Source:http://linkedlifedata.com/resource/pubmed/id/15239092
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2004-7-7
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pubmed:abstractText |
The role of cytotoxic T lymphocyte responses, restricted by human leukocyte antigen (HLA) class I alleles, is recognized as highly significant in the successful clearance of hepatitis C virus (HCV). The frequency of class I alleles in females inoculated with HCV genotype 1b from a single source was examined for an association with outcome. Class I typing was performed using polymerase chain reaction sequence-specific primers in 227 female subjects: 141 had chronic infection and 86 had viral clearance. Statistical analysis included chi(2) testing and multiple logistic regression analysis. A*03, B*27, and Cw*01 occurred more frequently in those with viral clearance (39.5%, 14%, and 9.3%, respectively) compared with those with chronic infection (19.1%, 2.1%, and 1.4%, respectively; P < or = .005). B*08 occurred more often in those with chronic infection compared with viral clearance (39.7% vs. 19.8%; P =.002). In combination with previously reported class II allele associations, over 75% that successfully eliminate HCV carry either A*03, DRB1*0101, or *0401, compared with only 37% of those with chronic infection (P <.0001). The haplotypes A*03-B*07-DRB1*15-DQB1*0602 and A*02-B*27-Cw*01-DRB1*0101-DQB1*0501 are associated with viral clearance (P =.004 and.01, respectively). By multiple logistic regression analysis, the alleles A*03, B*27, DRB1*0101, *0401, and *15 are associated with viral clearance, and B*27 has the strongest association (odds ratio [OR] 7.99). The haplotype A*01-B*08-Cw*07-DRB1*03011-DQB1*0201 is associated with chronic infection (P =.002), being independent for DQB1*0201 (OR 0.27). In conclusion, certain class I alleles are associated with outcome in this homogeneous cohort. More significantly, either HLA-A*03, -DRB1*0101, or -*0401 are carried by an overwhelming majority of those subjects who successfully clear HCV.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/HLA-A Antigens,
http://linkedlifedata.com/resource/pubmed/chemical/HLA-A3 Antigen,
http://linkedlifedata.com/resource/pubmed/chemical/HLA-DR Antigens,
http://linkedlifedata.com/resource/pubmed/chemical/HLA-DRB1*01:01 antigen,
http://linkedlifedata.com/resource/pubmed/chemical/HLA-DRB1 Chains,
http://linkedlifedata.com/resource/pubmed/chemical/Rho(D) Immune Globulin
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0270-9139
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
40
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
108-14
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:15239092-Alleles,
pubmed-meshheading:15239092-Cohort Studies,
pubmed-meshheading:15239092-Drug Contamination,
pubmed-meshheading:15239092-Female,
pubmed-meshheading:15239092-Genes, MHC Class I,
pubmed-meshheading:15239092-Genes, MHC Class II,
pubmed-meshheading:15239092-HLA-A Antigens,
pubmed-meshheading:15239092-HLA-A3 Antigen,
pubmed-meshheading:15239092-HLA-DR Antigens,
pubmed-meshheading:15239092-HLA-DRB1 Chains,
pubmed-meshheading:15239092-Hepacivirus,
pubmed-meshheading:15239092-Hepatitis C, Chronic,
pubmed-meshheading:15239092-Humans,
pubmed-meshheading:15239092-Middle Aged,
pubmed-meshheading:15239092-Rho(D) Immune Globulin,
pubmed-meshheading:15239092-Viral Load
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pubmed:year |
2004
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pubmed:articleTitle |
Distinct MHC class I and II alleles are associated with hepatitis C viral clearance, originating from a single source.
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pubmed:affiliation |
Hepatology Center, St. James's Hospital and Trinity College, Dublin, Ireland. smckiernan@stjames.ie
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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