Amarapurpar D N, Patel N D, Kankonkar S R
Department of Gastroenterology, Bombay Hospital and Medical Research Centre, Mumbai.
J Assoc Physicians India. 2003 Aug;51:779-81.
To analyze the role of HLA genotypes in persistence of chronic hepatitis B in Western India.
HLA genotyping for class II-DR was done in 26 subjects having chronic hepatitis B infection (HBsAg positive) and in 100 healthy controls. Statistics were done using Halden's modification of Woolf's formula.
Significant association of chronic hepatitis B infection was found for class II-DR antigens DRB115XX (57.6 vs. 25%) and DRB111XX (23 vs. 4%). DRB1*13XX (0 vs. 19%) was negatively associated with chronic hepatitis B infection.
HLA phenotype, which varies with different regions, is one of the factors in persistence of hepatitis B infection. Our study supports negative association of DRB113XX to persistence of HBV. Also there may be role of DRB111XX and DRB1*15XX in persistence of HBV and development of chronic HBV hepatitis.
分析HLA基因型在印度西部慢性乙型肝炎持续感染中的作用。
对26例慢性乙型肝炎感染患者(乙肝表面抗原阳性)和100例健康对照者进行II类-DR的HLA基因分型。使用哈尔登对伍尔夫公式的修正进行统计学分析。
发现II类-DR抗原DRB115XX(57.6%对25%)和DRB111XX(23%对4%)与慢性乙型肝炎感染显著相关。DRB1*13XX(0对19%)与慢性乙型肝炎感染呈负相关。
HLA表型因不同地区而异,是乙型肝炎感染持续存在的因素之一。我们的研究支持DRB113XX与乙肝病毒持续感染呈负相关。此外,DRB111XX和DRB1*15XX可能在乙肝病毒持续感染及慢性乙肝肝炎的发生中起作用。