PMID- 20382583 OWN - NLM STAT- MEDLINE DCOM- 20100706 LR - 20100412 IS - 1499-3872 (Print) VI - 9 IP - 2 DP - 2010 Apr TI - Impact of human leukocyte antigen matching on hepatitis B virus recurrence after liver transplantation. PG - 139-43 AB - BACKGROUND: Liver transplantation (LT) is an effective therapy for end-stage hepatitis B virus (HBV) infection. Recurrence of HBV is one of the frequent complications. In the present study, we investigated whether human leukocyte antigen (HLA) matching influences the incidence of HBV recurrence, and the time point of HBV recurrence after LT. METHODS: One hundred and two recipients of LT with end-stage chronic HBV infection were reviewed. The triple-drug immunosuppression regimen consisted of tacrolimus, mycophenolate, and prednisone. All patients were subjected to prophylaxis with hepatitis B immunoglobulin and lamivudine. HLA typing was performed using a sequence-specific primer-polymerase chain reaction kit. Serology for hepatitis B and HBV DNA was examined using a commercial kit. RESULTS: The incidence of recurrent HBV infection post-LT was 6.86%. The recurrent infection of HBV was independent of the degree of HLA matching (P>0.05). The time point of HBV recurrence, however, was prolonged in HLA-A matched patients compared with matchless patients (P=0.049). The recurrence of HBV infection was independent of HLA compatibility. CONCLUSIONS: This retrospective analysis showed that more HLA-A locus compatibility is associated with a prolonged time of recurrence of HBV in patients after LT for end-stage HBV infection. The incidence of HBV recurrence is independent of HLA compatibility. FAU - Zhao, Hong AU - Zhao H AD - State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China. FAU - Hu, Jian-Hua AU - Hu JH FAU - Zhou, Lin AU - Zhou L FAU - Xu, Xiao AU - Xu X FAU - Wu, Jian AU - Wu J FAU - Meng, Xue-Qin AU - Meng XQ FAU - Fan, Jun AU - Fan J FAU - Ma, Wei-Hang AU - Ma WH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Singapore TA - Hepatobiliary Pancreat Dis Int JT - Hepatobiliary & pancreatic diseases international : HBPD INT JID - 101151457 RN - 0 (DNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Aged MH - DNA, Viral/analysis MH - Female MH - Hepatitis B/*etiology MH - *Histocompatibility Testing MH - Humans MH - Liver Transplantation/*adverse effects/immunology MH - Male MH - Middle Aged MH - Recurrence MH - Retrospective Studies EDAT- 2010/04/13 06:00 MHDA- 2010/07/07 06:00 CRDT- 2010/04/13 06:00 PHST- 2010/04/13 06:00 [entrez] PHST- 2010/04/13 06:00 [pubmed] PHST- 2010/07/07 06:00 [medline] AID - 1336 [pii] PST - ppublish SO - Hepatobiliary Pancreat Dis Int. 2010 Apr;9(2):139-43.