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Gene & Protein in Disease                                        TNFA polymorphism and risk of endometriosis

































































            Figure 2. Systematic workflow of the included studies according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses


            between this variant and disease risk in different   The results indicated that patients had a slightly higher
            populations  (Table  3).  However,  Zhao  et al.   did  not   frequency of the risk allele (AA = 1.97%) compared to
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            provide genotypic data in their published article, leading   controls (AA = 1.06%) in terms of genotypic frequency
            to their exclusion from the final analysis. The remaining   (AA). After determining the gene frequency, we examined
            studies  included  1,166  subjects,  comprising  506  cases   the  risk  association  across  several  genetic  models.  For
            and 660 healthy controls. Upon examining the studies for   instance, the allele model showed an OR of 0.97 (95% CI:
            HWE, we found that all studies adhered to HWE principles   0.69 – 1.35) (Figure 3A), the recessive model yielded an
            (Table 3).                                         OR of 1.36 (95% CI: 0.50 – 3.65), the dominant model



            Volume 4 Issue 3 (2025)                         6                               doi: 10.36922/gpd.5204
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