白细胞介素22基因多态性与乙型肝炎病毒相关急性-慢性肝衰竭预后的关系

Su Lin, Qing-hui Zhou, Yehong Lin, Mingfang Wang
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引用次数: 0

摘要

目的探讨白细胞介素-22(IL-22)单核苷酸多态性(SNPs)与乙型肝炎病毒相关性急性肝功能衰竭(HBV-ACLF)预后的关系。方法对福建医科大学第一附属医院收治的HBV-ACLF患者进行回顾性分析。使用imLDR检测了7种IL-22基因的SNP基因型,包括rs2227478、rs2227491、rs1179251、rs117 9249、rs2227473、rs2227484和rs11611206™ 介绍了多种SNP分型试剂盒及SNP基因型的分布特点。分析了SNP基因型和等位基因的分布与ACLF预后的关系。采用R×C表卡方检验或Fisher精确检验对各组基因型和等位基因频率进行比较。二元逻辑回归分析用于分析IL-22基因多态性是否是ACLF患者的独立预后因素。结果本研究共纳入122例HBV-ACLF患者。男性92例(75.1%),女性30例(24.59%)。根据三个月随访结果,将患者分为存活组(90例)和非存活组(32例)。IL-22基因rs2227484的基因型分布在两组之间有显著差异(χ2=6.128,P=0.033)。非存活组的A等位基因频率(15.6%)显著高于存活组(5.6%),具有统计学意义(OR=0.318,95%CI=0.26-0.804,P=0.012)二元logistic回归分析显示,IL-22基因rs2227484不是HBV-ACLF患者短期死亡率的独立危险因素(校正OR=3.102,95%CI:0.939-10250,P=0.063)。关键词:乙型肝炎病毒;多态性,遗传;白细胞介素-22;急性或慢性肝功能衰竭
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between interleukin-22 genetic polymorphisms and the prognosis of hepatitis B virus related acute-on-chronic liver failure
Objective To investigate the association between interleukin-22 (IL-22) single nucleotide polymorphisms (SNPs) and the prognosis of hepatitis B virus related acute-on-chronic liver failure (HBV-ACLF). Methods The patients with HBV-ACLF from the First Affiliated Hospital of Fujian Medical University were retrospectively studied. Seven SNP genotypes of IL-22 gene, including rs2227478, rs2227491, rs1179251, rs1179249, rs2227473, rs2227484, and rs11611206, were detected using imLDR™ multiple SNP typing kit and the distribution features of SNP genotypes were described. The relationship between the distribution of SNP genotypes and alleles and the prognosis of ACLF was analyzed. Comparison of genotypes and allele frequencies between groups were performed by chi-square test of R×C table or Fisher's exact tests. Binary logistic regression analysis was used to analyze whether IL-22 gene polymorphisms was an independent prognostic factor for patients with ACLF. Results A total of 122 patients with HBV-ACLF were included in this study. Ninety-two (75.1%) were male and 30 (24.59%) were female. Patients were stratified as survival group (90 cases) and non-survival group (32 cases) according to the Results of three months follow-up. The genotype distribution of rs2227484 of IL-22 gene was significantly different between the two groups (χ2=6.128, P=0.033). The A allele frequency in the non-survival group (15.6%) was significantly higher than that in the survival group (5.6%) with statistically significance (OR=0.318, 95% CI=0.126-0.804, P=0.012). There was no significant difference in the other six SNP genotypes of IL-22 gene between the two groups (all P >0.05). However, binary logistic regression showed that rs2227484 of IL-22 gene was not an independent risk factor for the short-term mortality in HBV-ACLF patients (adjusted OR=3.102, 95%CI: 0.939-10.250, P=0.063). Conclusions The A allele and AA genotype of rs2227484 of IL-22 gene may be associated with a short-term prognosis in patients with HBV-ACLF. Key words: Hepatitis B virus; Polymorphism, genetic; Interleukin-22; Acute-on-chronic liver failure
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