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Association between the HLA-DQB1 polymorphisms and the susceptibility of chronic hepatitis B: A comprehensive
Jinmei Huang1, Liangshi Xiong1, Jin Wang1
1Department of Infectious Disease, The Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China.
Insights
Human leukocyte antigen (HLA)-DQB1 gene variations influence chronic hepatitis B (CHB) risk. Specific HLA-DQB1 polymorphisms increase CHB susceptibility, while others offer protection, impacting disease development.
Area of Science:
- Immunogenetics
- Hepatology
- Genomics
Background:
- Single-nucleotide polymorphisms (SNPs) in the human leukocyte antigen (HLA)-DQB1 gene are linked to chronic inflammatory and immunological diseases.
- Host genetic factors play a crucial role in the pathogenesis of chronic hepatitis B (CHB).
Purpose of the Study:
- To investigate the association between HLA-DQB1 gene polymorphisms and susceptibility to chronic hepatitis B.
Main Methods:
- A meta-analysis was conducted, pooling data from 7 case-control studies involving 815 CHB patients and 731 controls.
- Searched PubMed, Embase, CNKI, and Wanfang databases for relevant studies published between January 1, 1966, and July 30, 2015.
- Analyzed HLA-DQB1 polymorphism-specific odds ratios (OR) and 95% confidence intervals (95% CI) using a fixed-effects model.
- Assessed heterogeneity using Q-test and I² statistics, and publication bias using Begg's funnel and Egger's tests.
Main Results:
- HLA-DQB1 polymorphisms *0201, *0301, and *0502 were significantly associated with an increased risk of CHB (ORs ranging from 1.29 to 1.50).
- HLA-DQB1 polymorphisms *0303 and *0604 were associated with a decreased risk of CHB (ORs of 0.77 and 0.38, respectively).
- No significant association was found for other HLA-DQB1 family loci.
Conclusions:
- Specific HLA-DQB1 polymorphisms (*0201, *0301, *0502) are linked to a higher susceptibility to CHB.
- Conversely, HLA-DQB1 polymorphisms (*0303, *0604) appear to confer a protective effect against CHB.
- These findings support the role of HLA-DQB1 allele variations in determining individual susceptibility or resistance to CHB.
Abstract:
Single-nucleotide polymorphisms in the human leukocyte antigen (HLA)-DQB1 gene are associated with chronic inflammatory and immunological diseases. Host genetic factors have a key role in the development of chronic hepatitis B (CHB). The aim of the present study was to investigate the association between the HLA-DQB1 polymorphisms and the susceptibility to CHB. PubMed, Embase, CNKI and Wanfang databases were searched for the studies that reported the association of the HLA-DQB1 polymorphisms with CHB between January 1, 1966 and July 30, 2015. HLA-DQB1 polymorphism-specific odds ratio (OR) and 95% confidence intervals (95% CI) were pooled and calculated in the fixed effects model using the Mantel-Haenszel method. Q-test and I2 test were performed to examine the heterogeneity. Begg's funnel test and Egger's test were conducted to assess publication bias. All the statistical tests were two-tailed. Subsequent to searching the databases and screening according to the inclusion criteria, 7 case-control studies were available in the present meta-analysis, including 815 CHB patients and 731 control subjects for the HLA-DQB1 polymorphisms. In conclusion, the statistically significant pooled OR of the HLA-DQB1 polymorphisms were obtained for the HLA-DQB1 loci (*0201, case vs.
Control:
I2=36.5%; P-value of heterogeneity=0.15; OR, 1.29; 95% CI, 1.02-1.64; P=0.0301; *0301, case vs.
Control:
I2=0%; P-value of heterogeneity=0.899; OR, 1.37; 95% CI, 1.12-1.69; P=0.002; *0502, case vs.
Control:
I2=24.9%; P-value of heterogeneity=0.239; OR, 1.50; 95% CI, 1.02-2.20; P=0.04), which were associated with an increased risk of CHB. Similar significant results were observed and acquired in the following HLA-DQB1 loci (*0303, case vs.
Control:
I2=0%; P-value of heterogeneity=0.986; OR, 0.77; 95% CI, 0.62-0.95; P=0.017; *0604, case vs.
Control:
I2=0%; P-value of heterogeneity=0.594; OR, 0.38; 95% CI, 0.20-0.74; P=0.003), which were associated with a decreased risk of CHB. No significant association was observed for the other HLA-DQB1 family loci. The present meta-analysis demonstrated that the HLA-DQB1 loci (*0201, *0301 and *0502) polymorphisms were significantly associated with an increased risk of CHB. However, HLA-DQB1 loci polymorphisms (*0303 and *0604) were associated with a decreased risk of CHB. These results support the hypothesis that polymorphisms of the HLA-DQB1 allele families may affect the susceptibility or resistance to CHB.
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