PMID- 28921602 OWN - NLM STAT- MEDLINE DCOM- 20191028 LR - 20220317 IS - 1527-3350 (Electronic) IS - 0270-9139 (Linking) VI - 67 IP - 2 DP - 2018 Feb TI - Human leukocyte antigen variants and risk of hepatocellular carcinoma modified by hepatitis C virus genotypes: A genome-wide association study. PG - 651-661 LID - 10.1002/hep.29531 [doi] AB - We conducted a genome-wide association study to discover genetic variants associated with hepatitis C virus (HCV)-related hepatocellular carcinoma (HCC). We genotyped 502 HCC cases and 749 non-HCC controls using the Axiom-CHB genome-wide array. After identifying single-nucleotide polymorphism clusters located in the human leukocyte antigen (HLA) region which were potentially associated with HCC, HLA-DQB1 genotyping was performed to analyze 994 anti-HCV seropositives collected in the period 1991-2013 in a community-based cohort for evaluating long-term predictability of HLA variants for identifying the risk of HCC. Cox proportional hazards models were used to estimate the hazard ratios and 95% confidence intervals of HLA genotypes for determining the aforementioned HCC risk. Eight single-nucleotide polymorphisms in the proximity of HLA-DQB1 were associated with HCC (P < 8.7 x 10(-8) ) in the genome-wide association study. Long-term follow-up showed a significant association with HLA-DQB1*03:01 and DQB1*06:02 (P < 0.05). The adjusted hazard ratios associated with HCC were 0.45 (0.30-0.68) and 2.11 (1.34-3.34) for DQB1*03:01 and DQB1*06:02, respectively. After stratification by HCV genotypes, DQB1*03:01 showed protective effects only in patients with HCV genotype 1, whereas DQB1*06:02 conferred risk of HCC only in patients with HCV non-1 genotypes. HLA imputation analyses revealed that HLA-DRB1*15:01, which is in linkage disequilibrium with DQB1*06:02, also increased the risk of HCC (odds ratio, 1.96; 95% confidence interval, 1.31-2.93). Haplotype analysis supported that DQB1*03:01 and DQB1*06:02 are primarily protective and susceptible variants, respectively. Conclusion: HLA-DQB1 was independently associated with HCC; HCV genotypes modified the effects of HLA-DQB1 on the risk of HCC. (Hepatology 2018;67:651-661). CI - (c) 2017 by the American Association for the Study of Liver Diseases. FAU - Lee, Mei-Hsuan AU - Lee MH AD - Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan. FAU - Huang, Yu-Han AU - Huang YH AD - Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan. FAU - Chen, Hsuan-Yu AU - Chen HY AD - Institute of Statistical Science, Academia Sinica, Taipei, Taiwan. FAU - Khor, Seik-Soon AU - Khor SS AD - Department of Human Genetics, Graduate School of Medicine, the University of Tokyo, Toyo, Japan. FAU - Chang, Ya-Hsuan AU - Chang YH AD - Institute of Statistical Science, Academia Sinica, Taipei, Taiwan. FAU - Lin, Yu-Ju AU - Lin YJ AD - Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan. FAU - Jen, Chin-Lan AU - Jen CL AD - Genomics Research Center, Academia Sinica, Taipei, Taiwan. FAU - Lu, Sheng-Nan AU - Lu SN AD - Department of Gastroenterology, Chang-Gung Memorial Hospital, Kaohsiung, Taiwan. FAU - Yang, Hwai-I AU - Yang HI AD - Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan. AD - Genomics Research Center, Academia Sinica, Taipei, Taiwan. FAU - Nishida, Nao AU - Nishida N AD - Genome Medical Sciences Project, National Center for Global Health and Medicine, Ichikawa, Japan. FAU - Sugiyama, Masaya AU - Sugiyama M AD - Genome Medical Sciences Project, National Center for Global Health and Medicine, Ichikawa, Japan. FAU - Mizokami, Masashi AU - Mizokami M AD - Genome Medical Sciences Project, National Center for Global Health and Medicine, Ichikawa, Japan. FAU - Yuan, Yong AU - Yuan Y AD - World Wide Health Economics and Outcomes Research, Bristol-Myers Squibb, Princeton, NJ. FAU - L'Italien, Gibert AU - L'Italien G AD - Yale University, New Haven, CT. FAU - Tokunaga, Katsushi AU - Tokunaga K AD - Department of Human Genetics, Graduate School of Medicine, the University of Tokyo, Toyo, Japan. FAU - Chen, Chien-Jen AU - Chen CJ AD - Academia Sinica, Taipei, Taiwan. CN - REVEAL-HCV Cohort Study Group LA - eng GR - MOST 104-2628-B-010-001-MY3/Ministry of Science and Technology, Taipei, Taiwan/International GR - MOST 105-2628-B-010-003-MY4/Ministry of Science and Technology, Taipei, Taiwan/International GR - Bristol-Myers Squibb Co./International GR - Academia Sinica, Taipei, Taiwan/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180101 PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) SB - IM MH - Alleles MH - Carcinoma, Hepatocellular/*etiology/immunology/virology MH - Case-Control Studies MH - *Genome-Wide Association Study MH - Genotype MH - HLA-DQ beta-Chains/*genetics MH - Haplotypes MH - Hepacivirus/classification/*genetics MH - Humans MH - Liver Neoplasms/*etiology/immunology/virology MH - *Polymorphism, Single Nucleotide MH - Risk EDAT- 2017/09/19 06:00 MHDA- 2019/10/29 06:00 CRDT- 2017/09/19 06:00 PHST- 2017/05/18 00:00 [received] PHST- 2017/09/06 00:00 [revised] PHST- 2017/09/11 00:00 [accepted] PHST- 2017/09/19 06:00 [pubmed] PHST- 2019/10/29 06:00 [medline] PHST- 2017/09/19 06:00 [entrez] AID - 10.1002/hep.29531 [doi] PST - ppublish SO - Hepatology. 2018 Feb;67(2):651-661. doi: 10.1002/hep.29531. Epub 2018 Jan 1.