基础医学与临床 ›› 2015, Vol. 35 ›› Issue (7): 873-878.

• 研究论文 • 上一篇    下一篇

HLA-DQ遗传多态性与乙肝病毒感染结局相关

侯思慧1,李青岭2,胡筠3,彭洪3,郭进军3   

  1. 1. 重庆医科大学附属第二医院
    2. 重庆医科大学生命科学研究院
    3. 重庆医科大学附属第二医院 消化内科
  • 收稿日期:2014-11-27 修回日期:2015-01-21 出版日期:2015-07-05 发布日期:2015-06-23
  • 通讯作者: 侯思慧 E-mail:housihuiky@163.com
  • 基金资助:
    国家自然科学基金;国家自然科学基金

Association of HLA-DQ gene polymorphisms with the outcomes of hepatitis B virus infection

  • Received:2014-11-27 Revised:2015-01-21 Online:2015-07-05 Published:2015-06-23

摘要: 目的 探讨中国汉族人群人类白细胞抗原(HLA)-DQ基因单核苷酸多态性(rs9275572和rs9275319)与乙肝病毒感染结局的关系。方法 用Taqman 探针对纳入的921例样本进行HLA-DQ rs9275572和rs9275319位点多态性的检测,921例血样本包括310例HBV相关慢性肝病者(CLD),295例乙肝感染后自发清除者(SC) 和316例健康对照者(HC)。结果 1)Rs9275572 AG基因型有利于乙肝感染后病毒自发清除(OR,1.82,95%CI, 1.26~2.62; 显性基因模型:OR, 1.84, 95% CI, 1.30~2.61)。2)SNP rs9275319位点与乙肝易感性及感染后病毒的自发清除关系密切,携带rs9275319 C等位基因是一个保护因素(CLD vs HC:等位基因模型OR,0.494,95%CI, 0.332~0.735,显性模型OR,0.47,95%CI, 0.31~0.72;CLD vs SC:等位基因模型OR,1.610,95%CI,1.065~2.434,显性模型OR,1.57,95%CI,1.01~2.48)。3)单体型T-G/T-A与乙肝易感性及感染后病毒自发清除相关。结论 HLA-DQ基因多态性与乙肝易感性及感染后病毒的自发清除密切相关。

关键词: 乙型肝炎, 单核苷酸多态性(SNP), HLA-DQ基因

Abstract: Objective To assessed the effect of the two Single nucleotide polymorphisms (rs9275572 and rs9275319)in human leukocyte antigen (HLA)-DQ gene on the outcomes of HBV infection in Chinese Han population. Methods HLA-DQ (rs9275572 and rs9275319) were genotyped in 921 subjects by using the TaqMan probe method, including 310 HBV-related chronic liver disease patients (CLD), 295 HBV spontaneous clearance subjects (SC) and 316 healthy control individuals (HC). Results 1) Rs9275572 AG genotype showed a significant protective effect on HBV clearance (OR,1.82,95%CI, 1.26~2.62; dominant genetic model: OR, 1.84, 95% CI, 1.30~2.61). 2) SNP rs9275319 showed a significant association with HBV susceptibility and HBV natural clearance. The rs9275319 C allele play a protective role (the allele model OR, 0.494, 95% CI, 0.332~0.735; the dominant genetic model OR, 0.47, 95%CI,0.31~0.72 for CLD vs HC; the allele model, OR, 1.610, 95%CI, 1.065~2.434; the dominant genetic model OR, 1.57; 95%CI, 1.01~2.48 for CLD vs SC). 3) a conspicuous association was unveiled between haplotype T-G/T-A and HBV susceptibility or spontaneous clearance. Conclusion HLA-DQ gene polymorphisms were correlated with HBV susceptibility or nature clearance.

Key words: Hepatitis B, Single nucleotide polymorphism (SNP), HLA-DQ gene