Abstract
赵孝梅,何燕,张婷,王婵娟,张旺德,禹文峰,官志忠.HLA-DP基因2个单核苷酸多态性位点与贵州少数民族人群HBV感染的关联研究[J].Chinese journal of Epidemiology,2016,37(3):389-393
HLA-DP基因2个单核苷酸多态性位点与贵州少数民族人群HBV感染的关联研究
Study on association between HLA-DP gene polymorphism and susceptibility to hepatitis B virus infection in minority population in Guizhou province
Received:August 03, 2015  
DOI:10.3760/cma.j.issn.0254-6450.2016.03.020
KeyWord: 肝炎病毒,乙型  人类白细胞抗原  单核苷酸多态性  少数民族
English Key Word: Hepatitis B virus  Human leukocyte antigen  Single nucleotide polymorphism  Minority population
FundProject:国家科技支撑计划(2013BAI05B03)
Author NameAffiliationE-mail
Zhao Xiaomei Key Laboratory of Molecular Biology, Guizhou Medical University, Guiyang 550004, China  
He Yan Key Laboratory of Molecular Biology, Guizhou Medical University, Guiyang 550004, China annieheyan@gmc.edu.cn 
Zhang Ting Key Laboratory of Molecular Biology, Guizhou Medical University, Guiyang 550004, China  
Wang Chanjuan Key Laboratory of Molecular Biology, Guizhou Medical University, Guiyang 550004, China  
Zhang Wangde Key Laboratory of Molecular Biology, Guizhou Medical University, Guiyang 550004, China  
Yu Wenfeng Key Laboratory of Molecular Biology, Guizhou Medical University, Guiyang 550004, China  
Guan Zhizhong Key Laboratory of Molecular Biology, Guizhou Medical University, Guiyang 550004, China  
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Abstract:
      目的 研究贵州省世居少数民族(布依族、苗族和水族等)人群人类白细胞抗原(HLA)-DP基因rs3077和rs9277535位点多态性与HBV感染的相关性。方法 采用病例-对照研究,募集布依族、苗族和水族等共计256例HBV感染者作为病例组,同时选取142例HBV自限性感染者和135例健康人群作为对照组。应用TaqMan-MGB探针实时荧光定量PCR单核苷酸多态性分型技术对HLA-DP基因rs3077和rs9277535位点进行分型。结果 HBV感染组、HBV自限性感染组和健康对照组相比:HLA-DP基因rs9277535位点的等位基因在HBV感染组和健康对照组之间分布差异有统计学意义(P<0.05),rs3077位点的等位基因和基因型在各组间的差异无统计学意义(P>0.05)。显性模型下各组之间基因型频率比较:HLA-DP基因rs9277535位点在HBV感染组和健康对照组之间的差异有统计学意义(P<0.05),进一步校正年龄、性别因素后显示,AA+AG基因型与GG基因型相比为乙型肝炎(乙肝)易感的保护因素(OR=0.645,95%CI:0.421~0.988);rs3077位点在各组间比较均无统计学意义。性别分层后的显性模型下显示,男性携带rs3077位点CC+CT基因型与TT基因型相比为乙肝易感的保护因素(OR=0.493,95%CI:0.266~0.916);rs9277535位点在显性模型下各组比较基因型的分布差异无统计学意义。在布依族、苗族和水族人群中比较各组中等位基因和基因型分布,HLA-DP基因rs3077位点的基因型在布依族HBV感染组与健康对照组中的分布差异有统计学意义(χ2=6.726,P=0.036)。结论 HLA-DP基因rs9277535位点携带A等位基因可能是乙肝易感的保护因素,男性携带rs3077位点C等位基因可能是乙肝易感的一个保护因素,rs3077和rs9277535位点多态性与HBV的自限性感染可能无关。HBV感染者HLA-DP基因rs3077位点的基因型分布存在民族间的差异。
English Abstract:
      Objective To investigate the association between HLA-DP gene polymorphism and the susceptibility to hepatitis B virus (HBV) infection in people in Buyi, Miao and Shui ethnic groups in Guizhou. Methods A total of 256 patients with HBV infection, 142 HBV self-cleared patients and 135 controls were recruited from 3 ethnic groups for this case-control study. Genotypes of rs3077 and rs9277535 were determined by using real-time PCR with a TaqMan-MGB probe. Results Compared with healthy subjects and self-cleared subjects, the allele distribution of rs9277535 was significantly associated with chronic HBV infection (P<0.05), no significant differences in rs3077 allele and genotype distributions were found among 3 groups (P>0.05). Compared with the rs9277535 GG genotype, the AA and AG genotypes were protective factors against HBV infection in dominant model after adjustment for age and sex (OR=0.645, 95%CI: 0.421-0.988), and no significant difference in rs3077 locus was found in the same analysis (P>0.05). For men, the rs3077 locus CC and CT genotypes were also protective factors against HBV infection (OR=0.493, 95%CI: 0.266- 0.916), and there was no significant difference in rs9277535 locus compared the genotype distributions among 3 groups in dominant mode. Comparison of allele and genotype distribution in 3 ethnic groups showed that HLA-DP gene rs3077 genotype distributions had significant difference between the HBV infection group and the healthy control group in Buyi ethnic group (χ2=6.726, P=0.036). Conclusions The presence of rs9277535A allele at HLA-DP gene polymorphisms might decrease the risk for HBV infection, the rs3077 C allele at HLA-DP gene polymorphisms might also confer protective effect against HBV infection in women. No significant correlation between HLA-DP gene rs3077 and rs9277535 locus polymorphism and HBV clearance was found in this study. The HLA-DP gene rs3077 genotype distribution of HBV-infected patients had significant differences among different ethnic groups.
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