El-Bendary Mahmoud, Neamatallah Mustafa, Elalfy Hatem, Besheer Tarek, El-Setouhy Maged, Kasim Nihal, Abou El-Khier Noha T, Kamel Emily, Eladl Abdel-Hamid, El-Waseef Ahmad, Abdel-Aziz Abdel-Aziz F, Esmat Gamal
Tropical Medicine and Hepatology Department, Mansoura Faculty of Medicine Mansoura University Mansoura Egypt.
Medical Biochemistry Department, Mansoura Faculty of Medicine Mansoura University Mansoura Egypt.
JGH Open. 2017 Dec 19;1(4):140-147. doi: 10.1002/jgh3.12024. eCollection 2017 Dec.
Polymorphisms in some genes may influence the persistence of hepatitis C virus (HCV) infection, clinical outcome, HCV replication, and liver damage. This study was conducted to investigate the role of the interferon gamma (IFN-γ) gene at (+874 T/A, -764 G/C, -179 C/A) single-nucleotide polymorphisms (SNPs) and its receptor (IFN-γR2) at (rs 2786067 A/C) SNP in the susceptibility of Egyptian families to HCV infection with high-resolution techniques.
In total, 517 Egyptian families, with 2246 subjects, were recruited to this study from the Upper and Lower Egypt governorates and were classified into three groups: 1034 patients with chronic hepatitis C virus, 108 subjects with spontaneous virus clearance (SVC), and 1104 subjects as a healthy control group. All subjects were genotyped for (+874 T/A, rs2430561, -764 G/C, rs2069707, -179 C/A, rs2069709, and rs 27860067, A/C) SNPs of the IFN-γ gene using the allelic discrimination real-time polymerase chain reaction technique and were confirmed using sequence-based typing.
The carriage of T allele of (+874) IFN-γ is a risky allele and was significantly higher in chronic hepatitis C more than other two groups (odds ratio [OR]: 2.6646, < 0.0002). On the other hand, the C allele of (-764, rs2069707) is a protective allele and was higher in SVC than the other two groups (OR: 0.2709, < 0.0001). However, both (-179 C/A, rs 2069709) and (rs 27860067, A/C) SNPs are not polymorphic enough to be studied in the Egyptian population.
HCV infection is associated with the T allele of (+874 rs2430561), while SVC of HCV is associated with the C allele of (-764, rs2069707) of the IFN-γ gene.
某些基因的多态性可能会影响丙型肝炎病毒(HCV)感染的持续时间、临床结局、HCV复制及肝损伤。本研究旨在采用高分辨率技术,调查干扰素γ(IFN-γ)基因在(+874 T/A、-764 G/C、-179 C/A)单核苷酸多态性(SNP)位点及其受体(IFN-γR2)在(rs 2786067 A/C)SNP位点与埃及家庭对HCV感染易感性的关系。
本研究共招募了来自埃及上下埃及省的517个家庭的2246名受试者,分为三组:1034例慢性丙型肝炎病毒患者、108例自发病毒清除(SVC)者和1104名健康对照组。采用等位基因鉴别实时聚合酶链反应技术对所有受试者的IFN-γ基因(+874 T/A、rs2430561、-764 G/C、rs2069707、-179 C/A、rs2069709和rs 27860067,A/C)SNP进行基因分型,并通过基于序列的分型进行确认。
(+874)IFN-γ的T等位基因携带者是一个风险等位基因,在慢性丙型肝炎患者中的比例显著高于其他两组(优势比[OR]:2.6646,<0.0002)。另一方面,(-764,rs2069707)的C等位基因是一个保护性等位基因,在SVC者中的比例高于其他两组(OR:0.2709,<0.0001)。然而,(-179 C/A,rs 2069709)和(rs 27860067,A/C)SNP在埃及人群中的多态性不足,无法进行研究。
HCV感染与(+874 rs2430561)的T等位基因相关,而HCV的SVC与IFN-γ基因(-764,rs2069707)的C等位基因相关。