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.
Institut de Génétique Moléculaire de Montpellier (IGMM), Centre National de la Recherche Scientifique (CNRS), Laboratoire Coopératif IGMM/ABIVAX, UMR 5535, Montpellier, France.
Genet Test Mol Biomarkers. 2022 May;26(5):263-269. doi: 10.1089/gtmb.2021.0288. Epub 2022 May 16.
Host genetic factors play a major role with respect to susceptibility to infections. Many polymorphisms of the Toll-like receptors (TLRs), members of the innate immune response, are directly associated with the clinical outcomes following infection. The 2848 G/A variant (rs352140) of the gene is associated with increased TLR9 expression. However, the impact of the genotypes of this SNP on HIV+, HCV+, and HCV+/HIV+ individuals is still debated. This study investigated the 2848 G/A polymorphism in HCV infection, HIV infection, and HCV/HIV co-infection in a large sample of Brazilians ( = 1,182). Groups were initially compared without considering stratification by ethnicity and subsequently stratifying individuals between whites and non-whites. Considering non-white individuals, a significant difference between the HIV+/HCV+ group and controls was observed with the GG genotype serving as a protective factor ( = 0.023). Additionally, significant allelic differences were observed between the HCV+ group and controls ( = 0.042); between the HIV+/HCV+ group and controls ( = 0.011); and between the HIV+/HCV+ group and HIV+ individuals ( = 0.047). However, all significant results were lost following adjustment for multiple comparisons ( > 0.05). Although our initial results indicated a potential influence of the rs352140 genotype on host altered susceptibility to viral infections, following correction for multiple comparisions the standard ( < 0.05) for statistical association was lost. This may be due to insufficient sample size as we were examining many different associations. Thus, a larger study is warranted to further pursue this topic.
宿主遗传因素在感染易感性方面起着重要作用。先天免疫反应的 Toll 样受体 (TLR) 的许多多态性与感染后的临床结局直接相关。基因的 2848 G/A 变体 (rs352140) 与 TLR9 表达增加有关。然而,该 SNP 基因型对 HIV+、HCV+和 HCV+/HIV+个体的影响仍存在争议。本研究在一个大型巴西人群中( = 1,182)研究了 HCV 感染、HIV 感染和 HCV/HIV 合并感染中的 2848 G/A 多态性。最初在不考虑按种族分层的情况下比较各组,然后按白人和非白人个体分层。考虑非白人个体,HIV+/HCV+组与对照组之间 GG 基因型存在显著差异,GG 基因型是保护因素( = 0.023)。此外,还观察到 HCV+组与对照组之间( = 0.042)、HIV+/HCV+组与对照组之间( = 0.011)和 HIV+/HCV+组与 HIV+个体之间( = 0.047)存在显著的等位基因差异。然而,在进行多次比较调整后,所有显著结果均丢失( > 0.05)。尽管我们的初步结果表明 rs352140 基因型可能对宿主改变的病毒易感性有潜在影响,但在进行多次比较调整后,统计关联的标准( < 0.05)丢失。这可能是由于样本量不足,因为我们正在研究许多不同的关联。因此,需要更大的研究来进一步探讨这一主题。