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白细胞介素-17A 和白细胞介素-17F 基因多态性与中国人群慢性乙型肝炎和乙型肝炎病毒相关性肝硬化的关联:一项病例对照研究。

Association of IL-17A and IL-17F gene polymorphisms with chronic hepatitis B and hepatitis B virus-related liver cirrhosis in a Chinese population: A case-control study.

机构信息

Department of Clinical Laboratory, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

Department of Clinical Laboratory, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

出版信息

Clin Res Hepatol Gastroenterol. 2016 Jun;40(3):288-296. doi: 10.1016/j.clinre.2015.10.004. Epub 2015 Nov 3.

Abstract

BACKGROUND

Interleukin (IL)-17 has been shown to play an important role in tissue inflammation and in the pathogenesis of immune-related liver damage. Genetic variations in IL-17 gene may be associated with the development of hepatitis B virus (HBV) infection. However, literature is scanty regarding their association.

METHODS

We conducted a case-control study including 433 subjects (171 healthy controls, 130 patients with chronic hepatitis B [CHB]; and 132 patients with HBV-related liver cirrhosis [HBV-LC] to assess the association between IL-17A rs4711998, IL-17A rs2275913 and IL-17F rs763780 polymorphisms and risk of CHB and HBV-LC. Genotypes were determined by polymerase chain reaction-restriction fragment length polymorphism and DNA sequencing.

RESULTS

Our results revealed a statistically significant association between IL-17A rs4711998 G allele and increased risk of HBV-LC risk (OR=1.541, 95% CI 1.057-2.246, P=0.025). Subjects carrying the IL-17A rs4711998 AG genotype were 1.75 times more likely to develop HBV-LC (OR=1.757, 95% CI 1.096-2.817, P=0.026). Stratification analysis indicated that IL-17A rs4711998 G allele and AG genotype enhanced the risk of HBV-LC development among men and older age (≥50years) subject groups. In addition, we found that GCT haplotype also might be a risk factor for HBV-LC (OR=2.448, 95% CI 1.137-5.271, P=0.019). Furthermore, no significant association between IL-17A rs2275913 and IL-17F rs763780 polymorphisms and CHB, HBV-LC risk was observed (P>0.05).

CONCLUSION

Our data provide the first evidence that the IL-17A rs4711998 genetic variant may contribute to HBV-LC susceptibility in a Chinese population.

摘要

背景

白细胞介素(IL)-17 在组织炎症和免疫相关肝损伤的发病机制中起着重要作用。IL-17 基因的遗传变异可能与乙型肝炎病毒(HBV)感染的发展有关。然而,关于它们之间的关联的文献很少。

方法

我们进行了一项病例对照研究,纳入了 433 名受试者(171 名健康对照者、130 名慢性乙型肝炎[CHB]患者和 132 名乙型肝炎相关肝硬化[HBV-LC]患者),以评估 IL-17A rs4711998、IL-17A rs2275913 和 IL-17F rs763780 多态性与 CHB 和 HBV-LC 风险之间的关系。通过聚合酶链反应-限制性片段长度多态性和 DNA 测序确定基因型。

结果

我们的结果表明,IL-17A rs4711998 G 等位基因与 HBV-LC 风险增加之间存在统计学显著关联(OR=1.541,95%CI 1.057-2.246,P=0.025)。携带 IL-17A rs4711998 AG 基因型的受试者发生 HBV-LC 的可能性增加了 1.75 倍(OR=1.757,95%CI 1.096-2.817,P=0.026)。分层分析表明,IL-17A rs4711998 G 等位基因和 AG 基因型增加了男性和年龄≥50 岁(≥50 岁)受试者群体中发生 HBV-LC 的风险。此外,我们发现 GCT 单倍型也可能是 HBV-LC 的危险因素(OR=2.448,95%CI 1.137-5.271,P=0.019)。此外,IL-17A rs2275913 和 IL-17F rs763780 多态性与 CHB、HBV-LC 风险之间无显著关联(P>0.05)。

结论

我们的数据首次提供了证据表明,IL-17A rs4711998 遗传变异可能导致中国人群中 HBV-LC 的易感性。

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