Human Molecular Genetics, 2003, Vol. 12, No. 8 901-906
DOI: 10.1093/hmg/ddg104
© 2003 Oxford University Press
Interleukin 10 haplotype associated with increased risk of hepatocellular carcinoma
1Department of Genetic Epidemiology, SNP Genetics, Inc., 11th Floor, MaeHun B/D, 13 Chongro 4 Ga, Chongro-Gu, Seoul 110-834, Korea and 2Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, 28 Yungun-Dong, Chongro-Gu, Seoul 110-744, Korea
Received January 10, 2003; Accepted February 19, 2003
Interleukin 10 (IL10) is a powerful Th-2 cell cytokine produced by lymphoid cells that exerts its functions by inhibiting macrophage/monocyte and T-cell lymphocyte replication and secretion of inflammatory cytokines (IL1, TNFA, TGFB, IL6, IL8 and IL12). Genetic association analysis of a well-characterized HBV cohort revealed that one of IL10 haplotypes, IL10-ht2, was strongly associated with hepatocellular carcinoma (HCC) occurrence in gene dose-dependent manner. The frequency of susceptible IL10-ht2 was much higher in HCC patients and significantly increased in order of susceptibility to HBV progression from chronic hepatitis to liver cirrhosis and HCC among hepatitis B patients. In addition, survival analysis clearly showed that the onset age of HCC was also accelerated among chronic hepatitis B patients who were carrying IL10-ht2. Increased IL10 production mediated by IL10-ht2 suggests that up-regulated IL10 accelerates progression of chronic HBV infection, especially to HCC development.
* To whom correspondence should be addressed at: Department of Internal Medicine, Seoul National University Hospital, 28 Yungun-Dong, Chongro-Gu, Seoul 110-744, Korea. Tel: +82 27457557; Fax: +82 27448243; Email: hsleemd{at}snu.ac.kr
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