Tang Shaidi, Yue Ming, Wang Jiajia, Zhang Yun, Yu Rongbin, Su Jing, Peng Zhihang, Wang Jie
Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Department of Infectious Diseases, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.
J Biomed Res. 2014 Nov;28(6):484-93. doi: 10.7555/JBR.28.20130162. Epub 2014 Jul 10.
Several studies investigated associations of IFN-γ rs2430561 T/A, IL28B rs12979860 C/T and ERα rs2077647 T/C gene polymorphisms with outcomes of hepatitis B virus (HBV) infection, but the results were controversial. Therefore, we performed a meta-analysis of all published observational studies to address this inconsistency. Literature was searched in online database and a systematic review was conducted based on the search results. A total of 24 studies were included and dichotomous data were presented as odds ratio (OR) with a 95% confidence interval (CI). The rs2430561 T allele was associated with reduced persistent HBV infection risk (T vs. A: OR, 0.690; 95% CI, [0.490, 0.971]), while the rs2077647 T allele significantly increased the risk of persistent HBV infection (T vs. C: OR, 1.678; 95% CI, [1.212, 2.323]). Rs 2077647 CC might play a role in protecting individuals against HBV persistence (TT vs. CC: OR, 4.109; 95% CI, [2.609, 6.473]). Furthermore, carriers of the rs2430561 TT genotype were more likely to clear HBV spontaneously compared with those of the AA genotype (TT vs. AA: OR, 0.555; 95% CI, [0.359, 0.856]). For rs12979860 C/T polymorphism, no significant correlation with HBV infection outcomes was found. In subgroup analyses, the results were similar to those of overall analysis. However, for rs2077647 TT vs. TC+CC, significantly increased risks were observed in the Asian and hospital-based population, but not in the overall analysis. IFN-γ rs2430561 T/A and ERα rs2077647 T/C genetic polymorphisms were associated with outcomes of HBV infection, but no association was found between IL28B rs12979860 C/T and HBV infection.
多项研究调查了干扰素-γ基因(IFN-γ)rs2430561 T/A、白细胞介素28B基因(IL28B)rs12979860 C/T和雌激素受体α基因(ERα)rs2077647 T/C多态性与乙型肝炎病毒(HBV)感染结局之间的关联,但结果存在争议。因此,我们对所有已发表的观察性研究进行了荟萃分析,以解决这一不一致性问题。通过在线数据库检索文献,并根据检索结果进行系统评价。共纳入24项研究,二分类数据以比值比(OR)及95%置信区间(CI)表示。rs2430561的T等位基因与持续性HBV感染风险降低相关(T vs. A:OR,0.690;95% CI,[0.490, 0.971]),而rs2077647的T等位基因显著增加了持续性HBV感染的风险(T vs. C:OR,1.678;95% CI,[1.212, 2.323])。rs2077647的CC基因型可能在保护个体免于HBV持续感染方面发挥作用(TT vs. CC:OR,4.109;95% CI,[2.609, 6.473])。此外,与AA基因型相比,rs2430561 TT基因型携带者更有可能自发清除HBV(TT vs. AA:OR,0.555;95% CI,[0.359, 0.856])。对于rs12979860 C/T多态性,未发现与HBV感染结局有显著相关性。在亚组分析中,结果与总体分析相似。然而,对于rs2077647 TT vs. TC+CC,在亚洲人群和基于医院的人群中观察到风险显著增加,但在总体分析中未观察到。IFN-γ rs2430561 T/A和ERα rs2077647 T/C基因多态性与HBV感染结局相关,但未发现IL28B rs12979860 C/T与HBV感染之间存在关联。