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CCR5Δ32 在 HCV 感染、HCV/HIV 合并感染和 HCV 相关疾病中的作用。

CCR5Δ32 in HCV infection, HCV/HIV co-infection, and HCV-related diseases.

机构信息

Laboratório de Imunobiologia e Imunogenética, Programa de Pós-Graduação em Genética e Biologia Molecular, Departamento de Genética, Universidade Federal do Rio Grande do Sul - UFRGS, Porto Alegre, Brazil.

Laboratório de Genética Molecular Humana, Universidade Luterana do Brasil - ULBRA, Canoas, Brazil.

出版信息

Infect Genet Evol. 2018 Apr;59:163-166. doi: 10.1016/j.meegid.2018.02.002. Epub 2018 Feb 3.

Abstract

Although a potential involvement of the CCR5Δ32 variant has already been suggested in relation to susceptibility to hepatitis C virus (HCV) infection, data from the literature is still quite controversial. Thus, our study evaluated the influence of the CCR5Δ32 allele variant in HCV infection, HCV/HIV co-infection, and HCV-related diseases in individuals from southern Brazil. A total of 1352 individuals were included in this study, divided into the following groups: Control (n = 274); HCV+ (n = 674); HIV+ (n = 300); HCV+/HIV+ (n = 104). Individuals from the HCV+ group were further stratified according to clinical/histological criteria, as HCV+/control (n = 124); HCV+/fibrosis (n = 268); HCV+/cirrhosis (n = 190); HCV+/hepatocarcinoma (n = 92). Considering all individuals included in this study, the following genotype frequencies were observed: wild-type homozygous (wt/wt), 88.76%; heterozygous (wt/Δ32), 10.72%; variant homozygous (Δ32/Δ32), 0.52%. Genotypic frequencies were very similar between the groups. Of note, the frequency of the Δ32 homozygous was quite similar comparing control uninfected against the HCV+ individuals (p > 0.999). The overall Δ32 allele frequency was estimated at 5.88%. Considering the number of Δ32 allele carriers and non-carriers, no statistically significant differences (p > 0.05) between the groups were observed, suggesting that the CCR5Δ32 variant does not influence the susceptibility to HCV infection, HCV/HIV co-infection, or HCV-related diseases in individuals from southern Brazil.

摘要

虽然 CCR5Δ32 变体的潜在参与已被认为与丙型肝炎病毒 (HCV) 感染易感性有关,但来自文献的数据仍然存在很大争议。因此,我们的研究评估了 CCR5Δ32 等位基因变体在巴西南部个体中 HCV 感染、HCV/HIV 合并感染和 HCV 相关疾病中的影响。本研究共纳入 1352 名个体,分为以下几组:对照组 (n=274);HCV+ (n=674);HIV+ (n=300);HCV+/HIV+ (n=104)。HCV+组的个体根据临床/组织学标准进一步分层,分为 HCV+/对照组 (n=124);HCV+/纤维化 (n=268);HCV+/肝硬化 (n=190);HCV+/肝癌 (n=92)。考虑到本研究中纳入的所有个体,观察到以下基因型频率:野生型纯合子 (wt/wt),88.76%;杂合子 (wt/Δ32),10.72%;变体纯合子 (Δ32/Δ32),0.52%。各组间基因型频率非常相似。值得注意的是,与 HCV+个体相比,未感染的对照组中 Δ32 纯合子的频率非常相似 (p>0.999)。总体 Δ32 等位基因频率估计为 5.88%。考虑到 Δ32 等位基因携带者和非携带者的数量,各组之间没有观察到统计学上的显著差异 (p>0.05),这表明 CCR5Δ32 变体不会影响巴西南部个体对 HCV 感染、HCV/HIV 合并感染或 HCV 相关疾病的易感性。

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