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Analysis of HBV-Specific CD4 T-cell Responses and Identification of HLA-DR-Restricted CD4 T-Cell Epitopes Based on a Peptide Matrix
Published on: October 20, 2021
The role of HLA antigens in chronic hepatitis B virus infection
M A Karan1, N Erten Tascioglu, A O Ozturk
1Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul, Turkey.
Insights
Human Leukocyte Antigen (HLA) tissue typing reveals specific alleles associated with chronic Hepatitis B virus (HBV) infection risk in the Turkish population. Certain HLA types indicate a higher susceptibility, while others suggest a lower risk for developing chronic liver disease.
Area of Science:
- Immunogenetics
- Hepatology
- Virology
Background:
- Chronic Hepatitis B virus (HBV) infection poses a significant global health challenge.
- The development of chronic HBV infection is influenced by complex interactions between the virus and host immune responses.
- Human Leukocyte Antigen (HLA) genes play a critical role in immune regulation and disease susceptibility.
Purpose of the Study:
- To investigate the association between specific Human Leukocyte Antigen (HLA) tissue types and the development of chronic Hepatitis B virus (HBV) infection.
- To identify HLA alleles that confer susceptibility or protection against chronic HBV-related liver disease in the Turkish population.
Main Methods:
- The study involved three groups: patients with HBV-related chronic liver disease (n=20), chronic HBV carriers (n=30), and healthy controls (n=50).
- Human Leukocyte Antigen (HLA) typing was performed using Terasaki's microlymphocytotoxicity method.
- Statistical analysis was conducted to compare HLA allele frequencies between the patient groups and the control group.
Main Results:
- Significantly higher frequencies of HLA-DR13 and DQ3 were observed in patients with chronic liver disease compared to controls.
- The absence of HLA-A24 and CW1 was significantly associated with chronic liver disease.
- Increased frequencies of HLA A2, B8, B13, CW3, DR13, and DQ3 were noted in chronic HBV carriers and patients with chronic liver disease compared to healthy individuals.
Conclusions:
- HLA-A24 and Cw1 are associated with a reduced risk of developing chronic HBV-related liver disease.
- HLA-B13, B8, DR7, DR13, and DQ3 are associated with an increased risk of chronic HBV infection in the Turkish population.
- These findings highlight the role of specific HLA alleles in modulating the immune response to HBV and influencing disease progression.
Objective:
To investigate the mechanism underlying the development of chronic hepatitis B virus infection (HBV) in Turkish population using HLA tissue typing.
Methods:
The study group I consisted of 20 patients with HBV-related chronic liver disease (cirrhosis, chronic active hepatitis or chronic persistent hepatitis). The study group II included 30 HBV chronic carriers. The control group consisted of 50 healthy subjects with negative serologic markers for HBV. HLA typing was performed by Terasaki's microlymphocytotoxicity method.
Results:
The frequencies of HLA-DR13 and DQ3 were significantly higher in the patients with HBV-related chronic liver disease compared to those of control group. The absence of HLA-A24 and CW1 was also significant in group I. The frequencies of HLA A2, B8, B13, CW3, DR13 were significantly higher in group II compared to the control group. There were increased frequencies of HLA- B8, B13, DR7, DR13, and DQ3 in both group I and group II.
Conclusion:
HLA-A24 AND Cw1 were associated with low risk for HBV-related chronic liver disease and HLA- B13, B8, DR7, DR13 and DQ3 were associated with high risk for chronic HBV infection in the Turkish population (JPMA 52:253;2002).
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