Sopipong Watanyoo, Tangkijvanich Pisit, Payungporn Sunchai, Posuwan Nawarat, Poovorawan Yong
Center of Excellence in Clinical Virology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Asian Pac J Cancer Prev. 2013;14(5):2865-9. doi: 10.7314/apjcp.2013.14.5.2865.
Hepatitis B virus (HBV) infection can become chronic and if left untreated can progress to hepatocellular carcinoma (HCC).Thailand is endemic for HBV and HCC is one of the top five cancers, causing deaths among Thai HBV-infected males. A single nucleotide polymorphism (SNP) at the KIF1B gene locus, rs17401966, has been shown to be strongly associated with the development of HBV-related HCC. However, there are no Thai data on genotypic distribution and allele frequencies of rs17401966. Thai HBV patients seropositive for HBsAg (n=398) were therefore divided into two groups: a case group (chronic HBV with HCC; n=202) and a control group (HBV carriers without HCC; n=196). rs17401966 was amplified by polymerase chain reaction (PCR) and analyzed by direct nucleotide sequencing. The genotypic distribution of rs174019660 for homozygous major genotype (AA), heterozygous minor genotype (AG) and homozygous minor genotype (GG) in the case group was 49.5% (n=100), 40.1% (n=81) and 10.4% (n=21), respectively, and in controls was 49.5% (n=97), 42.3% (n=83) and 8.2% (n=16). Binary logistic regression showed that rs17401966 was not statistically associated with the risk of HCC development in Thai chronic HBV patients (p-value=0.998, OR=1.00 and 95% CI=0.68-1.48). In conclusion, the KIF1B gene SNP (rs174019660) investigated in this study showed no significant association with HBV-related HCC in Thai patients infected with HBV, indicating that there must be other mechanisms or pathways involved in the development of HCC.
乙型肝炎病毒(HBV)感染可发展为慢性感染,若不治疗,可能进展为肝细胞癌(HCC)。泰国是HBV的地方性流行区,HCC是泰国五大癌症之一,导致泰国HBV感染男性死亡。KIF1B基因位点的单核苷酸多态性(SNP)rs17401966已被证明与HBV相关HCC的发生密切相关。然而,目前尚无关于rs17401966基因型分布和等位基因频率的泰国数据。因此,将398例HBsAg血清学阳性的泰国HBV患者分为两组:病例组(慢性HBV合并HCC;n = 202)和对照组(无HCC的HBV携带者;n = 196)。通过聚合酶链反应(PCR)扩增rs17401966,并通过直接核苷酸测序进行分析。病例组中纯合主要基因型(AA)、杂合次要基因型(AG)和纯合次要基因型(GG)的rs17401966基因型分布分别为49.5%(n = 100)、40.1%(n = 81)和10.4%(n = 21),对照组分别为49.5%(n = 97)、42.3%(n = 83)和8.2%(n = 16)。二元逻辑回归显示,rs17401966与泰国慢性HBV患者发生HCC的风险无统计学关联(p值 = 0.998,OR = 1.00,95% CI = 0.68 - 1.48)。总之,本研究中调查的KIF1B基因SNP(rs17401966)在感染HBV的泰国患者中与HBV相关HCC无显著关联,这表明HCC的发生必定涉及其他机制或途径。