rs10505477, rs10735810) achieved modest predictive value (AUC 0.54-0.66 with age/sex), with subjects carrying 30+ risk alleles showing 2.26-fold increased risk (95% CI 1.27-4.04) versus those with ≤20 alleles.

Traits studied:Colorectal cancer
Association study of the serotoninergic system in migraine in the spanish population
FunctionalN=149Corominas R. et al.(2010)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Development and validation of a targeted NGS panel for diagnosing familial hemiplegic migraine (FHM), episodic ataxia type 2 (EA2), CADASIL, and migraine with aura. In 149 patients across 4 cohorts (55 FHM, 44 CADASIL, 31 EA2, 19 migraine families), the panel identified novel and known mutations in genes CACNA1A, ATP1A2, SCN1A, and NOTCH3, increasing mutation detection rate from 7.7% to 28.5%. Notably, ATP1A2 and NOTCH3 mutations were identified in typical migraine with aura families for the first time, demonstrating aetiological overlap with FHM.

Traits studied:CADASILEpisodic Ataxia Type 2Familial Hemiplegic MigraineMigraine with auraMigraine without auraSpinocerebellar ataxia type 6
Carriage of a Tumor Necrosis Factor Polymorphism Amplifies the Cytotoxic T-Lymphocyte Antigen 4 Attributed Risk of Primary Biliary Cirrhosis: Evidence for a Gene–Gene Interaction
AssociationN=1,627Juran BD et al.(2010)· Hepatology

Gene-gene interaction study demonstrating that the TNF rs1800629 A/A or A/G allele amplifies the risk of primary biliary cirrhosis (PBC) conferred by the CTLA4 rs231725 A/A genotype, with a combined interaction odds ratio of 3.98 (95% CI 2.16-7.33, P < 0.0001). Individual SNP analysis showed CTLA4 rs231725 A/A was associated with PBC (OR 1.68, P = 0.0005) and TNF rs1800629 had borderline significance (OR 1.21, P = 0.042).

Traits studied:Primary biliary cirrhosis
Single nucleotide polymorphisms of 8 inflammation‐related genes and their associations with smoking‐related cancers
AssociationN=3,715Sam S. Oh et al.(2010)· International Journal of Cancer

This case-control study evaluated 12 SNPs in 8 inflammation-related genes across three studies (Los Angeles, Taixing China, and Memorial Sloan-Kettering) involving 2,049 smoking-related cancer cases and 1,666 controls. IL10 rs1800871 was inversely associated with oropharyngeal cancer (aOR: 0.69, 95% CI: 0.50-0.95) and positively associated with lung cancer among never smokers (aOR: 2.5, 95% CI: 1.3-5.1). TNF rs1799964 was inversely associated with smoking-related cancer in pooled never smokers (aOR: 0.36, 95% CI: 0.17-0.77). After Bayesian correction for multiple comparisons, IL10 rs1800871 and TNF rs1799964 emerged as noteworthy susceptibility markers for smoking-related cancers.

Traits studied:Bladder cancerEsophageal cancerKidney cancerLaryngeal cancerLiver cancerLung cancerOropharyngeal cancerSmoking-related cancersStomach cancer
Variability in Ethanol Biodisposition in Whites Is Modulated by Polymorphisms in the Adh1b and Adh1c Genes
ReviewCarmen Martínez et al.(2010)· Hepatology

A comprehensive review of nutrigenetics and nutrigenomics examining how genetic variants influence individual responses to nutrients and dietary interventions. The paper discusses associations between numerous SNPs (rs9939609 in FTO, rs2287019 in GIPR, rs7903146 in TCF7L2, rs5219 in KCNJ11, and many others) and metabolic traits including obesity, type 2 diabetes, and other chronic diseases, along with epigenetic mechanisms by which phytochemicals (curcumin, resveratrol, lycopene) modulate gene expression. The review synthesizes current evidence for precision nutrition approaches tailored to individual genetic profiles.

Traits studied:Bone density/osteoporosisCaffeine sensitivityCardiovascular diseaseCeliac diseaseCerebrovascular diseaseCoronary heart diseaseDetoxification capacityEating behaviorGlucose homeostasisHistamine intoleranceInflammatory diseasesInsulin resistanceLactose intoleranceLeptin resistanceMetabolic syndromeNickel intoleranceObesityOsteoarthritisOverweightType 2 diabetes
Common genetic variants and risk for non‐Hodgkin lymphoma and adult T‐cell lymphoma/leukemia in Jamaica
AssociationN=1,400Wang SS et al.(2009)· International Journal of Cancer

This PhD thesis comprises four association studies examining inherited variations in inflammatory cytokine genes and their pathogenetic role in rheumatoid arthritis (RA), multiple myeloma (MM), and B-cell non-Hodgkin's lymphoma (B-NHL). Paper I found that CHI3L1 promoter polymorphisms (rs4950928) were significantly associated with serum YKL-40 concentrations in 238 RA patients (P < 2.0e-16) and 605 controls. Paper IV reported CHI3L1 rs4950928 associated with follicular lymphoma 10-year overall survival (HRCG = 2.04, 95% CI 1.17-3.54). Papers II and III examined gene-gene interactions in MM and B-NHL risk and prognosis.

Traits studied:B-cell non-Hodgkin's lymphomaDiffuse large B-cell lymphomaFollicular lymphomaMultiple myelomaRheumatoid arthritisYKL-40 serum concentration
Genetic polymorphisms in chronic hyperplastic sinusitis with nasal polyposis
AssociationN=332Joel M. Bernstein et al.(2009)· The Laryngoscope

Case-control study of 179 patients with chronic hyperplastic sinusitis with nasal polyposis (CHSwNP) and 153 controls examining 14 cytokine gene polymorphisms. The TNFα -308 SNP (rs1800629) was significantly associated with nasal polyposis susceptibility, with the A allele present in 18.6% of cases versus 11.5% of controls (odds ratio 1.86, 95% CI 1.14-3.09). All other cytokine polymorphisms tested were not statistically significant.

Traits studied:Chronic hyperplastic sinusitis with nasal polyposisNasal polyposis
Association of IL10 and Other immune response‐ and obesity‐related genes with prostate cancer in CLUE II
AssociationN=516Ming‐Hsi Wang et al.(2009)· The Prostate

Nested case-control study of 258 prostate cancer cases and 258 matched controls in the CLUE II prospective cohort examining genetic variants in inflammation and obesity-related genes. The IL10 -1082G>A variant (rs1800896, A allele) was positively associated with prostate cancer risk (AG vs GG: OR=1.69, 95% CI 1.10-2.60; AA vs GG: OR=1.81, 95% CI 1.11-2.96), while a TLR4 variant (rs4986790) showed inverse association, and no consistent associations were found for obesity-related gene variants.

Traits studied:Prostate cancer
Analysis of genetic variations in the RGS9 gene and antipsychotic‐induced tardive dyskinesia in schizophrenia
ReviewYing‐Jay Liou et al.(2009)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This is a comprehensive literature review of candidate genes and their single nucleotide variants associated with antipsychotic-induced tardive dyskinesia in schizophrenia patients. The review examined genes involved in dopamine system (DRD1, DRD2, DRD3), catecholamine metabolism (COMT), serotonin system (HTR2A, HTR2C), and other pharmacodynamic and pharmacokinetic pathways. Timely identification of genetic variants in these genes could contribute to developing diagnostic tests and selecting safer antipsychotic therapy.

Traits studied:Antipsychotic-induced movement disordersDrug-induced tardive dyskinesiaSchizophreniaTardive dyskinesia
A genetic association study in the Gambia using tagging polymorphisms in the major histocompatibility complex class III region implicates a HLA-B associated transcript 2 polymorphism in severe malaria susceptibility
AssociationN=2,162Mahamadou Diakite et al.(2009)· Human Genetics

A case-control association study of 2162 Gambian individuals identified a BAT2 polymorphism (rs1046089) significantly associated with severe malaria (G vs A OR=0.73, P<10⁻⁶ for allelic test; recessive model GG vs GA/AA OR=0.48, P<10⁻⁶). Haplotype analysis confirmed BAT2-associated variants conferred ~40% reduced risk. Secondary findings included AIF1 (rs2259571, OR=0.57, P=0.004) and TNF-238 (rs361525, OR=1.33, P=0.04) associations, though only BAT2 remained significant after Bonferroni correction.

Traits studied:Cerebral malariaSevere malariaSevere malarial anaemia
Association of TGF‐β1 codon 25 (G915C) polymorphism with hepatitis C virus infection
AssociationN=222Fernanda Albuquerque Pereira et al.(2008)· Journal of Medical Virology

This case-control study of 128 HCV-infected Brazilian patients and 94 healthy controls identified a significant association between TGFβ1 codon 25 (rs1800471) G allele and hepatitis C virus infection (P = 0.0005, OR = 2.9, 95% CI 1.6-5.6). The G/G genotype was significantly overrepresented in HCV patients (88.3% vs 68.1%, OR = 3.7, P = 0.0002). High-producing TGFβ1 phenotypes were also significantly associated with HCV infection (73.4% vs 52.1%, OR = 2.6, P = 0.0015). No associations were found with polymorphisms in TNFα, IFNγ, IL-10, TGFβ1 codon 10, or IL-6.

Traits studied:Hepatitis C virus infection
TNF polymorphisms and prostate cancer risk
AssociationN=627Kim N. Danforth et al.(2008)· The Prostate

This cross-sectional study of 627 unvaccinated COVID-19 patients examined associations between cytokine gene polymorphisms and COVID-19 severity. Five polymorphisms were significantly associated with severe disease: TNF-α rs1800610 A allele (OR=1.50), IL-6 rs1800796 C allele (OR=1.64), IL-10 rs1800871 T allele (OR=1.94), IL-10 rs1800872 A allele (OR=1.87), and CCL5 rs3817656 G allele (OR=1.64). IL-10 rs1800629 was protective against moderate and severe disease.

Traits studied:COVID-19 mortalityCOVID-19 severity
Cytokine gene polymorphisms as risk and severity factors for juvenile dermatomyositis
AssociationN=424Gulnara Mamyrova et al.(2008)· Arthritis &amp; Rheumatism

Candidate gene case-control study in 221 Caucasian juvenile dermatomyositis (DM) patients versus 203 controls identified TNF-α and IL-1 cytokine polymorphisms as risk and protective factors. TNF-α -308AG (OR 3.6), TNF-α -238GG (OR 3.5), and IL-1α +4845TT (OR 2.2) increased DM risk, while TNF-α -308GG (OR 0.26) and TNF-α -238AG (OR 0.22) were protective. TNF-α -308AA was a risk factor for calcinosis (OR 7.3) and ulcerations (OR 7.0), with TNF-α -308G allele protective for both complications.

Traits studied:CalcinosisJuvenile dermatomyositisPhotosensitive skin rashesUlcerations
Cytokine response to vitamin E supplementation is dependent on pre‐supplementation cytokine levels
AssociationN=110Sarah E. Belisle et al.(2008)· BioFactors

This study examined whether the effect of vitamin E supplementation on cytokine production in elderly nursing home residents depends on baseline cytokine levels. Among 110 elderly participants in a 1-year randomized controlled trial, the authors genotyped 7 SNPs in cytokine genes (IL-1β, IL-6, TNFα, IFNγ) and measured ex vivo cytokine production at baseline and follow-up. They found significant interactions between vitamin E treatment and baseline cytokine production for IFNγ (P=0.002-0.005), TNFα (P=0.009), IL-1β (P=0.053), and IL-6 (P=0.031), suggesting that vitamin E's immunomodulatory effects depend on individual baseline immune status.

Traits studied:Cytokine production (IL-1β, IL-6, TNFα, IFNγ)Immune response to vitamin E supplementationResponse to infection and vaccination
Common variants in genes that mediate immunity and risk of multiple myeloma
AssociationN=672Elizabeth E. Brown et al.(2007)· International Journal of Cancer

A case-control study of 127 multiple myeloma (MM) cases and 545 controls examined 82 common variants in 45 genes mediating immunity. IL4R rs2107356 (−28120T homozygotes, OR=1.91, 95% CI 1.08-3.38) and FCGR2A rs1801274 (−120G homozygotes, OR=1.95, 95% CI 1.06-3.60) were significantly associated with increased MM risk. A haplotype in the LTA*TNF complex (LTA −82C/−90G*TNF −1036C/−487G/−417G, OR=1.63, 95% CI 1.02-2.61) was also associated with increased MM risk compared to controls.

Traits studied:Multiple myeloma
Proinflammatory Cytokine Single Nucleotide Polymorphisms in Nasal Polyposis
AssociationN=200Erbek SS et al.(2007)· Archives of Otolaryngology–Head &amp; Neck Surgery

Case-control study of 100 chronic polypoid rhinosinusitis patients and 100 healthy controls examining cytokine gene polymorphisms. TNFα -308 G/A polymorphism (rs1800629) showed increased risk (OR=2.00, 95% CI 1.12-3.59, p=0.02), while IL5 -703 C/T polymorphism (rs3807243) showed decreased risk (OR=0.53, 95% CI 0.30-0.95, p=0.03). Sex-stratified analysis revealed TNFα G/A was significantly associated with disease in women (OR=3.54, 95% CI 1.28-9.80, p=0.02). IL1β -511 C/T showed no significant associations.

Traits studied:Chronic polypoid rhinosinusitisNasal polyposis
Genetic variation in tumor necrosis factor and lymphotoxin-alpha (TNF–LTA) and breast cancer risk
AssociationN=10,765Mia M. Gaudet et al.(2007)· Human Genetics

A large population-based case-control study of TNF-LTA genetic variation in 5,546 breast cancer cases and 5,219 controls (USA and Poland cohorts) found that the variant A allele of rs361525 in the TNF promoter region was associated with modestly increased breast cancer risk (per allele OR=1.18, 95% CI 1.04-1.35, p=0.008). Eight TNF and LTA SNPs were genotyped; haplotype analyses showed the GAG haplotype carrying rs361525 A was associated with elevated risk, while the well-studied TNF-308 variant (rs1800629) showed no association.

Traits studied:Breast cancer
The –786C/T single‐nucleotide polymorphism in the promoter of the gene for endothelial nitric oxide synthase: Insensitivity to physiologic stimuli as a risk factor for rheumatoid arthritis
AssociationN=219Inga Melchers et al.(2006)· Arthritis &amp; Rheumatism

This journal issue contains multiple genetic association studies on rheumatoid arthritis (RA). A key REMARCA study (146 aCCP+ RA patients vs 314 controls) identified polymorphisms in CTLA4 (rs231775 +49A/G), IL10 (rs1800872 -592A/C), and IL6R (rs8192284 +358A/C) associated with high inflammatory disease activity, with CTLA4 and IL10 minor alleles showing increased risk (OR=1.4, p=0.02 and OR=1.9, p<0.0001 respectively) and IL6R minor allele being protective (OR=0.7, p=0.03). A separate study analyzed NOS3, PPARG, PPARGC1A, PPARGC1B and PAI1 polymorphisms in 73 RA patients for cardiovascular risk.

Traits studied:Cardiovascular riskHigh inflammatory disease activityRheumatoid arthritis
Association between the PTPN22 gene and rheumatoid arthritis and juvenile idiopathic arthritis in a UK population: Further support that PTPN22 is an autoimmunity gene
AssociationN=436Anne Hinks et al.(2005)· Arthritis &amp; Rheumatism

Candidate gene association study of 122 early rheumatoid arthritis (RA) patients and 314 healthy controls found that PTPN22 rs2476601 (OR=1.5, 95% CI 1.0-2.3, p=0.05) and TNFAIP3 rs675520 (OR=1.7) polymorphisms were significantly associated with RA risk. Anti-cyclic citrullinated peptide (ACPA) antibody production was associated with PTPN22, TNFAIP3, CTLA4, and TNF-α polymorphisms in a dose-dependent manner.

Traits studied:ACPA (anti-cyclic citrullinated peptide) antibody productionEarly rheumatoid arthritisRheumatoid arthritisRheumatoid factor (IgM RF) production

Gene information from NCBI Gene. Variant classifications from ClinVar.

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