“…However, these studies have produced contradictory results. A meta-analysis was recently performed on polymorphisms in TNF-a at positions -238, -308, -857, -863, and -1031; the authors reported that the polymorphisms at positions -238A, -857T, and -1031C are significantly associated with BD [52] and those at -238A and -1031C increase the risk of BD [odds ratio (OR) 1.35 and 1.51, respectively], whereas the one at -857T decreases the risk of BD (OR 0.76). Moreover, mononuclear cells from CC genotype carriers at TNF-a position -1031 have been found to produce higher levels of TNF-a than those of other genotype carriers when stimulated with lipopolysaccharides [53].…”