首页|HBeAg阳性慢性乙型肝炎患者CD55单核苷酸多态性对聚乙二醇化干扰素α-2b疗效的影响

HBeAg阳性慢性乙型肝炎患者CD55单核苷酸多态性对聚乙二醇化干扰素α-2b疗效的影响

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目的 探讨CD55单核苷酸多态性(CD55-SNP)对HBeAg阳性慢性乙型肝炎(CHB)接受聚乙二醇化干扰素α-2b(Peg-IFNα-2b)治疗的影响.方法 选取2017年8月-2021年8月期间人院诊治HBeAg阳性CHB患者159例.根据HBV DNA<2000 IU/mL且HBsAg和抗-HBe血清转换者结果分为应答组(87例)和非应答组(72例).回顾性分析两组患者的临床资料,探究CD55-SNP对患者治疗的影响.结果 CD55-rs28371597在应答组的GG基因(91.4%)明显高于 CT 基因(6.4%)和 TT 基因(3.2%),CFB-rs12614 CC基因(92.4%)显著高于 CT 基因(7.6%)和 TT 基因,(0%),STAT4-rs7574865 GG 基因(52.6%)明显高于 GT 基因(38.1%)和 TT 基因(9.3%).与非应答组(75.0%、79.1%)相比,应答组的CD55-rs28371597 GG基因(91.4%)和CFB-rs12614 CC基因(92.4%)升高.对患者根据治疗效果的影响因素进行分析,两组患者的饮酒、CD55-rs28371597基因型比较差异有统计学意义.HBV DNA、CFB-rs12614和STAT4-rs7574865经多变量校正发现不影响治疗结局,差异无统计学意义(P>0.05),而CD55-rs28371597显著影响治疗结局(P<0.05).结论 CD55-SNP多态性影响HBeAg阳性CHB患者接受治疗Peg-IFNα-2b的疗效,且与病毒学应答紧密相关,临床医生可根据CD55-SNP多态性分布情况,预测Peg-IFNα-2b治疗效果,给予合理的治疗方案.
Effect of CD55 single nucleotide polymorphism on the efficacy of pegylated interferon α-2b in chronic hepatitis B patients with HBeAg-positive
Objective To investigate the effect of CD55 single nucleotide polymorphism(CD55-SNP)on the efficacy of pegylated interferon α-2b(Peg-IFNα-2b)in chronic hepatitis B(CHB)patients with HBeAg-positive.Methods From August 2017 to August 2021,159 CHB patients with HBeAg-positive were selected.According to the results,CHB patients were divided into response group and non-response group.The clinical data of the two groups were retrospectively analyzed to explore the effect of CD55-SNP on the treatment of patients.Results The GG gene(91.4%)of CD55-rs28371597 was significantly higher than that of CT gene(6.4%)and TT gene(3.2%),and the CFB-rs12614 CC gene(92.4%)was significantly higher than that of CT gene(7.6%)and TT gene(0%)in the response group.Compared with the non-response group(75.0%,79.1%),the CD55-rs28371597 GG gene(91.4%)and CFB-rs12614 CC gene(92.4%)in the response group increased.According to the analysis of the influencing factors of the treatment effect,the comparison of drinking and CD55-rs28371597 genotype between the two groups was statistically significant.After multivariate calibration,HBV DNA,CFB-rs12614 and STAT4-rs7574865 did not affect the treatment outcome(P>0.05),while CD55-rs28371597 significantly affected the treatment outcome(P<0.05).Conclusion CD55-SNP polymorphism affects the efficacy of Peg-IFNα-2b in CHB patients with HBeAg-positive,and is closely related to virological response.Clinicians can predict the therapeutic effect of Peg-IFNα-2b according to the distribution of CD55-SNP polymorphism and give a reasonable treatment plan.

CD55 single nucleotide polymorphismHBeAgChronic hepatitis BPegylated interferon α-2bTherapeutic effect

陈继良、周婉月、徐铭晨

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223900 江苏泗洪县第一人民医院检验科

223899 南京医科大学附属宿迁第一人民医院检验科

223900 江苏泗洪县第一人民医院感染科

CD55单核苷酸多态性 HBeAg 慢性乙型肝炎 聚乙二醇化干扰素α-2b 疗效

2024

肝脏
上海市医学会

肝脏

CSTPCD
影响因子:0.71
ISSN:1008-1704
年,卷(期):2024.29(11)