PMID- 19409091 OWN - NLM STAT- MEDLINE DCOM- 20090603 LR - 20211203 IS - 1743-422X (Electronic) IS - 1743-422X (Linking) VI - 6 DP - 2009 May 1 TI - Ethnic and geographical differences in HLA associations with the outcome of hepatitis C virus infection. PG - 46 LID - 10.1186/1743-422X-6-46 [doi] AB - BACKGROUND: The association of human leukocyte antigen (HLA) genes with the outcome of hepatitis C virus (HCV) infection may be modified by ethnic and geographical differences. RESULTS: HLA-A, -C, -DRB1 and -DQB1 genotyping were performed in a Midwestern American cohort of 105 HCV infected subjects among which 49 cleared HCV infection and 56 had persistent viral infection. A new protective association of HLA-Cw*05 to HCV infection of all ethnic populations was identified (OR = 0.12, 95% CI = 0.01-0.97, P = 0.03). It was surprising that HLA-A*02 (P for interaction = 0.02) and HLA-DRB1*12 (P for interaction = 0.05) showed statistical interaction with race indicating opposite associations in Caucasians (OR = 2.74 for A*02 and 2.15 for DRB1*12) and non-Caucasians (OR = 0.41 for A*02 and 0.15 for DRB1*12). In addition, HLA-DRB1*01 (OR = 0.26), DQB1*05 (OR = 0.23) and the haplotype DRB1*01-DQB1*05 (OR = 0.19) showed strong associations with viral clearance in Caucasians. The protective associations of A*03 (OR = 0.20) and DQB1*03 (OR = 0.20) were exclusive to non-Caucasians. In contrast, DQB1*02 (OR = 2.56, 95% CI = 1.15-7.71, P = 0.02) and the haplotype DRB1*07-DQB1*02 (OR = 5.25, 95% CI = 1.04-26.6, P = 0.03) were risk markers in Caucasians. CONCLUSION: The associations of HLA-A*02 and HLA-DRB1*12 with HCV infection are opposite with different races. HLA-A*03, Cw*05, DRB1*01, DQB1*03 and DQB1*05 are associated with viral clearance while HLA-DRB1*07 and DQB1*02 are risk markers for viral persistence of HCV infection in Midwestern Americans. These results reveal ethnically and geographically different distribution of HLA-genes which are associated with the outcome of HCV infection. FAU - Wang, Jane H AU - Wang JH AD - Division of Hepatology, Department of Medicine, University of Illinois at Chicago, IL, USA. wjane60527@yahoo.com FAU - Zheng, Xin AU - Zheng X FAU - Ke, Xiaogang AU - Ke X FAU - Dorak, M Tevfik AU - Dorak MT FAU - Shen, Jingjing AU - Shen J FAU - Boodram, Basmattee AU - Boodram B FAU - O'Gorman, Maurice AU - O'Gorman M FAU - Beaman, Kenneth AU - Beaman K FAU - Cotler, Scott J AU - Cotler SJ FAU - Hershow, Ronald AU - Hershow R FAU - Rong, Lijun AU - Rong L LA - eng GR - K01 DK002970/DK/NIDDK NIH HHS/United States GR - R01 DA013765/DA/NIDA NIH HHS/United States GR - K01 DK02970/DK/NIDDK NIH HHS/United States GR - R03 AI048056/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090501 PL - England TA - Virol J JT - Virology journal JID - 101231645 RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Alleles MH - Female MH - Gene Frequency MH - Geography MH - HLA Antigens/*genetics MH - Hepacivirus/physiology MH - Hepatitis C/epidemiology/*ethnology/*genetics MH - Humans MH - Male MH - Midwestern United States/epidemiology/ethnology MH - Racial Groups/*ethnology/*genetics MH - Risk Factors MH - Young Adult PMC - PMC2679741 EDAT- 2009/05/05 09:00 MHDA- 2009/06/06 09:00 PMCR- 2009/05/01 CRDT- 2009/05/05 09:00 PHST- 2009/04/13 00:00 [received] PHST- 2009/05/01 00:00 [accepted] PHST- 2009/05/05 09:00 [entrez] PHST- 2009/05/05 09:00 [pubmed] PHST- 2009/06/06 09:00 [medline] PHST- 2009/05/01 00:00 [pmc-release] AID - 1743-422X-6-46 [pii] AID - 10.1186/1743-422X-6-46 [doi] PST - epublish SO - Virol J. 2009 May 1;6:46. doi: 10.1186/1743-422X-6-46.