title: Distinct MHC class I and II alleles are associated with hepatitis C viral clearance, originating from a single source.
abstract: The role of cytotoxic T lymphocyte responses, restricted by human leukocyte antigen (HLA) class I alleles, is recognized as highly significant in the successful clearance of hepatitis C virus (HCV). The frequency of class I alleles in females inoculated with HCV genotype 1b from a single source was examined for an association with outcome. Class I typing was performed using polymerase chain reaction sequence-specific primers in 227 female subjects: 141 had chronic infection and 86 had viral clearance. Statistical analysis included chi(2) testing and multiple logistic regression analysis. A*03, B*27, and Cw*01 occurred more frequently in those with viral clearance (39.5%, 14%, and 9.3%, respectively) compared with those with chronic infection (19.1%, 2.1%, and 1.4%, respectively; P < or = .005). B*08 occurred more often in those with chronic infection compared with viral clearance (39.7% vs. 19.8%; P =.002). In combination with previously reported class II allele associations, over 75% that successfully eliminate HCV carry either A*03, DRB1*0101, or *0401, compared with only 37% of those with chronic infection (P <.0001). The haplotypes A*03-B*07-DRB1*15-DQB1*0602 and A*02-B*27-Cw*01-DRB1*0101-DQB1*0501 are associated with viral clearance (P =.004 and.01, respectively). By multiple logistic regression analysis, the alleles A*03, B*27, DRB1*0101, *0401, and *15 are associated with viral clearance, and B*27 has the strongest association (odds ratio [OR] 7.99). The haplotype A*01-B*08-Cw*07-DRB1*03011-DQB1*0201 is associated with chronic infection (P =.002), being independent for DQB1*0201 (OR 0.27). In conclusion, certain class I alleles are associated with outcome in this homogeneous cohort. More significantly, either HLA-A*03, -DRB1*0101, or -*0401 are carried by an overwhelming majority of those subjects who successfully clear HCV.
authors.affiliation: Hepatology Center, St. James's Hospital and Trinity College, Dublin, Ireland. smckiernan@stjames.ie
authors.forename: Susan M
authors.initials: SM
authors.lastname: McKiernan
authors.forename: Richard
authors.initials: R
authors.lastname: Hagan
authors.forename: Michael
authors.initials: M
authors.lastname: Curry
authors.forename: George S A
authors.initials: GS
authors.lastname: McDonald
authors.forename: Alan
authors.initials: A
authors.lastname: Kelly
authors.forename: Niamh
authors.initials: N
authors.lastname: Nolan
authors.forename: Anne
authors.initials: A
authors.lastname: Walsh
authors.forename: John
authors.initials: J
authors.lastname: Hegarty
authors.forename: Emer
authors.initials: E
authors.lastname: Lawlor
authors.forename: Dermot
authors.initials: D
authors.lastname: Kelleher
mesh_terms: D000483:Alleles; D015331:Cohort Studies; D004340:Drug Contamination; D005260:Female; D005805:Genes, MHC Class I; D005802:Genes, MHC Class II; D015234:HLA-A Antigens / Q000235:genetics; D015791:HLA-A3 Antigen; D006684:HLA-DR Antigens / Q000235:genetics; D059811:HLA-DRB1 Chains; D016174:Hepacivirus; D019698:Hepatitis C, Chronic / Q000209:etiology / Q000235:genetics* / Q000821:virology*; D006801:Humans; D008875:Middle Aged; D018029:Rho(D) Immune Globulin / Q000627:therapeutic use; D019562:Viral Load
chemical_list: D015234:HLA-A Antigens; C487960:HLA-A*03 antigen; D015791:HLA-A3 Antigen; D006684:HLA-DR Antigens; D059811:HLA-DRB1 Chains; C487961:HLA-DRB1*01:01 antigen; D018029:Rho(D) Immune Globulin