title: Influences of MxA gene -88 G/T and IFN-gamma +874 A/T on the natural history of hepatitis B virus infection in an endemic area.
abstract: The influence of human genetics on the natural history of hepatitis B virus (HBV) infection may be diminished in endemic areas because infection at a young age predisposes to chronic HBV infection. The present study aimed to address this issue through the determination of the influences of single nucleotide polymorphisms (SNPs) of myxovirus resistence-1 (MxA) -88 G/T and interferon (IFN)-gamma +874 A/T on the natural history of HBV infection in endemic regions. One hundred adult patients with self-limiting HBV infection (positive for both anti-HBs and anti-HBc) and 340 adult patients with persistent HBV infection were recruited from southern China, an endemic area with an HBsAg carrier rate of 17.8%. SNPs of MxA -88 G/T and interferon (IFN)-gamma +874 A/T were typed using a protocol based on competitively differentiated polymerase chain reaction. A highly significant difference in the distribution of MxA -88 G/T was observed between those with persistent and self-limiting HBV infections. The latter displayed a lower frequency of the GG genotype (41.0% vs. 52.9%, P = 0.036) and a higher frequency of the TT genotype (16.0% vs. 2.4%, P = 0.000), compared to patients with persistent infection. These differences were not gender- or age-specific. However, a significant distribution difference of IFN-gamma +874 A/T was not observed. Between two groups of patients, respectively, the distribution frequencies of the AA genotype (65.0% vs. 72.8%, P = 0.139) and the TT genotype (2.0% vs. 1.2%, P = 0.894) were found. These results suggest that MxA gene -88 G/T and IFN-gamma +874 A/T behave differently in endemic HBV infections. Further study is necessary to clarify the influences of human genetics on endemic HBV infections.
authors.affiliation: Department of Infectious Diseases, Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China. xiaomoupeng@hotmail.com
authors.forename: X M
authors.initials: XM
authors.lastname: Peng
authors.forename: R X
authors.initials: RX
authors.lastname: Lei
authors.forename: L
authors.initials: L
authors.lastname: Gu
authors.forename: H H
authors.initials: HH
authors.lastname: Ma
authors.forename: Q F
authors.initials: QF
authors.lastname: Xie
authors.forename: Z L
authors.initials: ZL
authors.lastname: Gao
mesh_terms: D000328:Adult; D044466:Asian People / Q000235:genetics; D019353:Endemic Diseases; D005260:Female; D019204:GTP-Binding Proteins / Q000235:genetics*; D005838:Genotype; D006509:Hepatitis B / Q000453:epidemiology* / Q000235:genetics*; D006801:Humans; D007371:Interferon-gamma / Q000235:genetics*; D008297:Male; D064547:Myxovirus Resistance Proteins
chemical_list: C579071:MX1 protein, human; D064547:Myxovirus Resistance Proteins; D007371:Interferon-gamma; D019204:GTP-Binding Proteins