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Minimal association of alleles of human leukocyte antigen class II gene and long-term antibody response to hepatitis B vaccine vaccinated during infancy
Affiliation:1. School of Engineering, University of Warwick, UK;2. NHS Blood and Transplant, Birmingham, UK;3. Department of Histocompatibility and Immunogenetics, Royal Liverpool University Hospital, Liverpool, UK;4. Clinical Sciences Research Laboratories, University of Warwick, Coventry, UK;5. Renal Unit, University Hospitals Coventry and Warwickshire, Coventry, UK
Abstract:BackgroundThe human leukocyte antigen (HLA) system plays critical roles in regulating immune responses to various vaccines. This study aimed to evaluate the association of HLA class II gene polymorphisms and the long-term duration of anti-HBs response in children vaccinated against hepatitis B during infancy.MethodsTotally 297 children 5–7 years after the completion of primary vaccination against hepatitis B in infancy, without booster immunization or natural resolved infection, were enrolled. Of them, 86 children with anti-HBs <10 mIU/ml were considered as long-term non- or hypo-responders, and 211 others with anti-HBs ≥10 mIU/ml were defined as long-term responders. Ten alleles in HLA-DR and -DQ subregions were detected by polymerase chain reaction with sequence-specific primers.ResultsThe frequency of HLA-DQB110401 was 15.1% in the long-term non- or hypo-responder group, relatively higher than 7.6% in the long-term responder group (OR = 2.17, 95% CI 1.01–4.73), however, the difference had no statistical significance after Bonferroni correction (P = 0.470). The frequencies of seven HLA-DRB1 alleles, including 101, 103, 104, 107, 108, 111, and 11301/1302, and two HLA-DQB1 alleles, including 10201 and 10501, were each similarly distributed in the long-term non- or hypo-responders and responders respectively.ConclusionNone of the ten HLA class II gene alleles previously reported to be related with short-term antibody response to hepatitis B vaccine is associated with the long-term antibody response after vaccination during infantile.
Keywords:Human leukocyte antigen  Gene polymorphisms  Hepatitis B vaccine  Long-term anti-HBs response
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