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白细胞介素-28B基因多态性与肝移植后血小板计数及肝功能恢复的相关性

Association of interleukin-28B polymorphisms with platelet count and liver function recovery after liver transplant.

作者信息

Li Yi, Wei Tiantian, Yan Lin, Yang Zhiqiang, Huang Qian, Shi Yunying, Wang Lanlan

机构信息

Department of Laboratory Medicine Kidney Research Institute, Division of Nephrology, West China Hospital West China Medical School, Sichuan University, Chengdu, China.

出版信息

Medicine (Baltimore). 2017 Nov;96(44):e8219. doi: 10.1097/MD.0000000000008219.

DOI:10.1097/MD.0000000000008219
PMID:29095252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5682771/
Abstract

The present genome-wide association study investigated the relationship of interleukin 28B (IL-28B) genetic variants with HBV susceptibility and prognosis of HBV-infected patients. This study aims to examine the role of IL-28B polymorphisms on transplant etiologies and the liver function recovery in Chinese liver transplant recipients.A total of 231 liver transplant recipients were enrolled in the study. The transplant etiologies included progressive HBV hepatitis, HBV-related liver cirrhosis (LC), HBV-related hepatocellular carcinoma (HCC), and non-HBV-related disease. All recipients were in stable condition before transplantation. Three single nucleotide polymorphisms (SNPs) of IL-28B (rs12979860, rs12980275, rs8099917) of recipients were analyzed by high-resolution melting (HRM) curve analysis. Liver function, blood cell count, and coagulation function were regularly tested before and for next 5 years after transplantation.No significant association was found between IL-28B gene polymorphisms and transplant etiologies. Peripheral platelet count in the third and fourth days after transplantation were significantly higher in recipients carrying IL-28B rs12979860 T allele, or rs8099917 C allele (P < .016666667), while there were no significant differences between these variants and International Normalized Ratio (INR) levels. In addition, gamma-glutamyltransferase (GGT) levels in recipients with rs12980275 G allele were higher than those in the wide-type recipients before transplantation (P < .016666667, respectively); nevertheless, no influence of these variants on GGT recovery was observed after transplantation.Genetic variations of IL-28B might impact on liver function recovery by influencing peripheral platelet counts and reducing liver inflammation, but have weak association with transplant etiologies.

摘要

目前的全基因组关联研究调查了白细胞介素28B(IL-28B)基因变异与HBV易感性及HBV感染患者预后的关系。本研究旨在探讨IL-28B基因多态性在中国肝移植受者的移植病因及肝功能恢复中的作用。

共有231例肝移植受者纳入本研究。移植病因包括进行性HBV肝炎、HBV相关肝硬化(LC)、HBV相关肝细胞癌(HCC)和非HBV相关疾病。所有受者在移植前病情稳定。采用高分辨率熔解(HRM)曲线分析法分析受者IL-28B的三个单核苷酸多态性(SNP)(rs12979860、rs12980275、rs8099917)。在移植前及移植后的接下来5年定期检测肝功能、血细胞计数和凝血功能。

未发现IL-28B基因多态性与移植病因之间存在显著关联。携带IL-28B rs12979860 T等位基因或rs8099917 C等位基因的受者在移植后第3天和第4天的外周血小板计数显著更高(P<0.016666667),而这些变异与国际标准化比值(INR)水平之间无显著差异。此外,携带rs12980275 G等位基因的受者在移植前的γ-谷氨酰转移酶(GGT)水平高于野生型受者(P分别<0.016666667);然而,移植后未观察到这些变异对GGT恢复有影响。

IL-28B的基因变异可能通过影响外周血小板计数和减轻肝脏炎症来影响肝功能恢复,但与移植病因的关联较弱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/ed646a6ebda3/medi-96-e8219-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/ec181f2d3821/medi-96-e8219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/2882340fa3a3/medi-96-e8219-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/e500456e2e06/medi-96-e8219-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/ed646a6ebda3/medi-96-e8219-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/ec181f2d3821/medi-96-e8219-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/2882340fa3a3/medi-96-e8219-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/e500456e2e06/medi-96-e8219-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/5682771/ed646a6ebda3/medi-96-e8219-g008.jpg

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Immediate Postoperative Low Platelet Counts After Living Donor Liver Transplantation Predict Early Allograft Dysfunction.活体肝移植术后即刻血小板计数低预示早期移植物功能障碍。
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