Vietnamese-German Center of Excellence in Medical Research, Hanoi, Vietnam.
Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany.
World J Gastroenterol. 2018 Jan 14;24(2):248-256. doi: 10.3748/wjg.v24.i2.248.
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.
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.
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.
Our study shows that variants may contribute as a host factor in determining the pathogenesis in chronic HBV infections.
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。
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。
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。
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。