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Published on: June 5, 2020
The roles of HLA-DQB1 gene polymorphisms in hepatitis B virus infection
Guojin Ou1,2,3,4, Haixia Xu3,4, Hao Yu3,4
1Department of Laboratory Medicine, West China Second University Hospital, Chengdu, Sichuan, China.
Insights
Certain HLA-DQB1 alleles are linked to hepatitis B virus (HBV) infection risk and chronic infection. HLA-DQB1 typing can identify individuals with higher susceptibility to HBV infection or chronic disease progression.
Area of Science:
- Immunogenetics
- Hepatology
- Virology
Background:
- Hepatitis B virus (HBV) infection is a major cause of liver cirrhosis and hepatocellular carcinoma.
- Polymorphisms in the HLA-DQB1 gene are recognized as significant factors influencing HBV infection outcomes.
Purpose of the Study:
- To investigate the association between specific HLA-DQB1 alleles and susceptibility to HBV infection.
- To explore the relationship between HLA-DQB1 alleles and the clearance or chronicity of HBV infection.
Main Methods:
- Case-control study involving 256 HBV carriers and 433 healthy controls.
- High-resolution HLA-DQB1 typing and measurement of cytokine levels (IFN-γ, IL-4, IL-10) and DQB1 mRNA expression.
- Meta-analysis of existing case-control studies on HLA-DQB1 and HBV infection.
Main Results:
- HLA-DQB1*06:03 demonstrated a protective effect against HBV infection.
- Specific alleles like HLA-DQB1*04:01, *05:02, *05:03, and *06:01 were identified as risk factors for HBV susceptibility.
- Alleles such as HLA-DQB1*05:01, *06:03, and *06:04 were associated with protection against HBV infection.
Conclusions:
- HLA-DQB1 typing can identify individuals at increased risk for HBV infection and chronic HBV infection.
- Specific HLA-DQB1 alleles are significantly associated with HBV infection susceptibility, clearance, and chronicity, offering potential targets for risk stratification.
Background:
Infection with the hepatitis B virus (HBV) is an independent risk factor for liver cirrhosis and hepatocellular carcinoma, polymorphisms in HLA-DQB1 play an important role in HBV infections.
Methods:
This study examined the relationships between HLA-DQB1 alleles and HBV infection susceptibility among 256 HBV carriers and 433 healthy controls. Venous blood samples were subjected to DQB1 high-resolution typing and testing for interferon-gamma, interleukin-4 (IL-4), interleukin-10, and DQB1 mRNA expression. A meta-analysis was also performed using relevant case-control studies that evaluated the associations of HLA-DQB1 alleles with HBV infection and clearance.
Results:
We found that HLA-DQB1*06:03 protected against HBV infection. Levels of IFN-γ and IL-4 were significantly elevated in HBV cases with HLA-DQB1*06:05 (vs. HLA-DQB1*05:03), and the HBV group had higher DQB1 mRNA expression than the healthy control group with HLA-DQB1*05:03 and HLA-DQB1*06:02. The meta-analysis revealed that HLA-DQB1*04:01, HLA-DQB1*05:02, HLA-DQB1*05:03, and HLA-DQB1*06:01 were risk factors for HBV infection susceptibility, while HLA-DQB1*05:01, HLA-DQB1*06:03, and HLA-DQB1*06:04 protected against HBV infection. Spontaneous HBV clearance was associated withHLA-DQB1*06:04, while chronic HBV infection was associated with HLA-DQB1*02:01 and HLA-DQB1*05:02.
Conclusion:
DBQ1 typing can be used to identify patients who have elevated risks of HBV infection (i.e., patients with HLA-DQB1*04:01, HLA-DQB1*05:02, HLA-DQB1*05:03, and HLA-DQB1*06:01) or elevated risks of chronic HBV infection (i.e., patients with HLA-DQB1*02:01 and HLA-DQB1*05:02).
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