PMID- 20169624 OWN - NLM STAT- MEDLINE DCOM- 20100514 LR - 20211020 IS - 1527-3350 (Electronic) IS - 0270-9139 (Print) IS - 0270-9139 (Linking) VI - 51 IP - 5 DP - 2010 May TI - Specific human leukocyte antigen class I and II alleles associated with hepatitis C virus viremia. PG - 1514-22 LID - 10.1002/hep.23515 [doi] AB - Studies of human leukocyte antigen (HLA) alleles and their relation with hepatitis C virus (HCV) viremia have had conflicting results. However, these studies have varied in size and methods, and few large studies assessed HLA class I alleles. Only one study conducted high-resolution class I genotyping. The current investigation therefore involved high-resolution HLA class I and II genotyping of a large multiracial cohort of U.S. women with a high prevalence of HCV and HIV. Our primary analyses evaluated associations between 12 HLA alleles identified through a critical review of the literature and HCV viremia in 758 HCV-seropositive women. Other alleles with >5% prevalence were also assessed; previously unreported associations were corrected for multiple comparisons. DRB1*0101 (prevalence ratio [PR] = 1.7; 95% confidence interval [CI] = 1.1-2.6), B*5701 (PR=2.0; 95% CI = 1.0-3.1), B*5703 (PR = 1.7; 95% CI = 1.0-2.5), and Cw*0102 (PR = 1.9; 95% CI = 1.0-3.0) were associated with the absence of HCV RNA (i.e., HCV clearance), whereas DRB1*0301 (PR = 0.4; 95% CI = 0.2-0.7) was associated with HCV RNA positivity. DQB1*0301 was also associated with the absence of HCV RNA but only among HIV-seronegative women (PR = 3.4; 95% CI = 1.2-11.8). Each of these associations was among those predicted. We additionally studied the relation of HLA alleles with HCV infection (serostatus) in women at high risk of HCV from injection drug use (N = 838), but no significant relationships were observed. CONCLUSION: HLA genotype influences the host capacity to clear HCV viremia. The specific HLA associations observed in the current study are unlikely to be due to chance because they were a priori hypothesized. FAU - Kuniholm, Mark H AU - Kuniholm MH AD - Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA. mark.kuniholm@einstein.yu.edu FAU - Kovacs, Andrea AU - Kovacs A FAU - Gao, Xiaojiang AU - Gao X FAU - Xue, Xiaonan AU - Xue X FAU - Marti, Darlene AU - Marti D FAU - Thio, Chloe L AU - Thio CL FAU - Peters, Marion G AU - Peters MG FAU - Terrault, Norah A AU - Terrault NA FAU - Greenblatt, Ruth M AU - Greenblatt RM FAU - Goedert, James J AU - Goedert JJ FAU - Cohen, Mardge H AU - Cohen MH FAU - Minkoff, Howard AU - Minkoff H FAU - Gange, Stephen J AU - Gange SJ FAU - Anastos, Kathryn AU - Anastos K FAU - Fazzari, Melissa AU - Fazzari M FAU - Harris, Tiffany G AU - Harris TG FAU - Young, Mary A AU - Young MA FAU - Strickler, Howard D AU - Strickler HD FAU - Carrington, Mary AU - Carrington M LA - eng GR - UO1-HD-32632/HD/NICHD NIH HHS/United States GR - U01 DK066116/DK/NIDDK NIH HHS/United States GR - UO1-AI-34989/AI/NIAID NIH HHS/United States GR - U01 AI035004/AI/NIAID NIH HHS/United States GR - R01 AI057006/AI/NIAID NIH HHS/United States GR - UO1-AI-35004/AI/NIAID NIH HHS/United States GR - U01 AI034994/AI/NIAID NIH HHS/United States GR - 5R01AI057006-04/AI/NIAID NIH HHS/United States GR - U01 AI034989-15/AI/NIAID NIH HHS/United States GR - UO1-AI-42590/AI/NIAID NIH HHS/United States GR - R01 AI057006-04/AI/NIAID NIH HHS/United States GR - UO1-AI-34994/AI/NIAID NIH HHS/United States GR - R01A1052065/PHS HHS/United States GR - U01 AI031834/AI/NIAID NIH HHS/United States GR - U01 HD032632-14/HD/NICHD NIH HHS/United States GR - R56 AI052065/AI/NIAID NIH HHS/United States GR - U01 AI035004-11S2/AI/NIAID NIH HHS/United States GR - UL1 RR024131/RR/NCRR NIH HHS/United States GR - U01 AI034989/AI/NIAID NIH HHS/United States GR - R01 AI052065/AI/NIAID NIH HHS/United States GR - U01 AI034994-15/AI/NIAID NIH HHS/United States GR - UO1-AI-34993/AI/NIAID NIH HHS/United States GR - R01AI057006/AI/NIAID NIH HHS/United States GR - L30 AI084473/AI/NIAID NIH HHS/United States GR - ImNIH/Intramural NIH HHS/United States GR - U01 AI042590-04S1/AI/NIAID NIH HHS/United States GR - U01 AI031834-16/AI/NIAID NIH HHS/United States GR - HHSN261200800001C/RC/CCR NIH HHS/United States GR - U01 AI034993/AI/NIAID NIH HHS/United States GR - UO1-AI-31834/AI/NIAID NIH HHS/United States GR - UL1 RR024131-04/RR/NCRR NIH HHS/United States GR - U01 AI034993-15/AI/NIAID NIH HHS/United States GR - HHSN261200800001E/CA/NCI NIH HHS/United States GR - U01 HD032632/HD/NICHD NIH HHS/United States GR - U01 AI042590/AI/NIAID NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (RNA, Viral) SB - IM MH - Adult MH - Alleles MH - Cohort Studies MH - Female MH - Hepacivirus/immunology MH - Hepatitis C/immunology/*virology MH - Hepatitis C, Chronic/immunology/*virology MH - Histocompatibility Antigens Class I/*genetics MH - Histocompatibility Antigens Class II/*genetics MH - Humans MH - Middle Aged MH - RNA, Viral/analysis MH - Substance Abuse, Intravenous MH - Viremia/*immunology PMC - PMC2946382 MID - NIHMS217837 COIS- Potential conflict of interest: Dr. Terrault has received research grants from Roche, Vertex, and Human Genome Sciences. All other authors, no conflicts. EDAT- 2010/02/20 06:00 MHDA- 2010/05/15 06:00 PMCR- 2011/05/01 CRDT- 2010/02/20 06:00 PHST- 2010/02/20 06:00 [entrez] PHST- 2010/02/20 06:00 [pubmed] PHST- 2010/05/15 06:00 [medline] PHST- 2011/05/01 00:00 [pmc-release] AID - 10.1002/hep.23515 [doi] PST - ppublish SO - Hepatology. 2010 May;51(5):1514-22. doi: 10.1002/hep.23515.