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丙型肝炎病毒感染患者 Toll 样受体 3 和干扰素调节因子 3 的遗传多态性:与肝硬化的相关性。

Genetic Polymorphism in Toll-Like Receptor 3 and Interferon Regulatory Factor 3 in Hepatitis C Virus-Infected Patients: Correlation with Liver Cirrhosis.

机构信息

Molecular Biology Department, Genetic Engineering and Biotechnology Research Institute (GEBRI), University of Sadat City (USC), Sadat City Egypt.

Hepatology Department, National Liver Institute (NLI), Menoufia University, Shebeen El-Kom, Egypt.

出版信息

Viral Immunol. 2022 Nov;35(9):609-615. doi: 10.1089/vim.2022.0058. Epub 2022 Sep 1.

Abstract

Host genetic factors could play a primary role in determining the risk for cirrhosis development in chronic hepatitis C virus (HCV)-infected patients. We designed this work to study the effect of single-nucleotide polymorphism (SNP) in Toll-like receptor 3 () and interferon regulatory factor () on the risk of HCV-related cirrhosis. This study enrolled 139 Egyptian HCV-infected patients. They were divided into patients with cirrhotic (56) and noncirrhotic (83) liver. Genotyping of rs3775291 F459F (+1234C/T) and rs3775290 L412F (+1377C/T) in and rs2304204 (-925A/G) was performed by restriction fragment length polymorphism-polymerase chain reaction. Although there is no significant difference in genotype and allele distribution of +1377C/T of TLR3 gene between cirrhotic and noncirrhotic subjects, CC (odds ratio [OR] = 1.572, 95% confidence interval [CI]: 0.781-3.164); TT (OR = 1.463, 95% CI: 0.351-6.104) genotypes might be considered as risk factors for liver cirrhosis. On the contrary, the analysis revealed that only one genotype (CC) and one allele (C) were detected in +1234C/T SNP, with the total disappearance of CT/TT genotypes and T allele in all subjects. On the contrary, lower frequency has been found for the AG genotype of the (-925A/G) gene in cirrhotic patients compared with noncirrhotic ones, indicating that AG is a protective genotype (OR = 0.509, 95% CI: 0.256-1.012). Our data stressed the association of AG genotype SNP in (-925A/G) in protection against the worth outcome of HCV infection.

摘要

宿主遗传因素可能在决定慢性丙型肝炎病毒 (HCV) 感染患者发生肝硬化的风险中起主要作用。我们设计这项工作是为了研究 Toll 样受体 3 () 和干扰素调节因子 () 中的单核苷酸多态性 (SNP) 对 HCV 相关肝硬化风险的影响。这项研究纳入了 139 名埃及 HCV 感染患者。他们分为肝硬化 (56 例) 和非肝硬化 (83 例) 患者。采用限制性片段长度多态性聚合酶链反应检测 TLR3 基因 rs3775291 F459F(+1234C/T)和 rs3775290 L412F(+1377C/T)以及 基因 rs2304204(-925A/G)的基因型。虽然 TLR3 基因 +1377C/T 位点的基因型和等位基因分布在肝硬化和非肝硬化患者之间没有显著差异,但 CC 基因型(比值比 [OR] = 1.572,95%置信区间 [CI]:0.781-3.164);TT 基因型(OR = 1.463,95% CI:0.351-6.104)可能被认为是肝硬化的危险因素。相反,分析表明,+1234C/T SNP 中仅检测到一种基因型 (CC) 和一种等位基因 (C),所有受试者中 CT/TT 基因型和 T 等位基因完全消失。相反,肝硬化患者中 (-925A/G) 基因的 AG 基因型频率较低,表明 AG 是一种保护基因型(OR = 0.509,95% CI:0.256-1.012)。我们的数据强调了 (-925A/G) 基因中 AG 基因型 SNP 与 HCV 感染有益结局的关联。

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