PMID- 30104900 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220318 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 10 DP - 2018 TI - Human leukocyte antigen gene polymorphisms are associated with systemic inflammation in hepatitis B virus-related hepatocellular carcinoma. PG - 2315-2324 LID - 10.2147/CMAR.S167574 [doi] AB - BACKGROUND: Systemic inflammation (SI) is associated with tumor progression and overall survival (OS) in patients with hepatocellular carcinoma (HCC). The presence of some single nucleotide polymorphisms (SNPs) in the human leukocyte antigen (HLA) region can influence the prognosis of patients with hepatitis B virus (HBV)-related HCC, although the mechanism remains unknown. This study aimed to analyze the correlations between HLA gene polymorphisms and SI. PATIENTS AND METHODS: This study included 330 patients with HCC. The clinical parameters were reviewed, and five SNPs, namely rs2647073, rs3997872, rs3077, rs7453920, and rs7768538, were genotyped using the MassARRAY system. RESULTS: The rs3997872, rs7453920, and rs7768538 genotypes were found to be significantly associated with OS (P<0.05). The rs7453920 genotype was significantly associated with the neutrophil/lymphocyte ratio (NLR; P=0.001), which was used as an SI index with a threshold determined by receiver operating characteristic analysis. An elevated NLR was also an independent predictor of OS according to univariate and multivariate analyses (P<0.001). CONCLUSION: Our data show that HLA gene polymorphisms are associated with SI in patients with HBV-related HCC, and the absence of minor allele A (rs7453920) promotes SI and shortens OS. FAU - Wu, Xiao-Long AU - Wu XL AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. FAU - Li, Zhi-Yu AU - Li ZY AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. FAU - Bi, Xin-Yu AU - Bi XY AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. FAU - Zhao, Hong AU - Zhao H AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. FAU - Zhao, Jian-Jun AU - Zhao JJ AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. FAU - Zhou, Jian-Guo AU - Zhou JG AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. FAU - Han, Yue AU - Han Y AD - Department of Interventional Therapies, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Huang, Zhen AU - Huang Z AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. FAU - Zhang, Ye-Fan AU - Zhang YF AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. FAU - Cai, Jian-Qiang AU - Cai JQ AD - Department of Hepatobiliary Surgery, caijianqiang@cicams.ac.cn. LA - eng PT - Journal Article DEP - 20180731 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC6074760 OTO - NOTNLM OT - hepatitis B virus OT - hepatocellular carcinoma OT - human leukocyte antigen OT - single nucleotide polymorphism OT - systemic inflammation COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2018/08/15 06:00 MHDA- 2018/08/15 06:01 PMCR- 2018/07/31 CRDT- 2018/08/15 06:00 PHST- 2018/08/15 06:00 [entrez] PHST- 2018/08/15 06:00 [pubmed] PHST- 2018/08/15 06:01 [medline] PHST- 2018/07/31 00:00 [pmc-release] AID - cmar-10-2315 [pii] AID - 10.2147/CMAR.S167574 [doi] PST - epublish SO - Cancer Manag Res. 2018 Jul 31;10:2315-2324. doi: 10.2147/CMAR.S167574. eCollection 2018.