Qiu Bing, Huang Bo, Wang Xi, Liang Jinlong, Feng Jinfa, Chang Yingjuan, Li Dongfu
Department of Gastroenterology, Heilongjiang Province Hospital, Harbin, China.
Scand J Gastroenterol. 2012 Nov;47(11):1368-74. doi: 10.3109/00365521.2012.725090. Epub 2012 Sep 19.
Transporter associated with antigen processing (TAP) plays a central role in a cellular immune response against HBV. Polymorphisms exist at the coding region of TAP and alter its structure and function. The aim of this study was to evaluate the potential relationship between polymorphisms of TAP and different outcomes of persistent HBV infection in a Han population in northeastern China.
189 HBV spontaneously recovered (SR) subjects, 571 HBV-infected patients including 180 chronic hepatitis B (CHB), 196 liver cirrhosis (LC) and 195 hepatocellular carcinoma (HCC) individuals were included in this study. TAP1-333 Ile/Val and -637 Asp/Gly, TAP2-651 Arg/Cys and -687 Stop/Gln were genotyped in all the samples by using a PCR-RFLP method.
The frequency of TAP1-637-Gly (allele G) was significantly higher in persistently HBV-infected individuals (CHB and LC) than that of SR subjects (OR = 1.58, 95% CI 1.12-2.45, p = 0.024; OR = 1.78, 95% CI 1.27-2.68, p = 0.002) by a logistic regression analysis. In addition, the statistically significant difference in the distribution of TAP2-651-Cys (allele T) was observed between HCC cases and SR controls (OR = 2.30, 95% CI 1.51-3.72, p < 0.001), and TAP2-687-Gln (allele C) in CHB patients was more common than that in SR subjects (OR = 1.41, 95% CI 1.13-1.97, p = 0.021). The data also revealed that haplotype 687 Gln-651 Cys-637 Gly-333 Ile was strongly associated with persistent HBV infection (CHB, LC and HCC) (p < 0.001, < 0.05 and < 0.001, respectively).
These results suggested that TAP variants were likely to play a substantial role in different outcomes of persistent HBV infection in the studied population.
抗原加工相关转运体(TAP)在针对HBV的细胞免疫反应中起核心作用。TAP编码区存在多态性,可改变其结构和功能。本研究旨在评估中国东北地区汉族人群中TAP多态性与持续性HBV感染不同结局之间的潜在关系。
本研究纳入189例HBV自发清除(SR)受试者、571例HBV感染患者,包括180例慢性乙型肝炎(CHB)、196例肝硬化(LC)和195例肝细胞癌(HCC)患者。采用PCR-RFLP方法对所有样本进行TAP1-333 Ile/Val和-637 Asp/Gly、TAP2-651 Arg/Cys和-687 Stop/Gln基因分型。
通过逻辑回归分析,持续性HBV感染个体(CHB和LC)中TAP1-637-Gly(等位基因G)的频率显著高于SR受试者(OR = 1.58,95%CI 1.12 - 2.45,p = 0.024;OR = 1.78,95%CI 1.27 - 2.68,p = 0.002)。此外,在HCC病例与SR对照之间观察到TAP2-651-Cys(等位基因T)分布的统计学显著差异(OR = 2.30,95%CI 1.51 - 3.72,p < 0.001),CHB患者中TAP2-687-Gln(等位基因C)比SR受试者更常见(OR = 1.41,95%CI 1.13 - 1.97,p = 0.021)。数据还显示单倍型687 Gln-651 Cys-637 Gly-333 Ile与持续性HBV感染(CHB、LC和HCC)密切相关(分别为p < 0.001、< 0.05和< 0.001)。
这些结果表明,TAP变异体可能在研究人群持续性HBV感染的不同结局中起重要作用。