PMID- 21914086 OWN - NLM STAT- MEDLINE DCOM- 20120110 LR - 20211203 IS - 1365-2893 (Electronic) IS - 1352-0504 (Linking) VI - 18 IP - 10 DP - 2011 Oct TI - Ethnicity and route of HCV infection can influence the associations of HLA with viral clearance in an ethnically heterogeneous population. PG - 692-9 LID - 10.1111/j.1365-2893.2010.01429.x [doi] AB - Approximately 20% of hepatitis C virus (HCV) infected individuals clear the virus. Host factors that influence the course of HCV infection are still under investigation, and the data on the association of human leukocyte antigen (HLA) alleles and HCV clearance are scarce and controversial. The aims of this study were to investigate whether HLA alleles are associated with clearance of HCV infection in a highly admixed Brazilian population and whether these associations could be influenced by ethnicity and route of infection. HLA-A, -B, -C, -DRB1 and -DQB1 genotyping were performed in 135 HCV-infected Brazilian patients among which 45 cleared HCV infection (cases) and 90 had persistent viral infection (controls). Controls were matched by sex, ethnicity (withes and non-whites) and route of infection (high infectious dose or low infectious dose). No significant association was identified between HLA alleles and the outcome of HCV infection when analyzing the sample as a single group. However, a new protective association of HLA-DQB1*04 (P = 0.006; P(c) = 0.030) and a rarely described association of HLA-DRB1*08 (P = 0.004; P(c) = 0.048) were found only among white patients. The DRB1*11 allele, previously reported in homogeneous population, was associated with HCV clearance (P = 0.020) only among patients with expected high-dose exposure. These findings confirm the influence of ethnicity on the associations of HLA with spontaneous viral clearance of HCV infection and emphasize the possible influence of route of infection in this process. CI - (c) 2011 Blackwell Publishing Ltd. FAU - de Almeida, B S AU - de Almeida BS AD - Department of Gastroenterology, Rio de Janeiro State University, Rio de Janeiro, Brazil. balmeidauff@hotmail.com FAU - Silva, G M Fabricio AU - Silva GM FAU - da Silva, P M AU - da Silva PM FAU - Perez, R de Mello AU - Perez Rde M FAU - Figueiredo, F A F AU - Figueiredo FA FAU - Porto, L C AU - Porto LC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110408 PL - England TA - J Viral Hepat JT - Journal of viral hepatitis JID - 9435672 RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Aged MH - Brazil MH - *Disease Resistance MH - Ethnicity MH - Female MH - Gene Frequency MH - *Genetic Predisposition to Disease MH - Genotype MH - HLA Antigens/*genetics/*immunology MH - Hepatitis C/*genetics/*immunology/transmission MH - Humans MH - Male MH - Middle Aged EDAT- 2011/09/15 06:00 MHDA- 2012/01/11 06:00 CRDT- 2011/09/15 06:00 PHST- 2011/09/15 06:00 [entrez] PHST- 2011/09/15 06:00 [pubmed] PHST- 2012/01/11 06:00 [medline] AID - 10.1111/j.1365-2893.2010.01429.x [doi] PST - ppublish SO - J Viral Hepat. 2011 Oct;18(10):692-9. doi: 10.1111/j.1365-2893.2010.01429.x. Epub 2011 Apr 8.