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HLA-DQ 基因多态性与乙型肝炎病毒感染的关系。

Relationship between HLA-DQ Gene Polymorphism and Hepatitis B Virus Infection.

机构信息

Department of Clinical Laboratory, Bengbu Medical College, Bengbu, Anhui 233030, China.

Department of Microbiology and Immunology, Medical School of Southeast University, Nanjing, Jiangsu 210009, China.

出版信息

Biomed Res Int. 2017;2017:9679843. doi: 10.1155/2017/9679843. Epub 2017 Apr 23.

Abstract

Hepatitis B virus (HBV) infection is the predominant risk factor for chronic hepatitis B (CHB). The association between HBV infection and human leukocyte antigen- (HLA-) DQ polymorphism (rs2856718 and rs7453920) has been demonstrated in other studies; however, the results were controversial or inconclusive. Therefore, to derive a more precise estimation of the association, a meta-analysis was performed. Crude odds ratios (ORs) and their 95% confidence intervals (CIs) were used to assess the strength of association between HLA-DQ polymorphism (rs2856718 and rs7453920) and HBV infection risk. A total of 11 articles were used to evaluate the effect of the two polymorphisms on risk of HBV infection. The pooled data showed that HLA-DQ rs2856718-G polymorphism showed protection against HBV infection, and rs2856718-A was a risk factor for chronic HBV infection. The pooled risk estimates indicated that HLA-DQ rs7453920-A polymorphism was associated with decreased risk of HBV infection, and rs7453920-G serves as a risk factor in HBV infection. However, these stratified analyses were lacking credibility due to the limitation of correlational study numbers; further investigation on a large population and different ethnicities is warranted.

摘要

乙型肝炎病毒(HBV)感染是慢性乙型肝炎(CHB)的主要危险因素。其他研究已经证明了 HBV 感染与人类白细胞抗原(HLA)-DQ 多态性(rs2856718 和 rs7453920)之间存在关联;然而,结果存在争议或不明确。因此,进行了荟萃分析以得出更精确的关联估计。使用粗比值比(OR)及其 95%置信区间(CI)来评估 HLA-DQ 多态性(rs2856718 和 rs7453920)与 HBV 感染风险之间的关联强度。共有 11 篇文章用于评估这两种多态性对 HBV 感染风险的影响。汇总数据表明,HLA-DQ rs2856718-G 多态性对 HBV 感染具有保护作用,而 rs2856718-A 是慢性 HBV 感染的危险因素。汇总的风险估计表明,HLA-DQ rs7453920-A 多态性与 HBV 感染风险降低相关,而 rs7453920-G 是 HBV 感染的危险因素。然而,由于相关研究数量的限制,这些分层分析缺乏可信度;需要在更大的人群和不同种族中进行进一步的调查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd0/5420426/865e03eeca11/BMRI2017-9679843.001.jpg

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