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HLA-DRBl*04等位基因多态性与乙型肝炎病毒感染结局关联分析
引用本文:宋明胜,李红卫,彭怀燕,段炳南,陈辉,徐令清.HLA-DRBl*04等位基因多态性与乙型肝炎病毒感染结局关联分析[J].中华医学遗传学杂志,2007,24(4):467-469.
作者姓名:宋明胜  李红卫  彭怀燕  段炳南  陈辉  徐令清
作者单位:[1]中南大学湘雅三医院检验科,长沙410013 [2]湘雅医学院组织胎学教研室,长沙410013
基金项目:湖南省自然科学基金(02JJY3018)
摘    要:目的从分子遗传学角度探讨乙型肝炎病毒(hepatitis B virus,HBv)感染结局与GLA—DRBl*04等位基因的相关性。方法采用聚合酶链反应一序列特异性引物(polymerase chain reaction-sequence specific primers,PCR-SSP)技术检测HLA-DRBl*04等位基因,并比较106例无症状HBV携带者(HBV携带组),93例慢性乙型肝炎患者、77例乙肝肝硬化者、102例HBV感染后自然恢复者(对照组)HIA-DRBl*04等位基因频率及HBV不同复制状态下HLA-DRBl*04等位基因频率。结果HBV携带组、慢性乙肝组、乙肝肝硬化组HLA-DRBl*04等位基因频率高于对照组(分别为25.94%、26.34%、27.92%和14.22%,P〈0.01);HLA—DRBl*0401基因频率高于对照组(分别为20.91%、24.49%、22.09%和8.62%,P均〈0.05);HLA-DRBl*0405基因频率较对照组低(3.64%、2.04%、3.49%和15.52%,P〈0.01、0.01、0.05)。各病例组之间HLA—DRBl*04等位基因频率差异无统计学意义(P〉0.05)。HBV不同复制状态HLA-DRBl*04等位基因频率差异无统计学意义(P〉O.05)。结论HLA-DRBl*04是决定HBV感染结局的因素之一,但不影响HBV在体内复制。

关 键 词:乙型肝炎  遗传多态性  人类白细胞抗原-DRBl*04
修稿时间:2006-08-21

Association of polymorphism on HLA-DRB1*04 alleles with outcome of hepatitis B virus infection]
SONG Ming-sheng, LI Hong-wei, PENG Huai-yan, DUAN Bing-nan, CHEN Hui, XU Ling-qing. ;.Association of polymorphism on HLA-DRB1*04 alleles with outcome of hepatitis B virus infection][J].Chinese Journal of Medical Genetics,2007,24(4):467-469.
Authors:SONG Ming-sheng  LI Hong-wei  PENG Huai-yan  DUAN Bing-nan  CHEN Hui  XU Ling-qing ;
Institution:Department of Clinical Laboratory, the Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013 P. R. China.;Department of Histology and Embryology, Xiangya Medical College, Central South University, Changsha, Hunan, 410013 P. R. China
Abstract:OBJECTIVE: To investigate the relation between the alleles of HLA-DRB1*04 and outcome of HBV infection. METHODS: The alleles of HLA-DRB1*04 were detected by polymerase chain reaction-sequence specific primer (PCR-SSP). The frequency of allele of HLA-DRB1*04 in four groups106 asymptomatic HBsAg carriers (group ASC), 93 chronic hepatitis B patients (group CHB), 77 patients with hepatitis B cirrhosis and 102 cases of spontaneous recovery after HBV infection (control group)] were studied, and the frequency of that in different replication of HBV was also studied. RESULTS: The frequency of allele of HLA-RB1*04 in groups ASC, CHB and hepatitis B cirrhosis was markedly higher than that of control group (25.94%, 26.34%, 27.92% respectively versus 14.22%, P< 0.01); the frequency of HLA-DRB1*0401 in groups ASC, CHB and hepatitis B cirrhosis was also higher than that of control group (20.91%, 24.49%, 22.09% respectively versus 8.62%, P< 0.05, P< 0.01,P< 0.05 respectively); the frequency of HLA-DRB1*0405 in groups ASC, CHB and hepatitis B cirrhosis was lower than that of control group (3.64%, 2.04%, 3.49% respectively versus 15.52%, P< 0.01, P< 0.01, P< 0.05 respectively ). There was no statistical significance in the allele frequency of HLA-DRB1*04 among groups ASC, CHB and hepatitis B cirrhosis (P> 0.05), and the same result was observed in different replication of HBV (P> 0.05). CONCLUSION: HLA-DRB1*04 gene is one of the factors which determine the outcomes of HBV infection, while it has no influence on HBV replication.
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