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Real-Time Polymerase Chain Reaction-Based Detection and Quantification of Hepatitis B Virus DNA
Published on: December 15, 2023
Toll-like receptor 3 polymorphism and its association with hepatitis B virus infection in Saudi Arabian patients
Ahmed Al-Qahtani1, Mohammed Al-Ahdal, Ayman Abdo
1Department of Infection and Immunity, Research Center, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Insights
Toll-like receptor 3 (TLR3) gene single nucleotide polymorphisms (SNPs) may influence Hepatitis B virus (HBV) infection susceptibility. One specific TLR3 SNP, rs1879026, and a GCGA haplotype were significantly associated with HBV infection in Saudi patients.
Area of Science:
- Immunogenetics
- Hepatology
- Virology
Background:
- Hepatitis B virus (HBV) causes chronic liver disease, including cirrhosis and hepatocellular carcinoma (HCC).
- Toll-like receptor 3 (TLR3) is crucial for innate immunity, recognizing viral double-stranded RNA (dsRNA).
- Genetic variations in TLR3, specifically single nucleotide polymorphisms (SNPs), may impact susceptibility to viral infections like HBV.
Purpose of the Study:
- To investigate the distribution of nine TLR3 gene SNPs in Saudi Arabian patients with HBV infection.
- To determine the association of these TLR3 SNPs and their haplotypes with HBV infection, cirrhosis, and HCC development.
Main Methods:
- Genotyping of nine TLR3 SNPs (including rs5743311, rs5743312, rs1879026, rs5743313, rs5743314, rs5743315, rs111611328, rs78726532, and a novel SNP) in 707 HBV-infected patients and 600 healthy controls.
- Statistical analysis to assess the association of individual SNPs and haplotypes with HBV infection and disease progression.
- Haplotype analysis was performed for specific combinations of SNPs.
Main Results:
- A significant difference in the distribution of the TLR3 SNP rs1879026 (G/T) was observed between HBV carriers and controls (P=0.0480; OR=0.809).
- No significant association was found for the other eight SNPs with HBV infection or progression to cirrhosis and HCC.
- Haplotype analysis identified a significant association between the GCGA haplotype (comprising rs1879026, rs5743313, rs5743314, and rs5743315) and HBV infection in the Saudi population.
Conclusions:
- Genetic variations in the TLR3 gene, particularly the rs1879026 SNP and the GCGA haplotype, may play a role in determining susceptibility to HBV infection among Saudi individuals.
- These findings highlight the potential influence of innate immune system gene polymorphisms on viral hepatitis outcomes.
Abstract:
Hepatitis B virus (HBV) is the major causative agent of chronic liver complications including cirrhosis and hepatocellular carcinoma (HCC). Individuals infected with HBV show a wide spectrum of disease manifestations ranging from asymptomatic carriers to HCC. TLR3 is part of the innate immune system that recognizes double-stranded RNA (dsRNA) and provides early immune response to exogenous antigens. The genetic polymorphisms such as single nucleotide polymorphisms (SNPs) in the TLR3 could be considered as factors for the susceptibility to viral pathogens including HBV. Due to lack of knowledge on the role of TLR3 polymorphisms in HBV infection, this study investigated the distribution of nine SNPs in the TLR3 gene and its association with Saudi Arabian patients infected with HBV. A total of 707 patients and 600 uninfected controls were examined for different parameters including the nine SNPs (rs5743311, rs5743312, rs1879026, rs5743313, rs5743314, rs5743315, rs111611328, rs78726532 and a newly identified SNP located at position 184322913 of chr4). The association analysis confirmed that only one SNP, rs1879026 (G/T), showed a significant difference (P = 0.0480; OR = 0.809, 95% CI = 0.655-0.999) in the distribution between HBV carriers and uninfected controls. While, the rest of the SNPs showed no significant association with regards to HBV infection or in the progression to cirrhosis of the liver and HCC. Furthermore, haplotype analysis revealed that one haplotype GCGA (rs1879026, rs5743313, rs5743314, and rs5743315, respectively), was associated significantly with HBV infection in this population. These findings indicate that genetic variations in the TLR3 gene could affect the outcome of HBV infection among Saudis.
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