Xi-Lin Z, Te D, Jun-Hong L, Liang-Ping L, Xin-Hui G, Ji-Rong G, Chun-Yan G, Zhuo L, Ying L, Hui L
National Laboratory of Medical Molecular Biology, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing, China.
Int J Immunogenet. 2006 Aug;33(4):249-54. doi: 10.1111/j.1744-313X.2006.00607.x.
Host genetic factors and environment factors including hepatitis B virus (HBV) genotype are widely viewed as common basis of the different outcomes of HBV infection. Human leucocyte antigen (HLA) plays an important role in immunological reaction to HBV infection. The study aimed to explore whether the HLA-DQB1 allele polymorphisms are associated with the outcomes of HBV infection in the Chinese Han population. One hundred and thirty-four asymptomatic HBV carriers and 139 chronic hepatitis B patients were recruited in this case-control study in Beijing, China. Sequence-specific primers-polymerase chain reaction was used to detect 13 alleles of HLA-DQB1 gene. The frequency distributions of alleles in two groups were analysed using sas 9.1.2 software. After adjustment of confounders the frequencies of HLA-DQB1*0503 allele and 0303 allele in chronic hepatitis B group were statistically significant lower than those in asymptomatic HBV carrier group (P = 0.04; P = 0.05), and the frequency of exposure to alcohol consumption in patients with chronic hepatitis B was clearly higher than that in asymptomatic HBV carrier group (P = 0.004). HLA-DQB10503 allele and *0303 allele are independently resistant genetic factors to chronic hepatitis B, and alcohol consumption is the risk factor of chronic hepatitis B.
宿主遗传因素和包括乙型肝炎病毒(HBV)基因型在内的环境因素被广泛视为HBV感染不同结局的共同基础。人类白细胞抗原(HLA)在对HBV感染的免疫反应中起重要作用。本研究旨在探讨HLA - DQB1等位基因多态性是否与中国汉族人群HBV感染的结局相关。在中国北京进行的这项病例对照研究中,招募了134例无症状HBV携带者和139例慢性乙型肝炎患者。采用序列特异性引物 - 聚合酶链反应检测HLA - DQB1基因的13个等位基因。使用sas 9.1.2软件分析两组中等位基因的频率分布。在调整混杂因素后,慢性乙型肝炎组中HLA - DQB10503等位基因和0303等位基因的频率显著低于无症状HBV携带者组(P = 0.04;P = 0.05),且慢性乙型肝炎患者中饮酒暴露频率明显高于无症状HBV携带者组(P = 0.004)。HLA - DQB10503等位基因和0303等位基因是慢性乙型肝炎的独立抗性遗传因素,而饮酒是慢性乙型肝炎的危险因素。