PMID- 34430511 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220426 IS - 2253-5969 (Print) IS - 2253-5969 (Electronic) IS - 2253-5969 (Linking) VI - 8 DP - 2021 TI - Fine Mapping of the MHC Region Identifies Novel Variants Associated with HBV-Related Hepatocellular Carcinoma in Han Chinese. PG - 951-961 LID - 10.2147/JHC.S321919 [doi] AB - INTRODUCTION: Genome-wide association studies identified susceptibility loci in the major histocompatibility complex region for hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC). However, the causal variants underlying HBV-related HCC pathogenesis remain elusive. METHODS: With a total of 1,161 HBV-related HCC cases and 1,353 chronic HBV carriers without HCC, we imputed human leukocyte antigen (HLA) variants based on a Chinese HLA reference panel and evaluated the associations of these variants with the risk of HBV-related HCC. Conditional analyses were used to identify independent signals associated with the risk of HBV-related HCC (P false-discovery rate (FDR) <0.20). A total of 14,930 variants within the MHC region were genotyped or imputed. RESULTS: We identified two variants, rs114401688 (P = 1.05 x 10(-6), P(FDR) = 2.43 x 10(-3)) and rs115126566 (P = 9.04 x 10(-5), P(FDR) = 1.77 x 10(-1)), that are independently associated with the risk of HBV-related HCC. Single nucleotide polymorphism (SNP) rs114401688 is in linkage disequilibrium with a previously reported SNP rs9275319. In the current study, we found that its association with HCC could be explained by HLA-DQB1*04 and HLA-DRB1*04. SNP rs115126566 is a novel risk variant and may function by regulating transcriptions of HLA-DPA1/DPB1 through enhancer-mediated mechanisms. HLA zygosity analysis showed that homozygosity at HLA-DQB1 gene is suggestively associated with a higher risk of HCC (P = 0.10) and the risk was more pronounced in the older age group (age >/=50, P = 0.03). DISCUSSION: Our findings further the understanding of the genetic basis for HBV-related HCC predisposition in chronic HBV carriers. CI - (c) 2021 Mai et al. FAU - Mai, Haoming AU - Mai H AD - State Key Laboratory of Organ Failure Research, Guangdong Key Laboratory of Viral Hepatitis Research, Guangdong Institute of Liver Diseases, Department of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China. FAU - Chen, Jiaxuan AU - Chen J AD - State Key Laboratory of Organ Failure Research, Guangdong Key Laboratory of Viral Hepatitis Research, Guangdong Institute of Liver Diseases, Department of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China. FAU - Chen, Haitao AU - Chen H AD - State Key Laboratory of Organ Failure Research, Guangdong Key Laboratory of Viral Hepatitis Research, Guangdong Institute of Liver Diseases, Department of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China. AD - School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, 518107, People's Republic of China. FAU - Liu, Zhiwei AU - Liu Z AD - Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA. FAU - Huang, Guanlin AU - Huang G AD - State Key Laboratory of Organ Failure Research, Guangdong Key Laboratory of Viral Hepatitis Research, Guangdong Institute of Liver Diseases, Department of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China. FAU - Wang, Jialin AU - Wang J AD - State Key Laboratory of Organ Failure Research, Guangdong Key Laboratory of Viral Hepatitis Research, Guangdong Institute of Liver Diseases, Department of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China. FAU - Xiao, Qianyi AU - Xiao Q AD - School of Public Health, Fudan University, Shanghai, 200032, People's Republic of China. FAU - Ren, Weihua AU - Ren W AD - Central Laboratory, First Affiliated Hospital, Henan University of Science and Technology, Luoyang, Henan Province, 471009, People's Republic of China. FAU - Zhou, Bin AU - Zhou B AD - State Key Laboratory of Organ Failure Research, Guangdong Key Laboratory of Viral Hepatitis Research, Guangdong Institute of Liver Diseases, Department of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China. FAU - Hou, Jinlin AU - Hou J AD - State Key Laboratory of Organ Failure Research, Guangdong Key Laboratory of Viral Hepatitis Research, Guangdong Institute of Liver Diseases, Department of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China. FAU - Jiang, Deke AU - Jiang D AD - State Key Laboratory of Organ Failure Research, Guangdong Key Laboratory of Viral Hepatitis Research, Guangdong Institute of Liver Diseases, Department of Infectious Diseases and Hepatology Unit, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China. LA - eng PT - Journal Article DEP - 20210816 PL - New Zealand TA - J Hepatocell Carcinoma JT - Journal of hepatocellular carcinoma JID - 101674775 PMC - PMC8378933 OTO - NOTNLM OT - HBV OT - MHC OT - fine mapping OT - hepatocellular carcinoma OT - susceptibility COIS- Professor Jinlin Hou reports personal fees from AbbVie, personal fees from Arbutus, grants, personal fees from Bristol Myers Squibb, personal fees from Gilead Sciences, grants, personal fees from Johnson & Johnson, personal fees from Roche, outside the submitted work. The authors declare that they have no other conflicts of interest in this work. EDAT- 2021/08/26 06:00 MHDA- 2021/08/26 06:01 PMCR- 2021/08/16 CRDT- 2021/08/25 06:27 PHST- 2021/05/26 00:00 [received] PHST- 2021/07/29 00:00 [accepted] PHST- 2021/08/25 06:27 [entrez] PHST- 2021/08/26 06:00 [pubmed] PHST- 2021/08/26 06:01 [medline] PHST- 2021/08/16 00:00 [pmc-release] AID - 321919 [pii] AID - 10.2147/JHC.S321919 [doi] PST - epublish SO - J Hepatocell Carcinoma. 2021 Aug 16;8:951-961. doi: 10.2147/JHC.S321919. eCollection 2021.