PMID- 23661457 OWN - NLM STAT- MEDLINE DCOM- 20131022 LR - 20130510 IS - 1676-5680 (Electronic) IS - 1676-5680 (Linking) VI - 12 IP - 2 DP - 2013 Apr 25 TI - Evaluation of a histocompatibility antigen related to hepatitis B virus in patients with hepatocellular carcinoma in the western Brazilian Amazon. PG - 1336-46 LID - 10.4238/2013.April.25.5 [doi] AB - Hepatocellular carcinoma is an infection of variable incidence that can be caused by hepatitis B virus (HBV), which is endemic in the Amazon region. The diagnosis of HBV can be performed through the use of serum markers such as the hepatitis B surface antigen. The chronic HBV can cause mutagenesis and carcinogenesis, being the susceptibility of infection due to allele human leukocyte antigen (HLA). Thus, we evaluated the clinical, molecular and laboratory profile (histocompatibility complex) of HBV in 22 patients with hepatocellular carcinoma in Amazonia, including 18 males and 4 females, using a blood sample for generic HLA class II. The results showed increased frequency of disease evolution in adults between 25 and 64 years old, who comprised 19 of the 22 patients studied. Most patients (16/22) presented high levels of alpha-fetoprotein and transaminases (14/22). The most common HLA alleles were DRB1 04 (8/44), DRB1 08 (9/44), DRB 03 (16/44), and DQB1 04 (9/44). When we compared specific phenotype frequencies of HLA-DRB1 between patients and controls, we found that patients had a significantly higher frequency of allele DRB1 08 and a significantly lower frequency of DRB1 07 and DRB1 12 compared to previous studies on Asian and Amazonian populations suggesting ethnic differences. We suggest that alleles HLA-DRB 08, HLA-DRB 03 and HLA-DQB1 04 may be risk factors for hepatocellular carcinoma in Amazon. FAU - Chalub, S R S AU - Chalub SR AD - Departamento de Cirurgia Digestiva, Universidade Federal do Amazonas, Manaus, AM, Brasil. sidney.chalub@hotmail.com FAU - da Silva, R M AU - da Silva RM FAU - da Silva, A P S AU - da Silva AP FAU - de Aquino, P F AU - de Aquino PF FAU - Sadahiro, A AU - Sadahiro A FAU - Kalil, A N AU - Kalil AN LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130425 PL - Brazil TA - Genet Mol Res JT - Genetics and molecular research : GMR JID - 101169387 RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Brazil MH - Carcinoma, Hepatocellular/*genetics/immunology MH - Case-Control Studies MH - Female MH - Gene Frequency MH - Hepatitis B virus/immunology MH - Histocompatibility Antigens Class II/*genetics/immunology MH - Humans MH - Liver Neoplasms/*genetics/immunology MH - Male MH - Middle Aged MH - Phenotype MH - Sex Factors MH - Young Adult EDAT- 2013/05/11 06:00 MHDA- 2013/10/23 06:00 CRDT- 2013/05/11 06:00 PHST- 2013/05/11 06:00 [entrez] PHST- 2013/05/11 06:00 [pubmed] PHST- 2013/10/23 06:00 [medline] AID - gmr2250 [pii] AID - 10.4238/2013.April.25.5 [doi] PST - epublish SO - Genet Mol Res. 2013 Apr 25;12(2):1336-46. doi: 10.4238/2013.April.25.5.