hla dqa1基因rs9272346和snx5基因rs7271350多态性与慢性hbv感染不同转归的关联性研究-association between hla dqa1 gene rs 9272346 and snx 5 gene rs 7271350 polymorphism and different outcomes of chronic hbv infection.docx

hla dqa1基因rs9272346和snx5基因rs7271350多态性与慢性hbv感染不同转归的关联性研究-association between hla dqa1 gene rs 9272346 and snx 5 gene rs 7271350 polymorphism and different outcomes of chronic hbv infection.docx

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hla dqa1基因rs9272346和snx5基因rs7271350多态性与慢性hbv感染不同转归的关联性研究-association between hla dqa1 gene rs 9272346 and snx 5 gene rs 7271350 polymorphism and different outcomes of chronic hbv infection

【结论】①男性和 HBeAg 阳性的慢性 HBV 感染者更易表现为进展性肝炎。②HLA-DQA1 基因 rs9272346 位点单核苷酸多态性可能与乙型肝炎不同转归无相关性。 而女性患者中 G 等位基因携带可能是进展为重型肝炎的保护因素。③SNX5 基因 rs7271350 位点 C 等位基因与重型肝炎发生相关,C 等位基因携带者相对于 TT 基因型 是进展为重型肝炎的危险因素。【关键词】慢性 HBV 感染,临床转归;单核苷酸多态性;HLA-DQA1 基因;SNX5 基因Associations of rs9272346 polymorphism in HLA-DQA1 gene and rs7271350 polymorphism in SNX5 gene with diverse clinical outcomes of chronic HBV infectionObjectiveAbstractHepatitis B virus(HBV) infection is a complicated disease caused by virus, multigenes and enviroment factor. Its an useful strategy to determine potential candidate genes of HBV infection for the prevention and individualized treatment. The purpose of this study is to evaluate the distribution differences of rs9272346 polymorphism in HLA-DQA1 and rs7271350 polymorphism in SNX5 gene in Han population of Hubei province, to explore the association of rs9272346 polymorphism in HLA-DQA1 and rs7271350 polymorphism in SNX5 gene with the different outcomes of chronic hepatitis B virus infection in Hubei Han people.MethodsA case-control study was conducted, 798 unrelated chronic HBV infection subjects with progressed outcomes and 236 unrelated chronic asymptomatic HBV carriers as controls were recruited in Han population of Hubei province from Wuhan Tongji Hospital. The 798 patients in the case group were divided into the acute-on-chronic liver failure(ACLF) group, HBV-related liver cirrhosis(LC) group and HBV-related hepatocellular carcinoma(HCC) group.We obtained the blood samples, and collected the materials of medical history and laboratory test results.Using the genome DNA as templates, the genotypes of rs9272346 and rs7271350 were determinated by real-time polymerase chain reaction with the Taqman MGB probe. The statistical data was analyzed by students t test ,chi square test and unconditional logistic regression.Results①Clinical data shows that the proportion of men and HBeAg positive patients in each case group is higher than that in the control group( p 0.01 ).② For

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