Review Article

Interleukin-18 Gene Polymorphisms and Rheumatoid Arthritis Susceptibility: An Umbrella Review of Meta-Analyses

Table 1

Characteristics of included systematic reviews and meta-analyses.

StudyCountryIncluded study no.Study search dateIncluded patients no.Searched databasesGene siteAnalyzed gene modelPublication bias assessmentConclusion

Cai et al. [20]China10 Studies from 8 articles for -607 A/C; 9 studies from 6 articles for -137 C/GJanuary 20132,662 Cases and 2,168 controls for -607 A/C; 1,331 cases and 1,468 controls for -137 C/GPubMed, EMBASE, Spring-link, Web of Science, Wanfang (Chinese), and CNKI-607 A/C, -137 C/GAllele model, codominant model, dominant model, recessive modelBegg’s funnel plot and Egger’s test, no publication biasIL-18 (-607 A/C) polymorphism may be associated with RA risk

Chen et al. [21]China7 Studies for -607 A/C; 5 studies for -137 C/GApril 20121,958 Cases and 1,707 controls for -607 A/C; 333 cases and 541 controls for -137 C/GPubMed, EMBASE, Web of Science, CNKI, CBMD, and Wanfang (Chinese)-607 A/C, -137 C/GAllele model, dominant model, recessive modelModified Egger’s linear regression test, no publication biasIL-18 (-607 A/C) polymorphism may confer susceptibility to RA in Chinese population, but not all Asians

Ji and Lee [22]South Korea7 Studies for -607 A/C; 5 studies for -137 C/G; 2 studies for -920 T/COctober 20122,944 Cases and 2,377 controls for -607 A/C; 1,319 cases and 1,211 controls for -137 C/G; 1,873 cases and 1,092 controls for -920 T/CMEDLINE, PubMed-607 A/C, -137 C/G, -920 T/CAllele model, dominant model, recessive model, homozygote modelBegg’s funnel plots and Egger’s test, with publication bias for -607 A/C in all comparison models, without publication bias for -137 C/G in all comparison modelsNo significant association was found between two IL-18 (-607 A/C, -137 C/G) polymorphism and RA susceptibility in all subjects; IL-18 (-920 T/C) polymorphism is associated with RA susceptibility

Li et al. [23]China14 Studies from 13 articles for -607 A/C; 11 studies from 10 articles for -137 C/G; 2 studies for -920 T/C; 1 study for -105 C/AMay 1, 20153,728 Cases and 3,213 controls for -607 A/C; 1,982 cases 1,947 controls for -137 C/G; 1,873 cases 1,091 controls for -920 T/C; 201 cases 218 controls for -105 C/APubMed, Ovid, Cochrane Library, EMBASE, and China Knowledge Resource Integrated Database-607 A/C, -137 C/G, -920 T/C, -105 C/AHomozygote model, heterozygote model, dominant model, recessive model, additive modelFunnel plots and the Begg test, no publication biasThe -607 A/C, -920 T/C, and -105 A/C polymorphisms in IL-18 were significantly associated with increased RA risk. However, the -137 C/G polymorphism was not associated with RA risk under any genetic model

Pan et al. [24]China4 Studies from 3 articlesMay 2010756 Cases and 756 controlsMEDLINE and PubMed-607 A/CRecessive model, dominant model, allele modelBegg’s funnel plot and Egger’s test, no publication biasNot enough evidence to indicate the association of IL-18 gene promoter -607 A/C polymorphism and the development of RA

Song et al. [25]Korea7 Studies for -607 A/C; 7 studies from 6 articles for -137 C/GJanuary 20132,894 Cases and 2,361 controls for -607 C/A; 1,596 cases and 1,478 controls for -137 C/GMEDLINE and EMBASE-607 A/C, -137 C/GAllelic model, recessive model, dominant model, homozygote modelFunnel plots, no publication biasIL-18 (-607 A/C and -137 C/G) polymorphisms are not associated with RA

Wen et al. [26]China5 StudiesNot reported1,224 Cases and 1,368 controlsPubMed, EMBASE, and Cochrane library databases-137 C/GDominant model, recessive model, additive modelFunnel plot and Egger’s regression test, no publication biasIL-18 (-137 C/G) was a risk factor for RA, especially for RA in Europeans