PMID- 18761557 OWN - NLM STAT- MEDLINE DCOM- 20090409 LR - 20111117 IS - 1440-1746 (Electronic) IS - 0815-9319 (Linking) VI - 23 IP - 11 DP - 2008 Nov TI - Association of human leukocyte antigen polymorphism with outcomes of hepatitis B virus infection. PG - 1716-21 LID - 10.1111/j.1440-1746.2008.05482.x [doi] AB - BACKGROUND AND AIM: Host genetic and environmental factors are viewed as a common basis of the different outcomes of hepatitis B virus (HBV) infection. Human leukocyte antigen (HLA) plays an important role in immunological reaction to HBV infection. In this study, we aimed to determine the association between HBV infection and HLA-A, B, and DRB1 alleles in northern Iran. METHODS: HLA-A, B, and DRB1 alleles in 33 patients with chronic hepatitis B (CHB) and 31 healthy carriers as the persistent group, and 30 subjects who had spontaneously recovered from HBV infection were analyzed by using the polymerase chain reaction (PCR)-sequence-specific primer (PCR-SSP) technique. RESULTS: The frequency of the HLA-A*33 allele was higher in the persistent group than in the recovered group (10.16% vs 0%, P < 0.008); the frequency of the DRB1*13 allele was lower in the persistent group than in the recovered group (3.13% vs 11.67%, P < 0.03). The frequency of the B*52 allele was higher in CHB patients than healthy carriers (7.58% vs 0%, P < 0.05). The logistic regression model showed that the presence of the HLA-DRB1*13 allele was the significant factor associated with protection against the persistency of HBV. There were significant differences between the HBV recovered group, CHB patients, and healthy carriers regarding age, hepatitis B e antigen, and anti-hepatitis B e positivity. CONCLUSION: HLA-A*33 was closely related with susceptibility to persisting hepatitis B infection, and HLA-DRB1*13 was closely related with protection against persisting hepatitis B in an Iranian population. These findings emphasized that the host HLA polymorphism is an important factor in determining the outcome of HBV infection. FAU - Ramezani, Amitis AU - Ramezani A AD - Clinical Research Department, Pasteur Institute of Iran, Tehran, Iran. iiccom@iiccom.com FAU - Hasanjani Roshan, Mohammad Reza AU - Hasanjani Roshan MR FAU - Kalantar, Ebrahim AU - Kalantar E FAU - Eslamifar, Ali AU - Eslamifar A FAU - Banifazl, Mohammad AU - Banifazl M FAU - Taeb, Jaleh AU - Taeb J FAU - Aghakhani, Arezoo AU - Aghakhani A FAU - Gachkar, Latif AU - Gachkar L FAU - Velayati, Ali Akbar AU - Velayati AA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080828 PL - Australia TA - J Gastroenterol Hepatol JT - Journal of gastroenterology and hepatology JID - 8607909 RN - 0 (HLA Antigens) RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Adolescent MH - Adult MH - Carrier State/*immunology MH - Disease Progression MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - HLA Antigens/*genetics MH - HLA-A Antigens/genetics MH - HLA-B Antigens/genetics MH - HLA-DR Antigens/genetics MH - HLA-DRB1 Chains MH - Hepatitis B, Chronic/*genetics/immunology MH - Humans MH - Iran MH - Logistic Models MH - Male MH - Middle Aged MH - Odds Ratio MH - *Polymorphism, Genetic MH - Remission, Spontaneous MH - Risk Assessment MH - Young Adult EDAT- 2008/09/03 09:00 MHDA- 2009/04/10 09:00 CRDT- 2008/09/03 09:00 PHST- 2008/09/03 09:00 [pubmed] PHST- 2009/04/10 09:00 [medline] PHST- 2008/09/03 09:00 [entrez] AID - JGH5482 [pii] AID - 10.1111/j.1440-1746.2008.05482.x [doi] PST - ppublish SO - J Gastroenterol Hepatol. 2008 Nov;23(11):1716-21. doi: 10.1111/j.1440-1746.2008.05482.x. Epub 2008 Aug 28.