首页|DDX58基因多态性与乙型肝炎病毒感染慢性化关联的研究

DDX58基因多态性与乙型肝炎病毒感染慢性化关联的研究

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目的 探究维甲酸诱导基因Ⅰ(DDX58)中的单核苷酸多态性位点(SNPs)是否与乙型肝炎病毒(HBV)感染慢性化有关.方法 2009年9月-2010年3月间,选取张家港市20个村的48 417人进行健康检查并定期随访,于2020年11月共纳入842例基线乙肝表面抗原(HBsAg)阳性患者为研究对象,其中无症状感染者674例,慢性乙型肝炎(CHB)患者168例.对2个单核苷酸多态性位点(DDX58 rs9695310、rs10738889)进行基因分型,采用t检验、x2检验、多因素logistic回归等多种统计学方法,探讨其与HBV感染慢性化的关系.结果 rs9695310基因多态性与HBV感染慢性化相关(P=0.004).与无症状感染者相比,rs9695310的突变C等位基因与患者慢性化显著相关(显性模型:OR=1.74,95%CI:1.18~2.54).同时,rs9695310、性别、年龄、血小板、白球比例及总胆固醇是HBV感染慢性化的独立预测因子(P均<0.05).ROC曲线显示,以上6个独立因素都能够较好地将HBV感染慢性化感染者同无症状感染者进行区分(AUC=0.738).结论 位于DDX58上的rs9695310的突变C等位基因与中国汉族人群HBV感染慢性化具有相关性,可作为HBV感染转归的预测指标.
Association between DDX58 gene polymorphism and chronic HBV infection
Objective DExD/H-box helicase 58(DDX58)plays an important role in human innate immunity and may affect the prognosis of hepatitis B virus(HBV)infection.The aim of this study was to investigate the association of single nucleotide polymorphic sites(SNPs)in the RIG-Ⅰ gene with HBV infection chronicity.Methods A total of 48 417 people from 20 villages in Zhangjiagang were selected for health examination and regular follow-up from September 2009 to March 2010.A total of 842 baseline hepatitis B surface antigen(HBsAg)positive patients were included in this study in November 2020;674 were asymptomatic and 168 were chronic hepatitis B(CHB).Two SNPs(DDX58 rs9695310,rs10738889)were genotyped to explore their relationship with HBV infection chronicity.t-test,x2-test and multivariate logistic regression were applied to analyze the relationship of these SNPs with HBV infection chronicity.Results rs9695310 gene polymorphism was associated with HBV infection chronicity(P=0.004).Compared with asymptomatic carriers,patients carrying the mutated allele rs9695310-C were more likely to become chronic(dominant model:OR=1.74,95%CI:1.18-2.54).Mutations in the rs9695310 gene were risk factors for chronic HBV infection;rs9695310,gender,age,platelets,A/G,and total cholesterol were independent predictors of HBV infection chronicity.The ROC curve analysis showed the above six independent factors could effectively distinguish chronic HBV infection from asymptomatic infection(AUC=0.738).Conclusion DDX58 rs9695310 was associated with chronic HBV infection in Chinese Han population and could serve as a predictive indicator for the outcome of HBV infection.

DDX58rs9695310Gene polymorphismHepatitis B

刘宇畅、姚轶男、沈艳、季燕、黄鹏、李敏、姚海萍、丁玲云

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张家港市疾病预防控制中心传染病防制科,江苏苏州 215600

南京医科大学公共卫生学院流行病学系,江苏南京 211166

南京医科大学公共卫生学院传染病重点实验室,江苏南京 211166

DDX58 rs9695310 基因多态性 乙型肝炎

江苏省张家港市医学重点学科张家港市卫生青年科技项目

张卫科教[2016]7号ZJGQNKJ202020

2024

热带医学杂志
广东省寄生虫学会 中华预防医学会

热带医学杂志

CSTPCD
影响因子:0.643
ISSN:1672-3619
年,卷(期):2024.24(7)
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