A genome-wide association study on chronic HBV infection and its clinical progression in male Han-Taiwanese.
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ABSTRACT: It is common to observe the clustering of chronic hepatitis B surface antigen (HBsAg) carriers in families. Intra-familial transmission of hepatitis B virus (HBV) could be the reason for the familial clustering of HBsAg carriers. Additionally, genetic and gender factors have been reported to be involved. We conducted a three-stage genome-wide association study to identify genetic factors associated with chronic HBV susceptibility. A total of 1,065 male controls and 1,623 male HBsAg carriers were included. The whole-genome genotyping was done on Illumina HumanHap550 beadchips in 304 healthy controls and HumanHap610 beadchips in 321 cases. We found that rs9277535 (HLA-DPB1, P?=?4.87×10(-14)), rs9276370 (HLA-DQA2, P?=?1.9×10(-12)), rs7756516 and rs7453920 (HLA-DQB2, P?=?1.48×10(-11) and P?=?6.66×10(-15) respectively) were significantly associated with persistent HBV infection. A novel SNP rs9366816 near HLA-DPA3 also showed significant association (P?=?2.58×10(-10)). The "T-T-G-G-T" haplotype of the five SNPs further signified their association with the disease (P?=?1.48×10(-12); OR?=?1.49). The "T-T" haplotype composed of rs7756516 and rs9276370 was more prevalent in severe disease subgroups and associated with non-sustained therapeutic response (P?=?0.0262). The "G-C" haplotype was associated with sustained therapeutic response (P?=?0.0132; OR?=?2.49). We confirmed that HLA-DPB1, HLA-DQA2 and HLA-DQB2 loci were associated with persistent HBV infection in male Taiwan Han-Chinese. In addition, the HLA-DQA2 and -DQB2 complex was associated with clinical progression and therapeutic response.
SUBMITTER: Chang SW
PROVIDER: S-EPMC4062466 | biostudies-literature | 2014
REPOSITORIES: biostudies-literature
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