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Int. J. Environ. Res. Public Health 2016, 13(10), 1030; doi:10.3390/ijerph13101030

Polymorphisms of HLA-DM on Treatment Response to Interferon/Ribavirin in Patients with Chronic Hepatitis C Virus Type 1 Infection

1
Department of Infectious Disease, the Jurong People’s Hospital, Jurong 212400, China
2
Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing 211166, China
These authors contributed equally to this work.
*
Authors to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 28 July 2016 / Revised: 29 September 2016 / Accepted: 13 October 2016 / Published: 20 October 2016
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Abstract

Background: HLA-DM gene, which is related to antigen processing and presentation and located in the non-classical class-II region of human leukocyte antigen (HLA) region, may play a crucial role in chronic hepatitis C virus (HCV) infection treatment outcomes. The study was conducted to evaluate the role of the variant of several single nucleotide polymorphisms (SNPs) in HLA-DM gene in HCV treatment outcomes. Methods: We genotyped four SNPs from the candidate genes (HLA-DMA and DMB) in 336 patients who were treated with pegylated interferon-alpha and ribavirin (PEG IFN-α/RBV). Multivariate analysis of factors predicting sustained virological response (SVR) was conducted. Results: HLA-DMA rs1063478 and DMB rs23544 were independent factors of HCV treatment outcomes in Chinese Han population. Individuals who carried favorable genotypes of rs1063478TT and rs23544GG were more likely to achieve SVR {Dominant model: odds ratio (OR) = 2.05, 95% confidence interval (CI) = 1.24–3.41; OR = 2.04, 95% CI =1.23–3.35, respectively}. Rs23544, rs1063478, baseline glucose, baseline platelet and T4 level were independent predictors of SVR. The area under the receiver operating characteristic (ROC) curve (AUC) was 0.740. Conclusions: The genetic variation of rs1063478 and rs23544 are associated with the treatment outcomes in the Chinese Han population. View Full-Text
Keywords: hepatitis C; genetic polymorphism; HLA-DM gene; treatment outcome hepatitis C; genetic polymorphism; HLA-DM gene; treatment outcome
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MDPI and ACS Style

Chen, H.; Yao, Y.; Wang, Y.; Zhou, H.; Xu, T.; Liu, J.; Wang, G.; Zhang, Y.; Chen, X.; Liu, Q.; Huang, P.; Yu, R. Polymorphisms of HLA-DM on Treatment Response to Interferon/Ribavirin in Patients with Chronic Hepatitis C Virus Type 1 Infection. Int. J. Environ. Res. Public Health 2016, 13, 1030.

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