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Updated: May 10, 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 identified new variants associated with the risk of chronic hepatitis B
Insights
This study identified two novel genetic loci, EHMT2 and TCF19, associated with chronic hepatitis B (CHB) risk in the Korean population. These findings enhance understanding of host genetic susceptibility to HBV infection.
Area of Science:
- Genetics
- Hepatology
- Immunology
Background:
- Hepatitis B virus (HBV) infection is a primary cause of chronic hepatitis B (CHB), liver cirrhosis (LC), and hepatocellular carcinoma (HCC).
- Genome-wide association studies (GWAS) have previously identified human leukocyte antigen (HLA) loci associated with CHB risk, particularly in Asian populations.
Purpose of the Study:
- To identify novel host genetic factors contributing to CHB susceptibility.
- To confirm and further investigate genetic associations with CHB using a higher-density GWAS chip in a Korean cohort.
Main Methods:
- Conducted a GWAS on 1400 Korean individuals (400 CHB cases, 1000 controls) using a high-density chip with over 1.14 million single nucleotide polymorphisms (SNPs).
- Performed replication analysis on an independent Korean cohort of 2909 individuals (971 cases, 1938 controls).
- Utilized logistic regression analysis, adjusting for age and sex, to identify risk-associated loci.
Main Results:
- Identified two new CHB risk-associated loci in the HLA region on chromosome 6: rs652888 (EHMT2) with P = 7.07 × 10(-13) and rs1419881 (TCF19) with P = 1.26 × 10(-18).
- Conditional analysis confirmed the independent genetic effects of these newly identified loci, distinct from previously known HLA CHB loci.
Conclusions:
- The GWAS and validation study successfully identified novel genetic variants associated with CHB risk.
- These findings contribute to a deeper understanding of the genetic basis of susceptibility to chronic hepatitis B infection.
Unlabelled:
Hepatitis B virus (HBV) infection is the predominant risk factor for chronic hepatitis B (CHB), liver cirrhosis (LC) and hepatocellular carcinoma (HCC). Recently, several genome-wide association studies (GWASs) of CHB identified human leukocyte antigen (HLA) loci, including HLA-DP and HLA-DQ in Asian populations, as being associated with the risk of CHB. To confirm and identify the host genetic factors related to CHB infection, we performed another GWAS using a higher-density chip in Korean CHB carriers. We analyzed 1400 samples from Korean population (400 CHB cases and 1000 population controls) using a higher-density GWAS chip [1 140 419 single nucleotide polymorphisms (SNPs)]. In subsequent replication analysis, we further analyzed in an independent study of a Korean CHB cohort consisting of 2909 Korean samples (971 cases and 1938 controls). Logistic regression methods were used for statistical analysis adjusting for age and sex as covariates. This study identified two new risk-associated loci for CHB on the HLA region of chromosome 6, e.g. rs652888 on euchromatic histone-lysine-methyltransferase 2 (EHMT2, P = 7.07 × 10(-13)) and rs1419881 on transcription factor 19 (TCF19, P = 1.26 × 10(-18)). Conditional analysis with nearby HLA CHB loci that were previously known, confirmed the independent genetic effects of these two loci on CHB.
Conclusion:
The GWAS and the subsequent validation study identified new variants associated with the risk of CHB. These findings may advance the understanding of genetic susceptibility to CHB.
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