PMID- 16737879 OWN - NLM STAT- MEDLINE DCOM- 20060622 LR - 20061115 IS - 0022-3476 (Print) IS - 0022-3476 (Linking) VI - 148 IP - 5 DP - 2006 May TI - HLA typing associated with hepatitis B E antigen seroconversion in children with chronic hepatitis B virus infection: a long-term prospective sibling cohort study in Taiwan. PG - 647-651 AB - OBJECTIVE: To conduct a prospective cohort study to clarify the relationship between human leukocyte antigen (HLA) polymorphisms and the seroconversion of hepatitis B e antigen (HBeAg). STUDY DESIGN: In the prospective cohort study, 81 HBeAg-positive children with chronic hepatitis B virus (HBV) infection from 40 unrelated families were recruited and followed-up regularly for a mean period of 17.70 +/- 3.23 years. The association between HLA antigen and the age at HBeAg seroconversion was analyzed using Cox regression model with shared frailties under left truncation and right censorship. RESULTS: HLA-B61 and HLA-DQB1*0503 antigens predicted a higher HBeAg seroconversion rate (relative incidence = 6.17 and 3.22, P = .024 and .017, respectively). Within-family frailty in our sibling cohort study demonstrated a negligible or a low degree of within-family correlation with spontaneous HBeAg seroconversion in each HLA antigen. CONCLUSIONS: HLA class I antigen B61 and class II antigen DQB1*0503 are associated with earlier HBeAg seroconversion in Taiwanese children with chronic HBV infection. FAU - Wu, Jia-Feng AU - Wu JF AD - Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan. FAU - Chen, Chen-Hsin AU - Chen CH FAU - Hsieh, Rhong-Phong AU - Hsieh RP FAU - Shih, Hsiang-Hung AU - Shih HH FAU - Chen, Yi-Hau AU - Chen YH FAU - Li, Chi-Rong AU - Li CR FAU - Chiang, Chih-Yao AU - Chiang CY FAU - Shau, Wen-Yi AU - Shau WY FAU - Ni, Yen-Hsuan AU - Ni YH FAU - Chen, Huey-Ling AU - Chen HL FAU - Hsu, Hong-Yuan AU - Hsu HY FAU - Chang, Mei-Hwei AU - Chang MH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Pediatr JT - The Journal of pediatrics JID - 0375410 RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (Hepatitis B e Antigens) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Cohort Studies MH - Female MH - HLA-DQ Antigens/*genetics MH - HLA-DR Antigens/*genetics MH - Hepatitis B e Antigens/*blood MH - Hepatitis B, Chronic/*blood/*genetics MH - Histocompatibility Antigens Class I/*blood MH - Histocompatibility Testing MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Polymorphism, Genetic/genetics MH - Siblings MH - Taiwan EDAT- 2006/06/02 09:00 MHDA- 2006/06/23 09:00 CRDT- 2006/06/02 09:00 PHST- 2005/07/13 00:00 [received] PHST- 2005/10/06 00:00 [revised] PHST- 2005/12/08 00:00 [accepted] PHST- 2006/06/02 09:00 [pubmed] PHST- 2006/06/23 09:00 [medline] PHST- 2006/06/02 09:00 [entrez] AID - S0022-3476(05)01186-8 [pii] AID - 10.1016/j.jpeds.2005.12.025 [doi] PST - ppublish SO - J Pediatr. 2006 May;148(5):647-651. doi: 10.1016/j.jpeds.2005.12.025.