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干扰素调节因子 5 的遗传变异与慢性乙型肝炎感染有关。

Genetic variants of interferon regulatory factor 5 associated with chronic hepatitis B infection.

机构信息

Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam.

Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany.

出版信息

World J Gastroenterol. 2018 Jan 14;24(2):248-256. doi: 10.3748/wjg.v24.i2.248.

Abstract

AIM

To investigate possible effects of polymorphisms in the 3' UTR region of the locus on susceptibility to hepatitis B virus (HBV) infection and progression of liver diseases among clinically classified Vietnamese patients.

METHODS

Four SNPs (rs13242262A/T, rs77416878C/T, rs10488630A/G, and rs2280714T/C) were genotyped in clinically classified HBV patients [chronic hepatitis B (CHB). = 99; liver cirrhosis (LC), = 131; hepatocellular carcinoma (HCC), = 149] and in 242 healthy controls by direct sequencing and TaqMan real-time PCR assays.

RESULTS

Comparing patients and controls, no significant association was observed for the four variants. However, the alleles and contributed to an increased risk of liver cirrhosis (LC CHB: OR = 1.5, 95%CI: 1.1-2.3, adjusted = 0.04; LC CHB: OR = 1.7, 95%CI: 1.1-2.6, adjusted = 0.019). Haplotype constructed from 4 SNPs was observed frequently in LC compared to CHB patients (OR = 2.1, 95%CI: 1.2-3.3, adjusted = 0.008). Haplotype occurred rather among CHB patients than in the other HBV patient groups (LC CHB: OR = 0.4, 95%CI: 0.2-0.8, adjusted = 0.03; HCC CHB: OR = 0.3, 95%CI: 0.15-0.7, adjusted = 0.003). The haplotype was also associated with increased levels of ALT, AST and bilirubin.

CONCLUSION

Our study shows that variants may contribute as a host factor in determining the pathogenesis in chronic HBV infections.

摘要

目的

研究 基因 3'UTR 区多态性对越南临床分类乙型肝炎病毒(HBV)感染者易感性及肝病进展的可能影响。

方法

通过直接测序和 TaqMan 实时 PCR 检测,对临床分类 HBV 患者(慢性乙型肝炎(CHB)=99 例;肝硬化(LC)=131 例;肝细胞癌(HCC)=149 例)和 242 例健康对照者的 4 个 SNP(rs13242262A/T、rs77416878C/T、rs10488630A/G 和 rs2280714T/C)进行基因分型。

结果

与对照组相比,四个变体在患者中未观察到显著相关性。然而,等位基因和与肝硬化(LC-CHB:OR=1.5,95%CI:1.1-2.3,调整后=0.04;LC-CHB:OR=1.7,95%CI:1.1-2.6,调整后=0.019)的风险增加有关。与 CHB 患者相比,4 个 SNP 构建的单体型在 LC 患者中更常见(OR=2.1,95%CI:1.2-3.3,调整后=0.008)。单体型在 CHB 患者中比其他 HBV 患者组更常见(LC-CHB:OR=0.4,95%CI:0.2-0.8,调整后=0.03;HCC-CHB:OR=0.3,95%CI:0.15-0.7,调整后=0.003)。该单体型也与 ALT、AST 和胆红素水平升高有关。

结论

本研究表明,变体可能作为宿主因素,参与慢性 HBV 感染的发病机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5722/5768943/e79268b08ff1/WJG-24-248-g001.jpg

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