PMID- 24976281 OWN - NLM STAT- MEDLINE DCOM- 20150330 LR - 20211021 IS - 1998-4049 (Electronic) IS - 1319-3767 (Print) IS - 1319-3767 (Linking) VI - 20 IP - 3 DP - 2014 May-Jun TI - Effect of HLA on hepatitis C virus clearance and persistence in anti-HCV-positive end-stage renal disease patients. PG - 175-81 LID - 10.4103/1319-3767.133007 [doi] AB - BACKGROUND/AIMS: The efficacy of immune response against hepatitis C virus (HCV) is determined by human leukocyte antigen (HLA) molecules of the host which present HCV antigens to CD4 + and CD8 + T lymphocytes. In this study, we aimed to investigate the possible relationship between the frequencies of certain HLA class I-II alleles and the natural history of HCV in patients with end-stage renal disease (ESRD). SETTINGS AND DESIGN: This is a retrospective cohort study conducted in a university hospital. PATIENTS AND METHODS: The present study comprised 189 ESRD patients (candidates for renal transplantation) who had positive anti-HCV antibody test. The results concerning HCV and HLA status were gathered from patients' files. The viral persistence was compared between the groups that were determined by HLA sub-typing. STATISTICAL ANALYSIS: Statistical evaluation was performed using Mann-Whitney U-test, Chi-square test, and Fisher's exact test. Level of error was set at 0.05 for all statistical evaluations, and P values < 0.05 were considered statistically significant. RESULTS: We found possible association between the course of HCV infection and specific HLA alleles. HLA class I CwFNx016 and HLA class II DRBFNx0110 alleles were observed more frequently in the viral clearance group (P < 0.05). The HLA class I BFNx0138 allele group was more prone to develop chronic hepatitis C (P < 0.01). CONCLUSIONS: These findings suggest that HLA class I CwFNx016 and HLA class II DRBFNx0110 alleles may be associated with immunological elimination of HCV in Turkish patients on hemodialysis. HLA sub-typing could help predict the prognosis of HCV infection. FAU - Ocal, Serkan AU - Ocal S AD - Department of Gastroenterology, Baskent University, Faculty of Medicine, Ankara, Turkey. FAU - Selcuk, Haldun AU - Selcuk H FAU - Korkmaz, Murat AU - Korkmaz M FAU - Altun, Reskan AU - Altun R FAU - Yildirim, Abdullah E AU - Yildirim AE FAU - Akbas, Enver AU - Akbas E LA - eng PT - Comparative Study PT - Journal Article PL - India TA - Saudi J Gastroenterol JT - Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association JID - 9516979 RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Age Factors MH - Aged MH - Chi-Square Distribution MH - Cohort Studies MH - Female MH - HLA Antigens/*immunology MH - Hepacivirus/*immunology MH - Hepatitis C/epidemiology/*immunology MH - Humans MH - Incidence MH - Kidney Failure, Chronic/diagnosis/epidemiology/*immunology/virology MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Prognosis MH - Retrospective Studies MH - Risk Assessment MH - Sex Factors MH - Statistics, Nonparametric MH - Turkey MH - Viral Load/*immunology PMC - PMC4067914 COIS- Conflict of Interest: None declared. EDAT- 2014/07/01 06:00 MHDA- 2015/03/31 06:00 PMCR- 2014/05/01 CRDT- 2014/07/01 06:00 PHST- 2014/07/01 06:00 [entrez] PHST- 2014/07/01 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] PHST- 2014/05/01 00:00 [pmc-release] AID - SaudiJGastroenterol_2014_20_3_175_133007 [pii] AID - SJG-20-175 [pii] AID - 10.4103/1319-3767.133007 [doi] PST - ppublish SO - Saudi J Gastroenterol. 2014 May-Jun;20(3):175-81. doi: 10.4103/1319-3767.133007.