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Updated: May 31, 2026

Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
A genome-wide association study of chronic hepatitis B identified novel risk locus in a Japanese population
Hamdi Mbarek1, Hidenori Ochi, Yuji Urabe
1Laboratory of Molecular Medicine, Human Genome Center, Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato, Tokyo.
Insights
Genetic factors in the HLA-DP and HLA-DQ regions significantly influence susceptibility to chronic hepatitis B (CHB) infection. Specific HLA-DQ variants were identified as independent risk or protective factors for developing CHB.
Area of Science:
- Immunogenetics
- Hepatology
- Human Genetics
Background:
- Hepatitis B virus (HBV) infection poses a global health threat, potentially leading to severe liver conditions like cirrhosis and cancer.
- Identifying host genetic factors is crucial for understanding chronic hepatitis B (CHB) susceptibility.
Purpose of the Study:
- To conduct a genome-wide association study (GWAS) to identify host genetic factors associated with CHB susceptibility in Japanese populations.
- To further investigate the association of HLA-DP and HLA-DQ variants with CHB risk.
Main Methods:
- Performed a second-stage GWAS using 519,474 single nucleotide polymorphism (SNP) arrays in 458 Japanese CHB cases and 2056 controls.
- Analyzed significant loci in three independent Japanese cohorts (2209 CHB cases and 4440 controls).
- Conducted haplotype analyses to identify specific HLA-DQ variants associated with CHB risk.
Main Results:
- Identified strong associations at 16 loci with P-value < 5 × 10(-5) after adjusting for known HLA-DP variants.
- Confirmed significant associations for two SNPs (rs2856718 and rs7453920) in the HLA-DQ locus (overall P-values < 4 × 10(-28)).
- Discovered protective haplotypes (DQA1*0102-DQB1*0604, DQA1*0101-DQB1*0501) and risk haplotypes (DQA1*0102-DQB1*0303, DQA1*0301-DQB1*0601) for CHB.
Conclusions:
- Variants within the antigen-binding regions of HLA-DP and HLA-DQ significantly contribute to the risk of persistent HBV infection.
- HLA-DQ variants demonstrate an independent effect on CHB susceptibility, distinct from previously identified HLA-DP associations.
Abstract:
Hepatitis B virus (HBV) infection is a major health issue worldwide which may lead to hepatic dysfunction, liver cirrhosis and hepatocellular carcinoma. To identify host genetic factors that are associated with chronic hepatitis B (CHB) susceptibility, we previously conducted a two-stage genome-wide association study (GWAS) and identified the association of HLA-DP variants with CHB in Asians; however, only 179 cases and 934 controls were genotyped using genome-wide single nucleotide polymorphism (SNP) arrays. Here, we performed a second GWAS of 519 747 SNPs in 458 Japanese CHB cases and 2056 controls. After adjustment with the previously identified variants in the HLA-DP locus (rs9277535), we detected strong associations at 16 loci with P-value of <5 × 10(-5). We analyzed these loci in three independent Japanese cohorts (2209 CHB cases and 4440 controls) and found significant association of two SNPs (rs2856718 and rs7453920) within the HLA-DQ locus (overall P-value of 5.98 × 10(-28) and 3.99 × 10(-37)). Association of CHB with SNPs rs2856718 and rs7453920 remains significant even after stratification with rs3077 and rs9277535, indicating independent effect of HLA-DQ variants on CHB susceptibility (P-value of 1.52 × 10(-21)- 2.38 × 10(-30)). Subsequent analyses revealed DQA1*0102-DQB1*0604 and DQA1*0101-DQB1*0501 [odds ratios (OR) =0.16, and 0.39, respectively] as protective haplotypes and DQA1*0102-DQB1*0303 and DQA1*0301-DQB1*0601 (OR = 19.03 and 5.02, respectively) as risk haplotypes. These findings indicated that variants in antigen-binding regions of HLA-DP and HLA-DQ contribute to the risk of persistent HBV infection.
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