title: Combined effect of miR-146a rs2910164 G/C polymorphism and Toll-like receptor 4 +3725 G/C polymorphism on the risk of severe gastric atrophy in Japanese.
abstract: BACKGROUND
  A G/C polymorphism in miRNA-146a (rs2910164) was shown to be associated with the risk of hepatocellular carcinoma.
  
  
  OBJECTIVE
  This study aimed to examine the associations of the miR-146a G/C (rs2910164) and TLR4 +3725 G/C (rs11536889) polymorphisms with the risk of Helicobacter pylori (H. pylori) infection, gastric atrophy, and gastric cancer in a Japanese population.
  
  
  METHODS
  Subjects for this study were 583 histologically diagnosed gastric cancer patients and age- and sex-frequency-matched 1,742 control outpatients (1,637 subjects were eligible for the analyses), who visited Aichi Cancer Center Hospital from the year 2001 to 2005. Serum pepsinogens were measured to evaluate gastric atrophy.
  
  
  RESULTS
  When H. pylori-seropositive subjects or subjects with gastric atrophy were defined as H. pylori-infected subjects, the age- and sex-adjusted odds ratio (aOR) of severe gastric atrophy among the H. pylori infected was 1.44 (95% confidence interval [95% CI]=0.89-2.34, p=0.133) in G/G genotype of miR-146a polymorphism. When combined with TLR4 G/C polymorphism, the OR in those with miR-146a G/G and TLR4 G/C+C/C genotypes was significantly increased relative to those with miR-146a C/C+G/C and TLR4 G/G among the H. pylori-infected subjects: aOR=2.04 (95% CI=1.10-3.82, p=0.025).
  
  
  CONCLUSIONS
  This study revealed the combined effect of miR-146a rs2910164 G/G and TLR4 +3725 C allele on the increased risk of severe gastric atrophy among the H. pylori-infected Japanese subjects.
authors: Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. a-hishi@med.nagoya-u.ac.jp
authors: Asahi
authors: A
authors: Hishida
authors: Keitaro
authors: K
authors: Matsuo
authors: Yasuyuki
authors: Y
authors: Goto
authors: Mariko
authors: M
authors: Naito
authors: Kenji
authors: K
authors: Wakai
authors: Kazuo
authors: K
authors: Tajima
authors: Nobuyuki
authors: N
authors: Hamajima
mesh_terms: D000368:Aged; D044466:Asian People / Q000235:genetics*; D006528:Carcinoma, Hepatocellular / Q000235:genetics / Q000382:microbiology; D005260:Female; D005757:Gastritis, Atrophic / Q000235:genetics* / Q000382:microbiology; D056726:Genetic Association Studies; D016481:Helicobacter Infections / Q000175:diagnosis / Q000235:genetics; D006801:Humans; D008297:Male; D035683:MicroRNAs / Q000235:genetics*; D008875:Middle Aged; D010435:Pepsinogens / Q000097:blood; D011110:Polymorphism, Genetic; D012720:Severity of Illness Index; D013274:Stomach Neoplasms / Q000235:genetics / Q000382:microbiology; D051197:Toll-Like Receptor 4 / Q000235:genetics*
chemical_list: C542542:MIRN146 microRNA, human; D035683:MicroRNAs; D010435:Pepsinogens; C495345:TLR4 protein, human; D051197:Toll-Like Receptor 4