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Gene & Protein in Disease                                        TNFA polymorphism and risk of endometriosis




                        A










                                                            B





                        C













            Figure 1. Schematic overview of the tumor necrosis factor-alpha (TNF-α) gene and protein. (A) The TNFA gene, located on chromosome 6 (6p21.3), spans
            approximately 3 kb and composed of four distinct exons. (B) This gene encodes a 233 amino acid transmembrane protein, which serves a crucial role as a
            pro-inflammatory cytokine. (C) Following proteolytic cleavage, the soluble homotrimeric TNF-α is released, binds to the tumor necrosis factor receptor
            (TNFR), and initiates vital signaling pathways.
            Abbreviations: Chr: Chromosome; TM: Transmembrane; UTR: Untranslated region.

            Table 1. Variant information and associated functional effects
            No.  Variant name  Variant type  rsID  Nucleotide change  Molecular position  Functional effect  MAF (dbSNP‑global)
            1      -238 G>A  SNV        rs361525  G>A           chr6:31575324  UTV            A=0.053030
            2      -308 G>A  SNV        rs1800629  G>A          chr6:31575254  UTV            A=0.152040
            3      -850 C>T  SNV        -        C>T            -              UTV            -
            4      -857 C>T  SNV        rs1799724  C>T          chr6:31574705  UTV            T=0.121348
            5      -863 C>A  SNV        rs1800630  C>A          chr6:31574699  UTV            A=0.152603
            6      -1031 T>C  SNV       rs1799964  T>C          chr6:31574531  UTV            C=0.211341
            Abbreviations: chr: Chromosome; dbSNP: Single Nucleotide Polymorphism database; MAF: Minor allele frequency; SNV: Single nucleotide variation;
            UTV: Upstream transcript variant; rsID: Reference SNP cluster ID.

            Table 2. Inclusion and exclusion criteria
            No.                 Inclusion criteria                            Exclusion criteria
            1   Studies on the genetic association between tumor necrosis   Review articles, editorials, commentaries, or conference abstracts.
                factor-alpha (TNFA) variants and endometriosis risk.
            2   Research articles published in peer-reviewed journals.  Studies not focused on TNFA variants or endometriosis risk.
            3   Studies involving human subjects.           Non-human studies or in vitro studies.
            4   Studies reporting genotypic or allelic frequencies of TNFA variants.  Studies lacking sufficient data on TNFA variants or endometriosis risk.
            5   Research employing case-control or cohort study designs.  Research with inadequate sample size or statistical power.
            6   Studies with clearly defined diagnostic criteria for endometriosis.  Studies lacking clear methodology or diagnostic criteria for endometriosis.
            7   Articles that provide sufficient data for calculating odds ratios   Articles with duplicated data or overlapping study populations.
                with 95% confidence intervals.

            Volume 4 Issue 3 (2025)                         3                               doi: 10.36922/gpd.5204
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