目的通过探讨重庆地区慢性HBV感染者的HLA-A超型等位基因分布与健康志愿者之间的差异性,分析得出重庆地区慢性HBV感染者的易感HLA-A超型等位基因。方法应用聚合酶链反应/序列特异性引物技术(PCR-SSP)对健康人以及慢性HBV感染者的HLA-A等位基因多态性进行检测,分析不同超型中的各HLA-A位点等位基因在健康志愿者及慢性HBV感染者中人群分布频率以及等位基因频率。结果在重庆地区健康志愿者中,HLA-A3超型等位基因的表型频率(70.5%)以及等位基因频率(44.3%)均高于HLA-A2超型(45.5%;25.0%)及其它超型(P〈0.01);但是,在慢性HBV感染者中,HLA-A2超型等位基因的表型频率(65.3%)及等位基因频率(36.7%)均高于HLA-A3超型(57.1%;32.7%)及其他超型等位基因(P〈0.01)。结论重庆地区,HLA-A2超型等位基因与慢性HBV感染相关;HLA-A2超型等位基因可能是慢性HBV感染的易感基因,HLA-A3超型可能是HBV感染慢性化的保护性基因。
It has been reported that the human leukocyte antigen(HLA) class I molecules correlates with the outcome of infectious disease.However,the association of HLA-A supertype with the chronic hepatitis B virus infection(CHB) has never been clarified.Here we compared the expression of HLA-A supertype in patients with chronic hepatitis B virus infection and healthy controls in Chongqing distinct.Genotype of human leukocyte antigen(HLA)-A was detected by polymerase chain reaction sequence specific primer(PCR-SSP).Our results showed that the allelic frequency of HLA-A2 supertype allele in CHB group was significant higher than that in the healthy control group(36.7% vs 25.0%,P 0.01),while the allelic frequency of HLA-A3 supertype allele in CHB group was significant lower than that in healthy control group(32.7% vs 44.3%,P 0.01).Furthermore,the allelic frequency of HLA-24 supertype allele in CHB group had no significant difference from that in healthy control group.This study indicated that HLA-A2 supertype is significantly associated with the chronic HBV infection;in contrast,HLA-A3 supertype is more likely to mediate protection of HBV infection.