PMID- 36611047 OWN - NLM STAT- MEDLINE DCOM- 20230110 LR - 20230224 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 13 IP - 1 DP - 2023 Jan 7 TI - HBV genotype-dependent association of HLA variants with the serodecline of HBsAg in chronic hepatitis B patients. PG - 359 LID - 10.1038/s41598-023-27570-y [doi] LID - 359 AB - Seroclearance of hepatitis B surface antigen (HBsAg) is regarded as the functional cure for chronic hepatitis B (CHB). The relationship between human leukocyte antigen (HLA) variants, hepatitis B virus genotype, and longitudinal HBsAg serodecline remains to be explored. A total of 1735 HBeAg-seronegative CHB patients with genotype B or C infection of the community-based REVEAL-HBV cohort were genotyped for rs1710 (HLA-G) and rs2770 (HLA-B) using TaqMan assay. Cox proportional hazard regression and generalized linear mixed models were used to analyze the association of HLA genetic variants with the rate of HBsAg seroclearance and longitudinal HBsAg serodecline. Rs1710 G allele was differentially associated with the HBsAg seroclearance in genotype B [aRR (95% CI) = 0.74 (0.56-0.98)] and genotype C [aRR (95%CI) = 1.43 (1.08-1.88)] infection. Rs2770 G allele was associated with HBsAg seroclearance only in genotype B infection [aRR (95% CI) = 0.69 (0.52-0.91)]. The alleles associated with HBsAg seroclearance were significant predictors for the serodecline of HBsAg levels in an HBV genotype-dependent manner (genotype B infection: rs1710, P = 0.013; rs2770, P = 0.0081; genotype C infection: rs1710, P = 0.0452). Our results suggest both spontaneous HBsAg seroclearance and serodecline are modified by the interaction between HLA variants and HBV genotype. CI - (c) 2023. The Author(s). FAU - Chu, Yu-Ju AU - Chu YJ AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. AD - Institute of Microbiology and Immunology, National Yang-Ming University, Taipei, Taiwan. FAU - Yang, Hwai-I AU - Yang HI AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. AD - Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan. AD - Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Hu, Hui-Han AU - Hu HH AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. AD - School of Public Health, National Defense Medical Center, Taipei, Taiwan. FAU - Liu, Jessica AU - Liu J AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. FAU - Lin, Yu-Ling AU - Lin YL AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. FAU - Chang, Chia-Ling AU - Chang CL AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. FAU - Luo, Wen-Sheng AU - Luo WS AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. FAU - Jen, Chin-Lan AU - Jen CL AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. FAU - Chen, Chien-Jen AU - Chen CJ AD - Genomics Research Center, Academia Sinica, 128 Academia Road, Section 2, Nankang, Taipei, Taiwan. chencj@gate.sinica.edu.tw. AD - College of Medicine, Fu-Jen Catholic University, New Taipei, Taiwan. chencj@gate.sinica.edu.tw. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230107 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Hepatitis B Surface Antigens) RN - 0 (Hepatitis B e Antigens) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Histocompatibility Antigens) RN - 0 (HLA Antigens) RN - 0 (DNA, Viral) SB - IM MH - Humans MH - Hepatitis B Surface Antigens/genetics MH - *Hepatitis B, Chronic MH - Hepatitis B virus/genetics MH - Hepatitis B e Antigens/genetics MH - Genotype MH - Histocompatibility Antigens Class II/genetics MH - Histocompatibility Antigens MH - HLA Antigens MH - DNA, Viral/genetics MH - *Hepatitis B PMC - PMC9825396 COIS- The authors declare no competing interests. EDAT- 2023/01/08 06:00 MHDA- 2023/01/11 06:00 PMCR- 2023/01/07 CRDT- 2023/01/07 23:15 PHST- 2022/09/30 00:00 [received] PHST- 2023/01/04 00:00 [accepted] PHST- 2023/01/07 23:15 [entrez] PHST- 2023/01/08 06:00 [pubmed] PHST- 2023/01/11 06:00 [medline] PHST- 2023/01/07 00:00 [pmc-release] AID - 10.1038/s41598-023-27570-y [pii] AID - 27570 [pii] AID - 10.1038/s41598-023-27570-y [doi] PST - epublish SO - Sci Rep. 2023 Jan 7;13(1):359. doi: 10.1038/s41598-023-27570-y.