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吴俊秋,何登明,晏泽辉,陶诗奇,徐城,朱鹏,王宇明.IL-12A、IL-1B、IL-17A单核苷酸多态性与慢性乙型肝炎恩替卡韦治疗HBeAg血清学转换的遗传关联研究[J].陆军军医大学学报(原第三军医大学学报),2015,37(09):839-844.
Wu Junqiu,He Dengming,Yan Zehu,Tao Shiqi,Xu Cheng,Zhu Peng,Wang Yuming.Association of IL-12A, IL-1B and IL-17A polymorphisms with HBeAg seroconversion in chronic hepatitis B patients who received entecavir treatment[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(09):839-844.
吴俊秋,何登明,晏泽辉,陶诗奇,徐城,朱鹏,王宇明.IL-12A、IL-1B、IL-17A单核苷酸多态性与慢性乙型肝炎恩替卡韦治疗HBeAg血清学转换的遗传关联研究[J].陆军军医大学学报(原第三军医大学学报),2015,37(09):839-844. DOI:
Wu Junqiu,He Dengming,Yan Zehu,Tao Shiqi,Xu Cheng,Zhu Peng,Wang Yuming.Association of IL-12A, IL-1B and IL-17A polymorphisms with HBeAg seroconversion in chronic hepatitis B patients who received entecavir treatment[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(09):839-844. DOI:
目的 通过遗传关联研究观察慢性HBV感染免疫相关重要细胞因子IL-12、IL-1B、IL-17的基因多态性与恩替卡韦抗病毒治疗HBeAg血清学转换之间的关联。 方法 对109例恩替卡韦抗病毒治疗的HBeAg阳性慢性乙型肝炎患者每3个月进行肝功能、乙肝标志物、HBV DNA检测,进行HBeAg血清学转换评估,治疗24个月时的应答情况作为判定应答与否的标准。发生HBeAg血清学转换者为应答组;未发生HBeAg血清学转换者为无应答组;分析IL-12A rs568408、IL-1B rs1143623、IL-17A rs8193036基因型与HBeAg血清学转换之间的关联。 结果 29例获得HBeAg血清学转换(应答组),80例未获得HBeAg血清学转换(无应答组),总体应答率26.6%。IL-12A rs568408与HBeAg血清学转换显著相关
GA基因型发生HBeAg血清转换的易感性显著高于GG基因型[OR=3.72(1.34~10.32),P=0.012]。未发现IL-1B rs1143623 [OR=1.99 (0.72~5.44)
P=0.17]和IL-17A rs8193036 [OR=1.54 (0.32~7.33)
P=0.60]与HBeAg血清学转换存在关联。 结论 IL-12A rs568408与慢性乙型肝炎恩替卡韦治疗HBeAg血清学转换存在关联。
Objective To investigate the effect of polymorphisms of IL-12
IL-1B and IL-17 on the response of antiviral treatment in chronic hepatitis B patients who received entecavir treatment
and explore the association of the polymorphisms with HBeAg seroconversion. Methods A total of 109 HBeAg-positive chronic hepatitis B patients who had received entecavir treatment in our department from October 2010 to August 2011 were prospectively recruited in this study. Their liver functions
HBV markers
and HBV copies were measured in every 3 months to evaluate HBeAg seroconversion. After 24 months’ treatment
the cases achieving HBeAg seroconversion (response) were assigned as response group
and the others were assigned as non-response group. IL-12A rs568408
IL-1B rs1143623
and IL-17A rs8193036 were genotyped by MGB-TaqMan SNP genotyping assay. Then SNPstats was applied to analyze the association between the polymorphisms with HBeAg seroconversion. Results There were 29 cases getting HBeAg seroconversion
and the other 80 cases not
with a total response rate of 26.6%. IL-12A rs568408 was associated with HBeAg seroconversion
with GA genotype achieving higher HBeAg seroconversion rate than GG genotype (OR=3.72
95% CI=1.34-10.32
P=0.012). However
no significant association was found between IL-1B rs1143623 (OR=1.99
95% CI=0.72-5.44
P=0.17) or IL-17A rs8193036 (OR=1.54
95% CI=0.32-7.33
P=0.60) with HBeAg seroconversion. Conclusion IL-12A rs568408 is significantly associated with HBeAg seroconversion in HBeAg-positive chronic hepatitis B patients who received entecavir treatment.
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