Department of Epidemiology, School of Public Health and Management, Chongqing Medical University, Chongqing, China.
College of Medical Informatics, Chongqing Medical University, Chongqing, China.
Int Immunopharmacol. 2021 Sep;98:107888. doi: 10.1016/j.intimp.2021.107888. Epub 2021 Jun 19.
Chemokine (C-X-C motif) ligand 10 (CXCL10) has been recently shown to be associated with inflammatory diseases. However, the association between the genetic variation of this gene and the susceptibility to hepatitis B virus (HBV) infection remains unclear, especially in children. This study aimed to investigate the relationship between CXCL10 polymorphisms and the risk of chronic HBV infection in a Chinese Han population.
A two-stage case-control study of 1048 adults and 627 children was performed. A total of 5 tagging SNPs in CXCL10 were genotyped. Dual-Luciferase Reporter Assay was used to assess the effect of the rs4508917 polymorphism on transcriptional activity of CXCL10.
CXCL10 rs4508917 and rs4256246 polymorphisms were significantly associated with an increased risk of chronic HBV infection in Chinese Han adults (p = 0.036 and p = 0.033), of which rs4508917 AA genotype could increase the serum CXCL10 level (p = 0.014). In addition, the rs4508917 AA genotype was identified to facilitate HBV persistent infection (p = 0.017) and breakthrough infection (p = 0.013) in children. Subsequent functional analysis indicated that rs4508917 A allele could promote the transcriptional activity of CXCL10. Additionally, we observed that the rs4508917 A allele carriers (AA and AG genotypes) had a limited HBV viral load suppression in patients treated with nucleos(t)ide analogues (NAs).
The A allele of the CXCL10 rs4508917 may be a risk factor of the persistent HBV infection both in adults and children, which may influence the response to NAs treatment.
趋化因子(C-X-C 基序)配体 10(CXCL10)最近被证明与炎症性疾病有关。然而,该基因的遗传变异与乙型肝炎病毒(HBV)感染易感性之间的关系尚不清楚,尤其是在儿童中。本研究旨在探讨中国汉族人群中 CXCL10 多态性与慢性 HBV 感染易感性的关系。
对 1048 名成年人和 627 名儿童进行了两阶段病例对照研究。共对 CXCL10 中的 5 个标签 SNP 进行了基因分型。双荧光素酶报告基因检测用于评估 rs4508917 多态性对 CXCL10 转录活性的影响。
CXCL10 rs4508917 和 rs4256246 多态性与中国汉族成年人慢性 HBV 感染风险显著相关(p=0.036 和 p=0.033),其中 rs4508917 AA 基因型可增加血清 CXCL10 水平(p=0.014)。此外,rs4508917 AA 基因型被鉴定为促进儿童 HBV 持续感染(p=0.017)和突破性感染(p=0.013)。随后的功能分析表明,rs4508917 A 等位基因可促进 CXCL10 的转录活性。此外,我们观察到在接受核苷(酸)类似物(NAs)治疗的患者中,rs4508917 A 等位基因携带者(AA 和 AG 基因型)的 HBV 病毒载量抑制有限。
CXCL10 rs4508917 的 A 等位基因可能是成年人和儿童慢性 HBV 感染的一个危险因素,可能影响对 NAs 治疗的反应。