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    题名: Hepatitis B virus persistent infection-related single nucleotide polymorphisms in HLA regions are associated with viral load in hepatoma families
    作者: Ai-Ru Hsieh (謝璦如);Cathy S J Fann;Hung-Chun Lin;Jennifer Tai;Sen-Yung Hsieh;Dar-In Tai
    关键词: Generalized estimating equation:Genetic polymorphism;Genome-wide association study;Hepatitis B surface antigen;Hepatitis B virus;Replication
    日期: 2021-10-07
    上传时间: 2021-10-26 12:10:22 (UTC+8)
    摘要: BACKGROUND
    Genome-wide association studies from Asia indicate that HLA-DP and HLA-DQ loci are important in persistent hepatitis B virus (HBV) infections. One of the key elements for HBV-related carcinogenesis is persistent viral replication and inflammation.

    AIM
    To examine genetic and nongenetic factors with persistent HBV infection and viral load in families with hepatocellular carcinoma (HCC).

    METHODS
    The HCC families included 301 hepatitis B surface antigen (HBsAg) carriers and 424 noncarriers born before the nationwide vaccination program was initiated in 1984. Five HBV-related single nucleotide polymorphisms (SNPs) — rs477515, rs9272105, rs9276370, rs7756516, and rs9277535 — were genotyped. Factors associated with persistent HBV infection and viral load were analyzed by a generalized estimating equation.

    RESULTS
    In the first-stage persistent HBV study, all SNPs except rs9272105 were associated with persistent infection. A significantly higher area under the reciprocal operating characteristic curve for nongenetic factors vs genetic factors (P < 0.001) suggests that the former play a major role in persistent HBV infection. In the second-stage viral load study, we added 8 HBsAg carriers born after 1984. The 309 HBsAg carriers were divided into low (n = 162) and high viral load (n = 147) groups with an HBV DNA cutoff of 105 cps/mL. Sex, relationship to the index case, rs477515, rs9272105, and rs7756516 were associated with viral load. Based on the receiver operating characteristic curve analysis, genetic and nongenetic factors affected viral load equally in the HCC family cohort (P = 0.3117).

    CONCLUSION
    In these east Asian adults, the mechanism of persistent HBV infection-related SNPs was a prolonged viral replication phase.
    關聯: World Journal of Gastroenterology 27(37), p.6262-6276
    DOI: 10.3748/wjg.v27.i37.6262
    显示于类别:[統計學系暨研究所] 期刊論文

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