PMID- 24376798 OWN - NLM STAT- MEDLINE DCOM- 20141013 LR - 20221207 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 12 DP - 2013 TI - HLA-DQB1*03 confers susceptibility to chronic hepatitis C in Japanese: a genome-wide association study. PG - e84226 LID - 10.1371/journal.pone.0084226 [doi] LID - e84226 AB - Hepatitis C virus (HCV) establishes a chronic infection in 70-80% of infected individuals. Many researchers have examined the effect of human leukocyte antigen (HLA) on viral persistence because of its critical role in the immune response against exposure to HCV, but almost all studies have proven to be inconclusive. To identify genetic risk factors for chronic HCV infection, we analyzed 458,207 single nucleotide polymorphisms (SNPs) in 481 chronic HCV patients and 2,963 controls in a Japanese cohort. Next, we performed a replication study with an independent panel of 4,358 cases and 1,114 controls. We further confirmed the association in 1,379 cases and 25,817 controls. In the GWAS phase, we found 17 SNPs that showed suggestive association (P < 1 x 10(-)(5)). After the first replication study, we found one intronic SNP in the HLA-DQ locus associated with chronic HCV infection, and when we combined the two studies, the association reached the level of genome-wide significance. In the second replication study, we again confirmed the association (P(combined) = 3.59 x 10(-)(1)(6), odds ratio [OR] = 0.79). Subsequent analysis revealed another SNP, rs1130380, with a stronger association (OR=0.72). This nucleotide substitution causes an amino acid substitution (R55P) in the HLA-DQB1 protein specific to the DQB1*03 allele, which is common worldwide. In addition, we confirmed an association with the previously reported IFNL3-IFNL4 locus and propose that the effect of DQB1*03 on HCV persistence might be affected by the IFNL4 polymorphism. Our findings suggest that a common amino acid substitution in HLA-DQB1 affects susceptibility to chronic infection with HCV in the Japanese population and may not be independent of the IFNL4 genotype. FAU - Miki, Daiki AU - Miki D AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Ochi, Hidenori AU - Ochi H AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Takahashi, Atsushi AU - Takahashi A AD - Laboratory for Statistical Analysis, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan. FAU - Hayes, C Nelson AU - Hayes CN AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Urabe, Yuji AU - Urabe Y AD - Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Abe, Hiromi AU - Abe H AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Kawaoka, Tomokazu AU - Kawaoka T AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Tsuge, Masataka AU - Tsuge M AD - Liver Research Project Center, Hiroshima University, Hiroshima, Japan ; Natural Science Center for Basic Research and Development, Hiroshima University, Hiroshima, Japan. FAU - Hiraga, Nobuhiko AU - Hiraga N AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Imamura, Michio AU - Imamura M AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Kawakami, Yoshiiku AU - Kawakami Y AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Aikata, Hiroshi AU - Aikata H AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Takahashi, Shoichi AU - Takahashi S AD - Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. FAU - Akuta, Norio AU - Akuta N AD - Department of Hepatology, Toranomon Hospital, Tokyo, Japan. FAU - Suzuki, Fumitaka AU - Suzuki F AD - Department of Hepatology, Toranomon Hospital, Tokyo, Japan. FAU - Ikeda, Kenji AU - Ikeda K AD - Department of Hepatology, Toranomon Hospital, Tokyo, Japan. FAU - Kumada, Hiromitsu AU - Kumada H AD - Department of Hepatology, Toranomon Hospital, Tokyo, Japan. FAU - Karino, Yoshiyasu AU - Karino Y AD - Department of Gastroenterology, Sapporo Kosei General Hospital, Hokkaido, Japan. FAU - Toyota, Joji AU - Toyota J AD - Department of Gastroenterology, Sapporo Kosei General Hospital, Hokkaido, Japan. FAU - Tsunoda, Tatsuhiko AU - Tsunoda T AD - Laboratory for Medical Science Mathematics, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan. FAU - Kubo, Michiaki AU - Kubo M AD - Laboratory for Genotyping Development, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan. FAU - Kamatani, Naoyuki AU - Kamatani N AD - Laboratory for Statistical Analysis, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan. FAU - Nakamura, Yusuke AU - Nakamura Y AD - Laboratory of Molecular Medicine, Human Genome Center, The Institute of Medical Science, University of Tokyo, Tokyo, Japan. FAU - Chayama, Kazuaki AU - Chayama K AD - Laboratory for Digestive Diseases, Center for Integrative Medical Sciences, RIKEN, Hiroshima, Japan ; Department of Gastroenterology and Metabolism, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan ; Liver Research Project Center, Hiroshima University, Hiroshima, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131220 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) SB - IM MH - Asian People/*genetics MH - Gene Frequency MH - Genetic Predisposition to Disease/*genetics MH - Genome-Wide Association Study MH - HLA-DQ beta-Chains/*genetics MH - Hepatitis C, Chronic/*genetics MH - Humans MH - Linkage Disequilibrium MH - Logistic Models MH - Polymorphism, Single Nucleotide/genetics PMC - PMC3871580 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/01/01 06:00 MHDA- 2014/10/14 06:00 PMCR- 2013/12/20 CRDT- 2013/12/31 06:00 PHST- 2013/09/19 00:00 [received] PHST- 2013/11/20 00:00 [accepted] PHST- 2013/12/31 06:00 [entrez] PHST- 2014/01/01 06:00 [pubmed] PHST- 2014/10/14 06:00 [medline] PHST- 2013/12/20 00:00 [pmc-release] AID - PONE-D-13-38585 [pii] AID - 10.1371/journal.pone.0084226 [doi] PST - epublish SO - PLoS One. 2013 Dec 20;8(12):e84226. doi: 10.1371/journal.pone.0084226. eCollection 2013.