Human Molecular Genetics Advance Access published online on August 5, 2003
Human Molecular Genetics, doi:10.1093/hmg/ddg262
© 2003 by Oxford University Press
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1 Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea
* To whom correspondence should be addressed. E-mail: hsleemd{at}snu.ac.kr.
The mechanisms underlying the resolution of hepatitis B virus (HBV) infection remain undetermined. Tumor necrosis factor-
Article
Association of TNF-
Promoter Polymorphisms With the Clearance of Hepatitis B Virus Infection
2 Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, 28 Yungun-dong, Chongno-gu, Seoul 110-744, Korea
3 Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Korea
4 Department of Genetic Epidemiology, SNP Genetics, Inc., Seoul, Korea
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Abstract
(TNF-
) plays a pivotal role in host immune response to HBV, and the capacity for cytokine production in individuals has a major genetic component. The aim of this study was to examine whether TNF-
promotor polymorphisms are associated with the clearance of HBV infection. A total of 1,400 Korean subjects were enrolled in 2 different groups: "chronic carrier group" (CC; n=1,109), who were repeatedly hepatitis B surface antigen (HBsAg)-positive, and "subjects who spontaneously recovered" (SR; n=291), who were HBsAg-negative with antibodies to HBsAg and hepatitis B core antigen. TNF-
promoter polymorphisms at positions -1031T>C, -863C>A, -857C>T, -376G>A, -308G>A, -238G>A, and -163G>A were determined and the genotype distributions of the CC and SR groups were compared. The TNF-
promoter alleles that were previously reported to be associated with higher plasma levels, i.e., the presence of the -308A allele (TNF-
-308A/G or A/A) or the absence of the -863A (TNF-
-863C/C) variant, were strongly associated with the resolution of HBV infection in three alternative analyzing models, i.e., TNF-
-308G>A (P=0.01) and TNF-
-863C>A (P=0.003-0.14), respectively. Haplotype analysis also revealed that TNF-
haplotype 1 [-1031T; -863C; -857C; -308G; -238G; -163G] and haplotype 2 [-1031C; -863A; -857C; -308G; -238G; -163G] were significantly associated with HBV clearance, showing protective antibody production and persistent HBV infection, respectively (P=0.003-0.02). Our findings imply that variations in the genes governing the levels of constitutive and inducible TNF-
might be an important factor, which might explain the variable outcome of HBV infection.![]()
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