Chronic
inflammation is the hallmark of the pathogenesis of Helicobacter pylori-induced
gastric cancer.
Interleukin (IL)-17A and
IL-17F are inflammatory
cytokines expressed by a novel subset of CD4+ Th cells and play critical function in
inflammation and probably in
cancer. We conducted a case-control study including 1,010
gastric cancer patients and 800 healthy controls to assess the association between
IL-17A G197A and
IL-17F A7488G polymorphisms and risk of
gastric cancer. Genotypes were determined by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and
DNA sequencing. Logistic regression and Cox-proportional hazards analyses were used to evaluate the associations between polymorphisms and
gastric cancer susceptibility, clinicopathological features and survival. After adjusted for age and gender,
IL-17F 7488GA and GG genotypes were associated with an increased risk of
gastric cancer compared with AA genotype [OR 1.51, 95% confidence interval (CI): 1.22-1.87 for GA; OR 1.61, 95% CI: 1.03-2.51 for GG]. Further stratification analyses indicated that the effect of
IL-17F 7488GA genotype was noteworthy in
gastric cancer patients of noncardia, intestinal type, poorly and moderately differentiated, age older than 40, large
tumor size and
lymph node metastasis.
IL-17A 197AG genotype was associated with increased risk of poorly differentiated, TNM I/II, age of 40-65-year subtypes of
gastric cancer, but not with total
gastric cancer risk (p = 0.098). No significant relationship was observed between polymorphisms and survival of
gastric cancer patients. These findings suggest that polymorphism of
IL-17F 7488 involved in susceptibility to
gastric cancer, which also influenced certain subtypes according to clinicopathological features, whereas
IL-17A 197 may be less relevant.